Private Practice Verification

Thank you, graduate, for your time in providing the following:
	(*Required Field)
*Name:
*Group #:
*Graduation Month/Year:	/
*Address (office or home office):
*City:
*State:
*Postal Code:
*Home Phone Number:
Cell Phone Number:
*Email Address:
*How many hours a week do you work?	(include travel, marketing, laundry, set up, break down, etc.)

Self-Employment Statement Please confirm that you are choosing to be self-employed in the field of massage therapy (i.e. pursuing your own private practice) by entering your initials below. YES* I acknowledge that I am seeking self-employment (private practice) in a field relating to my training at NHI, and that such self-employment fulfills my vocational and financial objectives. I feel that I am making satisfactory progress toward building a client base in the field; progressing toward my vocational objectives through the pursuit of self-employment; and earning income related to my NHI training.

“NHI gave me the tools to build my career and my lifestyle. The talent is all mine, and so is yours, this school will help you craft your life’s masterpiece.”

– Elisa Weller, NHI Graduate

National Holistic Institute • 5900 Hollis Street, Suite Q • Emeryville, California 94608 1.800.315.3552 • nhi@nhi.edu

Private Practice Verification

Thank you, graduate, for your time in providing the following:

Self-Employment Statement