Become A Mobile Provider Form - Atlanta, Houston, Miami

Email Address*

Have you applied/or worked with Spa Theory before?*
YesNo

How did you hear about us?*
Google SearchIndeed Job PostReferralSocial Media AdsText MessagesEmailOther (please specify in last question)

Gender*
MaleFemale

Metro area you’re licensed to work*
Atlanta, GAHouston, TXMiami, FLAustin, TXDallas, TXWest Palm Beach, FL

Full Name*

Enter Phone Number*

City*

Zip Code*

INSURANCE: Do you have General Liability and Professional Liability Insurance and able to provide a copy upon request?*
YesNo

PROFESSIONAL LICENSE: Are you licensed in your state of practice and able to provide a copy of your professional license upon request (e.g. massage therapy license)?*
YesNo

BACKGROUND CHECK: Do you consent to a background check? They are required for all Spa Theory providers.*
YesNo

What’s your Instagram handle? (e.g. @TheSpaTheory)

Are you able to travel to appointments using your own car?*
YesNo

Do you own a mobile kit? Are you physically able to carry the necessary equipment to perform your responsibilities? (e.g. massage table, supplies, etc.)*
YesNo

Have you ever been convicted of a felony?*
YesNo

Which of the following services are you trained AND licensed for? (Mark all that apply)*
Massage TherapyPrenatal MassageEstheticianNail TechnicianMakeup ArtistHairstylingBody Wraps

How many years of experience do you have for services you indicated you’re trained and licensed for?*

What’s the email or phone number associated with your Zelle/Venmo/PayPal account?*

Is there anything else about your spa experience you’d like to share?

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