Home
About Us
Contact Us
Testimonials
Gift Certificates
Therapists
Los Angeles
Orange County – Coming Soon
Phoenix
San Diego
Massage Types
Aromatherapy
Chair Massage
Couples Massage
Craniosacral Massage
Deep Tissue Massage
Lomilomi Massage
Prenatal Massage
Reflexology massage
Reiki Healing – Usui System
Shiatsu Massage Therapy
Sports Massage
Swedish Massage
Thai Massage
Trigger Point Myotherapy
FAQ’s
Blog
Menu
Home
About Us
Contact Us
Testimonials
Gift Certificates
Therapists
Los Angeles
Orange County – Coming Soon
Phoenix
San Diego
Massage Types
Aromatherapy
Chair Massage
Couples Massage
Craniosacral Massage
Deep Tissue Massage
Lomilomi Massage
Prenatal Massage
Reflexology massage
Reiki Healing – Usui System
Shiatsu Massage Therapy
Sports Massage
Swedish Massage
Thai Massage
Trigger Point Myotherapy
FAQ’s
Blog
Book Now
Pure Knead Application
CLICK-TO-CALL: 1-844-563-2363
Contact Us
Application Form
Use the form below to inquire about employment opportunities with our company.
Personal
Full Name (First & Last)
*
Email
*
Phone
*
Gender
Male
Female
Are you above the age of 18 and are you authorized to work in the U.S.?
*
Yes
No
What areas are you willing to work?
*
Los Angeles
Orange County
Phoenix
San Diego
Are you currently licensed in the state you are applying in?
*
Yes
No
Do you have a valid Driver License?
*
Yes
No
Do you have a reliable vehicle?
*
Yes
No
Do you have vehicle insurance?
*
Yes
No
Do you have a smart phone capable of text, email and GPS?
*
Yes
No
Personal Information Cont.
Street Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Driver License Information
Drivers License Number
*
Driver License Exp. Date
*
Date Format: MM slash DD slash YYYY
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Vehicle Information
Make
*
Model
*
Plate #
*
Color
*
Vehicle Insurance Information
Insurance Company
*
Policy #
*
Insurance Policy Exp. Date
*
Date Format: MM slash DD slash YYYY
Massage Therapist Information and Experience
Massage License Number
*
Massage License Exp. Date
*
Date Format: MM slash DD slash YYYY
State
*
Arizona
California
Do you have Massage Insurance?
Yes
No
Massage Insurance Company
Company
Policy Number
Massage Insurance Exp. Date
Date Format: MM slash DD slash YYYY
Massage Information & History
Check all the Modalities you are willing to perform. (minimum 1)
*
Chair
Cranial Sacral
Deep Tissue
Elderly
Hot Stone
Lomi Lomi
Myofascial
Neuromuscular
Pregnancy
Reflexology
Reiki
Shiatsu
Sports
Swedish
Thai
Trigger Point Myotherapy
*We assume all therapists are capable of Deep Tissue, Sports, and Swedish Massage.*
*Must have all supplies for modalities.*
Other Modalities
Do you have a table?
*
Yes
No
Do you have a wheeled table cart?
*
Yes
No
Do you have a chair?
*
Yes
No
Clients may have animals in their homes. Please note, Pure Knead does not verify animal presence. Do you have allergies to any animals or scents that prevent you from performing mobile massage?
Years as a therapist?
*
Have you performed Mobile Massage?
Yes
No
How long?
Are you currently working as a massage therapist at any other company?
Yes
No
Where?
Do you currently have your own private practice as a massage therapist?
Yes
No
How long?
What days are you available?
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Emergency Contact Information
Primary Emergency Contact (Preferably someone who lives close by and can check on you)
Full Name (First & Last)
*
Phone
*
Relationship
*
Secondary Emergency Contact (Preferably someone you speak to daily)
Full Name (First & Last)
*
Phone
*
Relationship
*
Massage School Information
Where did you attend Massage school?
*
School Name
From
To
Did you Complete 1,000 hours?
Did you Graduate
Other specialties of certifications
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge. If this application leads to a sub contractor referral partnership between Pure Knead Massage and I (the applicant), I understand that false of misleading information in my application or interview may result in the severance of any agreement made between us. I authorize Pure Knead Massage to contact my references, previous employers and educational facilities to verify and confirm that the information provided is correct. I authorize Pure Knead Massage to execute a background check and credit check using the information I have provided in order to determine if I am a qualified candidate to be enrolled as a sub contracted referral partner with Pure Knead Massage. I hereby authorize Pure Knead Massage and their affiliates to print and post my photo, name, qualifications and likeness on all marketing material they may use.
Digital Signature:
*
Printing your First Name + Middle Initial + Last Name will act as your digital signature.
Upload Document Photos
*
Drop files here or
Accepted file types: doc, docx, pages, odt, rtf, tex, txt, wpd, wps, pdf, jpg, gif, png, jpeg.
Please upload photos of your driver’s license, vehicle insurance, massage license, and massage insurance (massage insurance optional)
Resume Upload (optional)
Accepted file types: doc, docx, pages, odt, rtf, tex, txt, wpd, wps, pdf, jpg.
If you have a resume you'd like to attach, please do so here. This is not required.
Would you like to add a cover letter?
Yes
No
Cover Letter (optional)
Please upload your cover letter here. You may also copy and paste the contents of your cover letter in the space below.
Interview Days and Times available
Due to the high volume of interviews, spots are not guaranteed. A staff member will get back with you to confirm a day and time. Each interview lasts 1hr.
You will be required to perform a 40 minute practical massage at the time of interview. You will need to bring all your own supplies needed to do a mobile massage including, but not limited to: table, sheets, bolster, music, lotion or oil.
Los Angeles Interview Days and Times
Please choose the Preferred Days and times
THURSDAYS: 11:15am
THURSDAYS: 12:15pm
FRIDAYS: 10:45am
FRIDAYS: 11:45am
Please specify any other preferred days or times
Orange County Interview Days and Times
We are currently not taking interviews at this time. However, please specify below the days and times you would be available and we will contact you when we begin interviewing.
Please specify preferred days or times
Phoenix Interview Days and Times
Please choose the Preferred Days and times
FRIDAYS: 12:30pm
FRIDAYS: 1:30pm
Please specify any other preferred days or times
San Diego Interview Days and Times
Please choose the Preferred Days and times
MONDAYS: 12:30pm
MONDAYS: 1:30pm
Please specify any other preferred days or times
See what Pure Knead is doing for your Health & Safety during COVID-19 >
Welcome
Login To Gain Access
Username or Email Address
Password
Remember Me
Log In
Lost your password?
Home
About Us
▼
Contact Us
Testimonials
Gift Certificates
Therapists
▼
Los Angeles
Orange County – Coming Soon
Phoenix
San Diego
Massage Types
▼
Aromatherapy
Chair Massage
Couples Massage
Craniosacral Massage
Deep Tissue Massage
Lomilomi Massage
Prenatal Massage
Reflexology massage
Reiki Healing – Usui System
Shiatsu Massage Therapy
Sports Massage
Swedish Massage
Thai Massage
Trigger Point Myotherapy
FAQ’s
Blog
CLICK-TO-CALL: 1-844-563-2363
Book Now