Reflexology Program Credentialing PO Box 47852 Olympia, WA 98504-7852 360- 236-4700 Reflexology School Program or Apprenticeship Application Re-approval New Reflexology New Reflexology New apprenticeship Re-approval of Reflexology school program program apprenticeship program school/program Check One: Association Limited Partnership Public Hospital District Corporation Municipality (City) Sole Proprietor Federal Government Agency Municipality (County) State Government Agency Limited Liability Company Non-Profit Corporation Tribal Government Agency Limited Liability Partnership Partnership Trust UBI # Federal Tax ID (FEIN) # Legal Owner/Operator Name Mailing Address City Zip code State Name of school or program Address City State Zip code Phone (enter 10 digit #) Fax number Contact email Program/apprenticeship web site Administrator(s) name(s) Program Information: Please provide the following information about the program offered: Program Title: Program Hours: Name of Certificate offered: Attestation: I attest that I am the authorized representative of the above named school or program, and that I am submitting this application for approval by the Washington State Reflexology Program in that capacity. I have received and become familiar with The Law Relating to Reflexology, RCW 18.108, along with Uniform Disciplinary Code RCW 18.130 and Administrative Washington’s Washington’s Code, chapter 246-831.
Reflexology Program Credentialing PO Box 47852 Olympia, WA 98504-7852 360- 236-4700 Reflexology School Program or Apprenticeship Application New Reflexology school New Reflexology program New apprenticeship program Re-approval Reflexology school/program Re-approval of apprenticeship program Check One: Association Limited Partnership Public Hospital District Corporation Municipality (City) Sole Proprietor Federal Government Agency Municipality (County) State Government Agency Limited Liability Company Non-Profit Corporation Tribal Government Agency Limited Liability Partnership Partnership Trust UBI # Federal Tax ID (FEIN) # Legal Owner/Operator Name Mailing Address City State Zip code Name of school or program Address City State Zip code Phone (enter 10 digit #) Fax number Contact email Program/apprenticeship web site Administrator(s) name(s) Program Information: Please provide the following information about the program offered: Program Title: Program Hours: Name of Certificate offered: Attestation: I attest that I am the authorized representative of the above named school or program, and that I am submitting this application for approval by the Washington State Reflexology Program in that capacity. I have received and become familiar with The Law Relating to Reflexology, RCW 18.108, along with Washington’s Uniform Disciplinary Code RCW 18.130 and Washington’s Administrative Code, chapter 246-831.
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