SECTION .0200 - APPLICATION FOR LICENSE

21 NCAC 30 .0201 APPLICATION AND SCOPE

(a) Each applicant for a license as a massage and bodywork therapist shall complete an online application provided by the Board on its website at www.bmbt.org. The application shall include the following:

(1) full name (last name, first name, middle name and maiden name, if applicable);

(2) name as the applicant wants it to appear on license which must be part or all of applicant's legal name;

(3) current residence;

(4) personal mailing address;

(5) city, state, zip code and county;

(6) Social Security Number;

(7) city and state of birth;

(8) date of birth;

(9) telephone number;

(10) email address;

(11) trade name or business name;

(12) business address;

(13) type of license applying for; Regular, License by Endorsement A or License by Endorsement B;

(14) examination agency; FSMTB, NCCAOM or NCBTMB, if applicable;

(15) exam taken; MBLEx, NCETMB, NCETM or ABTE, if applicable;

(16) whether the applicant is a U.S. citizen;

(17) physical description, including gender, height, eye color, race, weight, and hair color;

(18) places of residence for the previous 10 years including date, street address, city, state, zip code, and county;

(19) professional experience for the previous 10 years including date, job title, type of business, hours worked per week, employer's name, address, state, zip code, area code and phone number, and reason for leaving, if applicable;

(20) education, for example high school, college/university, graduate or professional, including name of educational institution, city, state, zip code, whether or not you were issued a certificate, diploma or degree and month and year of graduation;

(21) previous or current massage or bodywork therapy licensure, registration, or certification in another state or territory, including state, license, registration or certification type, license or credential number, date issued and date of expiration;

(22) professional affiliations and achievements;

(23) whether the applicant has had any of the following situations and an explanation of each:

(A) has ever been charged with, arrested for, convicted of, or has pled guilty or no contest to a violation of any law in any state or jurisdiction;

(B) had a driver's license canceled, suspended or revoked;

(D) violated any federal or state statute or rule which relates to massage and bodywork therapy or any other healthcare profession;

(E) obtained or attempted to obtain compensation by fraud or deceit;

(F) named as a defendant in a civil suit related to your practice of massage and bodywork therapy or other healthcare profession;

(G) had any judgments entered against you;

(H) expelled, fired, asked to resign, or otherwise suspended from any educational institution;

(I) fired, asked to resign, or otherwise suspended from employment;

(J) denied a massage therapy license or a license for any other healthcare profession;

(K) had a massage therapy license or a license for any other healthcare profession revoked or suspended;

(L) have any disciplinary charges pending or action taken by any massage or bodywork therapy licensing board or medical board;

(M) been diagnosed or treated with a mental illness by a health care provider;

(N) been diagnosed or treated as being dependent on alcohol or drugs by a health care provider;

(O) been diagnosed or treated for abuse of alcohol or drugs by a health care provider;

(P) used any drug or alcohol to the extent it adversely affected your professional competence or employment;

(24) an attestation that the information on the application is true.

(b) This application shall be submitted to the Board and shall be accompanied by:

(1) One original color photograph of the applicant taken within six months preceding the date of the application of sufficient quality for identification. The photograph shall be of the head and shoulders, passport type, and two inches by two inches in size;

(2) The fees, as required by Rule .0204 of this Section and G.S. 90-628(b);

(3) A copy of a high school diploma or transcript, General Equivalency Diploma (GED), or college diploma or transcript showing that the applicant has earned at least a high school diploma or equivalent;

(4) A copy of a driver's license or birth certificate showing that the applicant is 18 years of age or older;

(5) An official transcript from the massage therapy school showing that the applicant has completed a course of study at a school approved by the Board and consisting of a minimum of 650 classroom hours of supervised instruction. If the applicant attended a school that is not approved by the Board, the Board shall review that applicant's curriculum on a case-by-case basis. The documentation of such training shall come from a school that is licensed by the educational licensing authority in the state, territory or country in which it operates. In North Carolina the documentation shall come from a proprietary school approved by the Board or a college-based massage program that is exempt from Board approval. The curriculum shall meet or be equivalent to the standards set forth in Rule .0620(2) of this Chapter;

(6) An official score report showing that the applicant has achieved a passing score on a competency assessment examination administered or approved by the Board that meets generally accepted psychometric principles and standards;

(7) Signed statements from four persons attesting to the applicant's personal history of honesty, integrity, trustworthiness, fairness, good reputation for fair dealings, and respect for the rights of others and for state and federal laws;

(8) Fingerprint card executed by a fingerprinting agency; and

(9) Consent to a criminal history record check by the North Carolina Department of Justice.

History Note: Authority G.S. 90-626(2); 90-629;

Temporary Adoption Eff February 15, 2000;

Eff. April 1, 2001;

Amended Eff. October 1, 2008;

Readopted Eff. October 1, 2015;

Amended Eff. February 1, 2025.