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Application Form as Lawwa.Asia Therapist

1. Personal Information

2. Marital Status

Single Married Single Mother Widower, Divorcee

3. Spouse / Next of Kin Information

4. Please select the career you are interested in.

Postpartum Therapist

Wellness Therapist

5. Education Background / Skills Certificate

PMR

SPM

STPM / Diploma

Degree

Level 3 - Therapy Massage

Level 4 - Postnatal Care

Registered Practitioner Certificate

6. Experience & Skill Level

How many years of experience do you have?

None Less than 1 year 1 - 3 years 3 - 5 years More than 5 years

What skills do you have? (Tick all that apply)

Postnatal/Traditional Massage

Bengkung & Tapel/Lulur

Bertungku

Bertangas

Postpartum Emotional Support

Reflexology/Spa

Confinement Food Preparation

Baby Care

7. Current Employment Status

What is your current employment status?

Self-employed Yes

8. Current Income

What is your monthly income?

RM0 - RM1,000

RM1,001 - RM2,500

RM2,501 - RM4,000

RM4,001 - RM6,000

RM6,001 and above

9. Are you willing to work outside your residential area?

Yes No

10. What are the challenges faced by Postpartum Therapists out there?

What challenges do you face? (Tick all that apply)

Problems managing time and finances.

The number of clients varies from month to month.

Requires energy and patience to support mothers in recovery.

No time to manage advertising and promotion

Lack of training and support networks or professional guidance

11. Please specify what do you know about Lawwa.Asia

A learning platform to enhance skills

An app to manage bookings, schedules, and customer communication efficiently.

A structured job placement system that connects therapists with clients or suitable work locations

Members can join special programs, product promotions, reward and recognition, ongoing support and mentorship.

Others

HEALTH INFORMATION

Do you have any of the following health conditions?
Please tick if you have any of these conditions

High blood pressure
Yes No

Heart disease
Yes No

Diabetec
Yes No

Asthma
Yes No

Epilepsy
Yes No

Gout
Yes No

Pregnant (if YES, state how many weeks)
Yes No

Any past surgeries
Yes No

Sensitive skin
Yes No

Allergic (specify):
Yes No

Others (please specify):

Why do you think you are suitable for this position?
Please provide a brief explanation

APPLICANT'S DECLARATION

I declare that all the information provided in this application is true and accurate to the best of my knowledge.
By checking this box, you agree to the terms and conditions