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Application for Admission
Social Security Number:
Name:
Present Address:
City:
State:
Zip Code:
Mailing Address:
City:
State:
Zip Code:
Phone Number:
E-mail Address:
Emergency Contact Information
Emergency Contact Name:
Address:
Phone Number:
Educational Information
G.E.D.
yes
no
High School (name)
Graduate?
yes
no
College (name)
Graduate?
yes
no
Vocational Training (name)
Graduate?
yes
no
Employment Background
Name of Present/Last Employer:
Address:
Job Title:
Starting Date:
Ending Date:
Name of Supervisor:
Phone Number:
Description of Work:
Name of Present/Last Employer:
Address:
Job Title:
Starting Date:
Ending Date:
Name of Supervisor:
Phone Number:
Description of Work:
@ The Institute of Beauty & Wellness
Course You Are Applying For:
daytime or evening?
Cosmetology
Esthiology
Massage
Nail Design
Full-time
Part-time
What skills or qualities do you currently have that will help you in your training?
What is your financial plan for school?
Do you plan on working while attending school?
Yes
No
If so, where?
When would you like to start school?
How did you hear about the Aveda Institute?