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Online Request
first name
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middle name
last name
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Present Street Address
City
State
Zip Code
Permanent Street Address
City
State
Zip Code
Home Phone (required)
Cell Phone
Email (required)
Educational Information
G.E.D. Date earned
High School Graduate
Name of High School
Graduation Date
Other
Please describe, including dates attended:
Vocational/Trade School
School
Program/License
Graduation Date
If you did not graduate, please indicate years completed.
College or university
School
Major/Degree
Graduation Date
If you did not graduate, please indicate years completed.
1. When would like to begin attending Aveda Institute Chapel Hill?
2. What is your financial plan for school?
3. Upon whom are you dependent for more than one half of your financial support?
Parent/Guardian/Spouse
Self
Other
4. Do you plan on working while attending school?
Yes
No
5. How did you hear about us?
Billboard - where? . . . . . . .
Newspaper - which one? . . . . .
Mall - which one? . . . . . . .
Stylist - Who? Which salon? . . .
Web site - which one?
Drove/walk by
Other - please specify
Personal Reference
Name
Relationship
Years acquainted
Street Address
City
State, Zip Code
Telephone
Work Experience/Employment Background
Employer Company Name
Job Title/position
From (month-year) -
To (month/year)
Street Address
City
State
Zip Code
Telephone
Immediate Supervisor
PLEASE do NOT contact my employer.
Previous Employer Name
Job Title/position
From (month-year) -
To (month/year)
Street Address
City
State
Zip Code
Telephone
Immediate Supervisor
Please explain why you wish to enter the Cosmetology/Beauty industry.
What skills or qualities do you currently have that will help you during your cosmetology/esthiology training?
How do you plan to utilize your cosmetology/esthiology training?