Online Enrollment Application - Academy of Hair Design

Comments

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Program Information

Please select the program of interest and the month you would like to start training.

Campus*

Program of Interest*

When would you like to begin your studies?*

When would you like to schedule your tour?

Let us know what day and time would work best for you

Are you interested in full or part-time classes?*

Full-Time

Part-Time

Class Time*

AM

PM

Are you interested in financial aid?*

Yes

No

Personal Information

Name*

Nickname

Date of Birth*

Sex*

Ethnicity*

Phone*

Email*

Are you left or right-handed?*

Address*

References

Please list three (3) people whom you have known at least one year:

Reference #1

Name*

Phone*

Email

Relationship*

Reference #2

Name*

Phone*

Email

Relationship*

Reference #3

Name

Phone*

Email

Relationship*

Legal Disclaimer

Before you take the licensing test, the state may need to check your background and criminal record. Have you ever been convicted of a felony in the last 10 years?*

Yes

No

If this is any cause of concern for you, please feel free to reach out so we can help you through the process of becoming licensed.

Applicant Signature*

Today's Date*

How did you hear about us?*

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Make Your Dreams a Reality.

Program Information

Personal Information

Education

Additional Education

References

Reference #1

Reference #2

Reference #3

Legal Disclaimer

Get In Touch

Springfield

About Us

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Get In Touch

Springfield

About Us

More Information

Stay Connected

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