Course of Study
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Class CA Hairdressing and Manicuring
Class MO Manicuring
Class E Estheticians
Instructor Trainee
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Marital Status
*
Single
Married
Divorced
Widowed
Gender
*
Male
Female
Race
Alaskan Native
American Indian
Asian
African American
Hispanic
Non-Resident Alien
Pacific Islander
Caucasian
Choose not to answer
Date of Birth (m/d/y)
*
Current Age
*
Veteran
*
Yes
No
Allergies? Please list.
Emergency Contact Name
*
Emergency Contact Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Phone
*
-
Area Code
Phone Number
Parent Contact
*
First Name
Last Name
Parent Contact Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent Contact Phone
*
-
Area Code
Phone Number
Education
High School
*
City
*
State
*
Year Graduated
*
GPA
*
How soon are you considering starting?
*
Have you ever been convicted of a felony?
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Yes
No
Do you need financial aid while you attend school
*
Yes
No
How did you hear about Renaissance Beauty Academy?
*
Why do you want to enter this career?
*
Do you have any health issues that could impact your training? Please explain.
*
I certify that all statements made in this application are complete and true.
*
I agree
Please verify that you are human
*
Submit
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