Student Instructor Form

Student Instructor Application

International Institute of Aesthetic Arts & Beauty

Name*

First NameLast Name
Mobile Number
Format: (000) 000-0000.
Mailing Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com

Name of Course:
Mode of Study:

Hybrid(On-campus & Online)Distance Learning( 100% online)Campus Learning (100% on campus)
Proposed Start Date:

02.15.2204.05.2205.17.22Transfer

My Products*

This payment registers and enrolls you into the student instructor program. This payment is the first of 6. Honoring your $250 off offer. This is a non-refundable deposit that sets up your online profile and portal.

$400.00

Pay In Full

This payment will cover the complete cost for your Instructor program. There is a non-refundable deposit with this payment that covers the cost of your online portal, T-shirts, and Instructor kit.

$1,600.00

Total

$0.00

Credit Card

Signature*
I certify that I understand this is a non-refundable deposit. My signature and initials indicate my acknowledgment of policies and procedures associated with this form.
Should be Empty:

Student Instructor Application

Credit Card