Dyvine Appointments Training Institute's
Application Form
Name
First Name
Last Name
Gender
Male
Female
Marital Status
Single
Married
Divorced
Widow
Separated
Date of Birth
-
Month
-
Day
Year
Date
Place of Birth
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Application for Admission Information
Upload your ID picture Here
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of
Course Applied For
Natural Hair Care Program
Creating Your Non-Profit
Getting Down to Business
Hair-Loss Certification
Admission Application For
Morning Classes
Evening Classes
Hybrid Online
High School Education
Name of Last High School Attended
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Year Graduated
How would you rate your knowledge of Natural Hair, Braiding skills, etc.? Are You a beginner with no knowledge, Intermediate some skills, advanced in a particular area but want to add additional skills.
What's you knowledge of business? Are you looking to have your own business one day or do you currently have your own business now?
If you have a GED Certificate for High School Equivalency, please provide the information below:
Date received Certification
-
Month
-
Day
Year
Date
Upload here your GED information
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Cancel
of
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Contact In case of Emergency
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Relationship
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Parental Information
Name of Mother or Guardian
First Name
Last Name
Mother's Job/Position
Phone Number
-
Area Code
Phone Number
Address of Mother
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of Father
First Name
Last Name
Father's Job/Position
Phone Number
-
Area Code
Phone Number
Address of Father (if not the same as above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Financial Information
Will you be looking for financial Options
Yes
No
Your Family's Joint Annual Income
$0 to $19,400
$19,401 to $78,950
$78,951 to $168,400
$168,401 to $321,450
$321,451 to $408,200
$408,201 to $612,350
$612,351 or more
Are you working? If yes, please provide details below
Have you applied from our online boutique for our financial partners Affirm or AfterPay?
Yes
No
Any information that might support your answer above
Have you tried applying for our other financing partner QuickFee?
Yes
No
Any information that might support your answer above
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I certify that the information I have provided above are true to the best of my knowledge without any malice or any intention to commit acts of misrepresentation. I am aware that any false, misleading, or deceptive information provided may lead to withdrawal, expulsion, or any disciplinary action which may be dealt with by the school's authorities.
Applicant's Signature
Clear
Name of Applicant
First Name
Last Name
Date Signed by Applicant
-
Month
-
Day
Year
Date
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