Eudora Training Academy
Student Application
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth:
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Current Occupation
*
Please note if it is Full time or Part time
How did you hear about us?
*
Referral
Social Medial
Online/ google
Other
Which Training Dates were you interested in?
April 18-20 (1 seat remaining)
May 16-18
June 20-22
July 11-13
If you were referred, please provide the name of who referred you. Put N/A if you were not referred
*
What is your highest form of education?
*
Please Select
High School Diploma
Some College
Associates Degree
Bachelors Degree
Masters Degree
PHD
What is your current career?
*
Do you have any experience in the beauty industry-makeup, brows or lashes?
*
Yes
None
A little
How many extra hours per week do you currently have to dedicate to practicing?
*
Please Select
2-5 hours
6-8 hours
10+ hours
Why do you want to start a career in Microblading? What about your current job makes you feel dissatisfied? What are your interests, passions, and your "why"?
*
**Our certification is recognized in states that do not require completion of a state-approved permanent makeup training program, including Maryland, Pennsylvania, West Virginia, South Carolina, and North Carolina. At this time, we are unable to enroll students from Virginia, as that state requires training through a state-approved program. Students are responsible for verifying compliance with their specific state, county, and local regulations prior to practicing.**
*
I acknowledge this and have verified my own state's regulations
I do not reside/ will be practicing in the state of Virginia
Submit
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