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CONTACT INFORMATION
CONTACT INFORMATION
Name
*
Email
*
Confirmation Email
example@example.com
Phone
*
Please enter a valid phone number.
Social Security Number or Tax ID Number*
State of Oregon esthetics license requirement. Your application cannot be processed if you do not provide this number.
Social Security Number or Tax ID Number
*
Date of Birth
*
/
Month
/
Day
Year
Date
Current Address
*
Street Address
Street Address Line 2
City
State / Province / Region
Zip Code
County
*
The State of Oregon requires this information.
Permanent Address (if different from above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
EMERGENCY CONTACT
Emergency Contact
Full Name
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Emergency Contact Address
Street Address
Street Address Line 2
City
State / Province / Region
Postal / Zip Code
COURSE INFORMATION
COURSE INFORMATION
Pick Courses / Certifications
*
Please Select
Masters Esthetics (Our beginning-level esthetics program.)
Advanced Esthetics (Must currently have an Oregon esthetics license, or be in the process of getting it)
Desired Schedule
*
Please Select
Full-Time
Part-Time
Start Date
*
Please Select
September 8, 2023
November 3, 2023
Anticipated Tuition Plan
*
Please Select
Tuition Paid in Full by First Day of Class
In-House Payment Plan (0% interest and paid in full prior to graduation)
Extended Payment Plan
HISTORY
PAST EDUCATION
Did you graduate from high school?
*
Please Select
Yes
No
GED
Almost Done
If you have attended additional schools, where?
EMPLOYMENT INFORMATION
Date Start
-
Month
-
Day
Year
Date
Date End
-
Month
-
Day
Year
Date
Employer
Employer Phone Number
Please enter a valid phone number.
Duties
PHYSICAL INFORMATION
PHYSICAL INFORMATION
In general, how do you consider your health?
*
Please Select
Excellent
Good
Fair
Poor
MEDICAL HISTORY
Please list any physical or mental conditions which could interfere with your training or attendance: (if none, type n/a)
Please list any medical conditions or medications the faculty should be advised of: (if none, type n/a)
Name and phone number of your family doctor: (if none, type n/a)
ESSAY QUESTIONS
Essay questions
What is it about being an esthetician that interests you the most?
*
What are your professional goals in the esthetics industry after you graduate?
*
SURVEY
Survey
1. How did you first hear about the Aesthetics Institute?
*
Please Select
Past graduate of the school
Friend or family member (non-graduate)
Client of the school's professional services
Online search
Saw driving by
Social media
Other
2. How important were each of the below school attributes when selecting your esthetics program?
*
Very important
Important
Somewhat important
Not important
It was not a factor in my choice at all
Price of program
Location of school
Number of esthetics services taught in the program
Prospective Student Guide
Recommendation from family or friend
Online reviews
Detailed information available on our website
Length of time it takes to complete the program
School's long-standing reputation (founded in 1985)
Payment plan options available
Social media presence and content
Online and in-person hybrid teaching model
Hands-on training focus
Competency-based training model
3. Did you tour schools (either in-person or online) before making your decision?
*
Please Select
Yes, just the Aesthetics Institute
Yes, your school and one other
Yes, your school and two others
Yes, your school and three or more additional schools
No, I did not tour any schools, including the Aesthetics Institute
4. If you spent time on our website, how would you describe your experience finding all the information you were looking for?
*
Please Select
Extremely easy
Easy
Not so easy
Difficult
Extremely difficult
I did not spend time on your website
5. How easy was it for you to find the below information on our website?
Very Easy
Easy
Not easy
Very difficult
Never looked for it
Cost of program
Attendance options
Length of program
Payment plan options available
Specific services taught
Past student reviews
Competency-based teaching model
Program start dates
Instructor bios
Campus tour scheduling
Career opportunities after graduation
Equipment used at the school
5.1 Was there something you wish we had included on our website? (optional)
APPLICATION NEXT STEPS
APPLICATION NEXT STEPS
Please read and indicate you understand your additional responsibilities in the next steps of this application process:
Step 1*
It can take us up to five business days to process your application and return to you your Official Enrollment Documents. Please be patient.
*
I understand.
Step 2*
We will send you your 'Enrollment Agreement' and "Payment Plan Agreement'. We will email you these documents, so please check your email regularly.Please read and sign these documents via DocuSign promptly.
*
I understand.
Step 3*
To complete your enrollment and secure your seat in your desired class start date, you must also pay your enrollment fee of$250. This can also be done online at the same time you sign and return your enrollment documents. A payment link will be provided.
*
I understand.
Step 4*
When the school receives all three of the requirements listed above ('Enrollment Agreement', 'Payment Plan Agreement', and 'Enrollment Fee'), we will send a receipt of enrollment confirmation and payment, as well as copies of the finalized documents for your records.
*
I understand.
*IMPORTANT*
Failure to complete all of the steps above will cause your enrollment to be incomplete and can possibly cause you to forfeit your desired class start date. Please check your email spam folder, specifically "Promotions" if using Gmail, as occasionally correspondence from the school is automatically sent there. Your application confirmation email may also appear in your spam folder.
*
I understand.
Conditions of Enrollment**
*
I expect to enter the college as indicated in the application above, subject to my acceptance by the Aesthetics Institute. If accepted, I intend to put forth my best efforts to successfully complete my training. I do allow the school to use my name and/or photograph for its publicity.
NON-REFUNDABLE APPLICATION FEE
Application fee
I Understand
*
I understand that a $35 non-refundable application fee is required. I understand that after I submit my application below, I will be redirected to Stripe to pay the $35 application fee. This fee can be paid via debit/credit card.
Current Payment
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Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
*
The information submitted above is true and accurate. I agree to the conditions of enrollment.
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