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Training Information Request
15
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1
Name
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First Name
Last Name
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2
What is your profession?
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Licensed Esthetician
Licensed Cosmetologist
Licensed Medical Provider
Licensed Tattoo Artist
Other
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3
How many years have you worked in skin care?
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4
Which CE training are you interested in?
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(Check all that apply)
DERMAPLANE + CHEMICAL PEELS
MICRONEEDLING FUNDAMENTALS
MICRONEEDLING MASTER COURSE
BUSINESS MENTORSHIP
STAFF TRAINING ON LOCATION
ALUMI REFRESHER COURSE
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5
Which CE workshops are you interested in?
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(Select all that apply)
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6
Have you completed any advanced esthetic training?
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Dermaplane ONLINE
Microneedling ONLINE
Dermaplane HANDS ON
Microneedling HANDS ON
Cosmetic Lasers DIDACTIC
Cosmetic Lasers HANDS ON
All of the above
None of the above
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7
If you have microneedling experience, which device(s) have you used?
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8
BONUS QUESTION! Six (6) of the above-mentioned microneeding devices are FDA cleared for various indications; but do you know which device is dual-indicated and FDA-cleared for treatment of both facial wrinkles and acne scarring?
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9
When would you like to attend training?
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SUMMER SALE ! $100 OFF JUNE - AUGUST CLASS DATES! Need to get trained in a hurry? Ask us about our 1:1 hybrid training
MAY 18 HYBRID (FULL)
JUNE 9 (2 Seats)
JULY 14 (2 Seats)
AUGUST 11 (2 Seats)
1:1 OTHER DAYS
I DON'T KNOW YET
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10
Training Requirements and Payment FAQ's
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11
I'm ready to reserve a space now! Please contact me at this number:
Please provide your phone number
Please enter a valid phone number.
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12
I'm ready to book now! Please send an invoice for my initial deposit on the course I've selected above.
A non-refundable deposit of 30% of the cost of your training is required to hold you spot.
YES
NO
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13
We partner with device manufacturers who provide our students with discounts of up to 53% OFF a device purchase! Please indicate which of the following devices you would like more information about:
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14
What factors are most important to you in selecting a training or continuing education course?
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(Check all that apply)
Continuing Education Credit
Live Models
Small Class Size
Meets NC Board Requirements
Continued Support
Location near me
Instructor Experience
Certifications for insurance
1:1 Training Options
Price
Afterpay Option (12 months)
Group Training Option
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15
Live model work is an important part of training! Receiving a dermaplane and microneedling treatment yourself enriches your education of the services, improves your ability to explain the service to your client and enhances your ability to sell! Are you interested in receiving a treatment from another student during training, or prefer customer models only?
NOTE: Students who do not wish to receive treatment may need to book solo training
Customer Models + Treatment
Customer Models only
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16
Live model work is an important part of our training. Are you willing and able to receive a treatment from another student during training?
YES
NO
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17
Have we left anything out? Share any additional information about your specific training needs!
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18
Please let us know how you heard about us!
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Google
Facebook
Instagram
Esthetician Group
Beauty School
Referral / Former Student
Referral / Rejuvapen
Referral / Candela
NC State Board
Other
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19
Please provide an email to receive course recommendations, promotions and notice of upcoming class dates. Thank you!
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example@example.com
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