You can always press Enter⏎ to continue
TRAINING INFO
14
Questions
START
1
Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
What is your profession?
*
This field is required.
Licensed Esthetician
Licensed Cosmetologist
Licensed Medical Provider
Other
Previous
Next
Submit
Press
Enter
3
How many years have you worked in skin care?
*
This field is required.
Previous
Next
Submit
Press
Enter
4
Which CE training are you interested in?
*
This field is required.
(Check all that apply)
MICRONEEDLING FUNDAMENTALS
MICRONEEDLING + DERMAPLANE
SOLO MULTIPLE MODALITY
2-DAY PRIVATE MASTERCLASS
ALUMI REFRESHER COURSE
BUSINESS MENTORSHIP
STAFF TRAINING ON LOCATION
Previous
Next
Submit
Press
Enter
5
Which CE workshops are you interested in?
*
This field is required.
(Select all that apply)
Previous
Next
Submit
Press
Enter
6
Have you completed any advanced esthetic training?
*
This field is required.
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
Previous
Next
Submit
Press
Enter
7
If you have microneedling experience, which device(s) have you used?
*
This field is required.
Previous
Next
Submit
Press
Enter
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?
Previous
Next
Submit
Press
Enter
9
What factors are most important to you in selecting a training course?
*
This field is required.
(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
Private Training Option
Customizable Training
Price
Afterpay Option (12 months)
Previous
Next
Submit
Press
Enter
10
Receiving a microneedling treatment yourself enriches your knowledge and improves your ability to explain the service to your client. Are you interested in receiving a treatment during training, or prefer customer models only?
Customer Models + Treatment
Customer Models Only
Previous
Next
Submit
Press
Enter
11
When would you like to attend training?
*
This field is required.
Need to get trained in a hurry? Ask us about our 1:1 SOLO training which can be scheduled any day of the week.
SEPT 08, 2024 (2 Seats)
SEPT 14, 2024 (2 Seats)
SEPT 22, 2024 (2 Seats)
1:1 Solo (Student chooses day)
Previous
Next
Submit
Press
Enter
12
ECLAT Training Requirements and Payment FAQ's
*
This field is required.
We encourage all students to review our Terms & Conditions before booking a class
Previous
Next
Submit
Press
Enter
13
Ready to reserve your space? Please provide an email address and we will send an invoice to collect a deposit for the class you selected:
example@example.com
Previous
Next
Submit
Press
Enter
14
Need more information before booking a class? Please provide your phone number and our instructor will contact you with more information:
Please provide your phone number
Please enter a valid phone number.
Previous
Next
Submit
Press
Enter
15
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
Previous
Next
Submit
Press
Enter
16
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:
Previous
Next
Submit
Press
Enter
17
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
Previous
Next
Submit
Press
Enter
18
Have we left anything out? Share any additional information about your specific training needs!
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
19
One last thing....please let us know how you heard about our training program. We look forward to working with you. Thank you!
*
This field is required.
Google
Facebook
Instagram
Esthetician Group
Beauty School
Referral / Former Student
NC State Board
Other
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
19
See All
Go Back
Submit