AIW APPLICATION FOR ADMISSIONS

Please briefly tell us why you feel you should be considered for acceptance to the Aveda Institute Wilmington.*
When you experience challenges what do you need to be reminded of to encourage you to keep going?*
Is there anything that could stop you from pursuing this career?*

YesNo
What thing or things could keep you from pursuing this career?*

STUDENT FAMILY INFORMATION
Parent/Legal Guardian Name*

First NameLast Name
Parent/Legal Guardian Primary Phone*
Please enter a valid phone number.
Parent/Legal Guardian Email*
example@example.com
Parent/Legal Guardian Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Additional Parent/Legal Guardian Name*

First NameLast Name
Additional Parent/Legal Guardian Primary Phone*
Please enter a valid phone number.
Additional Parent/Legal Guardian Email*
example@example.com
Additional Parent/Legal Guardian Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

CONTACT AUTHORIZATION
I hereby authorize the Aveda Institute Wilmington, its successors and assigns, to contact the references listed above with respect to all aspects of my affiliation with the Institutes.
Applicant's Signature - Reference Authorization*

Clear

STUDENT CERTIFICATION
I certify that the information I have provided for admission to the Aveda Institute Wilmington is complete and accurate to the best of my knowledge. I understand that any misrepresentation of information is sufficient grounds for refusal of admission to the Aveda Institute Wilmington.
Applicant's Signature - Student Certification*

Clear
The College of Wilmington is committed to the policy that all students should have equal access to its programs, facilities, and employment without regard to race, religion, color, financial status, sex, national origin, ethnic origin, age, veteran status, gender identity, or sexual orientation.

CONSUMER INFORMATION AND COURSE CATALOG CERTIFICATION
- I certify I have received the 2020 U.S. Department of Labor Occupational Outlook information from the Aveda Institute Wilmington detailing the physical demands of practicing the profession, work conditions, safety, career outlook and compensation a successful graduate may reasonably expect.
- I also certify that the Aveda Institute Wilmington has provided me with a copy of the Annual Notice of Required Disclosures of Student Consumer Information.
- I further certify that the Aveda Institute Wilmington has provided me with a copy of the Institute’s Course Catalog, which was made available to me by hard copy and/or online at the Aveda Institute Wilmington website as indicated below:
CONSUMER INFORMATION
Applicant's Signature - Consumer Information/Course Catalog Certification*

Clear
Should be Empty:

APPLICATION FOR ADMISSIONS