New student Registration Form

Arkansas Institute of Esthetics

711 Towne Oaks Dr Little Rock AR 72227

ArkansasInstitute@gmail.com

www.ArkansasInstitute.com

(501) 420-7258 (text only)
New student Registration Form
Program Applying for:*

EstheticsInstructor
Program Start Date*

-July 23rd 2024-August 27th 2024-September 17th 2024- October 15th 2024-November 27th 2024- January 7th 2025- February 18th 2025
Course Time*

Night Class - (Monday- Friday 5pm-10pm)Morning Class - (Monday- Friday 9am-2pm)

Education
Previous Education

Name Of High School

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Grade Completed*
Are you currently enrolled in college or another institution, if so where? *
Type N/A if not enrolled in another college or institution
Degrees or Certificates Earned
How many hours per week?

Please give Emergency Contacts:*

	Full Name	Contact Number
1
2

Have you ever been convicted of a felony?*

YesNo
If yes , please explain. If no, please type N/A.*
Have You Ever Been Convicted of Possessing or Selling Illegal Substances?*

YesNo
Signature*

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Name*

First NameLast Name
Date*

MonthDayYear
Date

Tuition and Fees
Tuition and Fees

All tuition and fees must be paid in FULL prior to completion of clock hours, except for students who have been awarded scholarships or grants
Will you need financial assistance?*

YesNo

Scholarships
Scholarships
We’re so happy to support our Training Professionals! That’s why we offer a number of in house scholarships at Arkansas Institute of Esthetics. While grants are often need-based, scholarships are usually merit-based. Students who will not need any financial assistance will be set up on monthly payment plans. Students with financial assistance will also be set up on payment plans for the remaining balance. Students plans require a minimum of $500.00 monthly. All payments are due the 15th day of every month. Please Bring in valid ID and Transcript or Diploma after completing application. Please Come by Institute Tuesday or Wednesday after 5pm for a tour and to complete your necessary in person signatures. If you have any questions please text 501-420-7258*

I UnderstandI do not understand
Read only Enrollment Application. Please Print

Registration Fee*

Non Refundable Registration Fee

$250.00

Total

$0.00

Credit Card

Apple Pay

Google Pay

Cash App Pay

Tuition and Fees