College Admissions Form

Unique School of AESTHETICs Admissions Form

Enter your admission information below
Name

First NameMiddle InitialLast Name
Birth Date

MonthDayYear
Gender

MaleFemaleNon-BinaryOther
Of which country are you a citizen?
Phone
E-mail Address
example@example.com
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact

First NameLast Name
Relationship
Email
example@example.com
Phone Number
Please enter a valid phone number.
When would you like to start school? Fall, Winter, Spring or Summer.
Do you speak any languages other than English?

YesNo

Are you interested in Professional Esthetician, Master Esthetician or Wax Technician? If you are applying for Masters, when did you graduate from a Professional Esthetician program?
Will you be using the GI Bill, Snap E&T or Payment Plan? Type a label
Should be Empty:

Unique School of AESTHETICs Admissions Form