Belle Beauty Bar Application

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.
Please enter a valid phone number.
4
Instagram Handle* This field is required.
5
Are you currently licensed in Illinois? If not, when will you be?* This field is required.
6
Experience level* This field is required.Fresh out of school? Already a beautician? Any special certifications?
7
Which rental option are you interested in?* This field is required.
Cosmetologist
Esthetician
Massage Therapist
8
Services offeredPlease list all services that you will be providing.
9
Date looking to move inAfter July 1st, 2025
Date
Year
Month
Day
Should be Empty: