Pre-Enrollment Questionnaire Form

Pre-Enrollment Questionnaire

Thank you for taking the time to answer these questions. The following questions are required to ensure our academy is a good fit for you as a student.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Gender?
How old are you?

Under 1818 - 2525 - 4545 or more
Why do you want to attend esthetician school?
What do you hope to gain from this experience?
Do you have experience in esthetics?

YesNo
Do you have an active esthetician and or cosmotology license?

YesNo
Are you related to or know anyone personally working in the esthetics/cosmetology industry?

YesNo
Have you worked in the last two years?

YesNo
What type of job? And the reason for leaving?
What niche medspa treatments are you most interested in pursuing

General EstheticsLaserPermanent MakeupCosmetic Injections Dermal Filler and NeurotoxinsChemical PeelDermaplaneMicrodermabrasion/Microneedling/AquafacialLashes
Do you have any impairments (physical, mental, cognitive, or emotional)that have made it difficult to get and/or keep a job? If so, please explain below.
Have you seen a medical professional about your impairment? If so, please explain below.
Do you have reliable transportation?

YesNo
How do you plan on paying for Esthetician School?

Credit cardCheckCashPayment PlanGrant/LoanWould like to know financing optionsNot sure yetOther
How did you learn about Elite Aesthetics Academy?
Should be Empty: