LaVontay's Beauty Academy

LaVontay's Beauty Academy

Student Intake Form
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Social Media Handle Name (Specify Instagram/Facebook)?
What cosmetology school do/did you attend?
What is your status?
Hair Type You Specialize In
What is your reason for taking this course?
What is your overall goal after completing this course?
What are 3 Short Term Goals
What are your weakness in the beauty industry?
0-20002001-40004001-60006000 & Up
2000-40004001-60006001-80008001 & Up
Do you have a website? Booking Site? List below
Do you have a business?
Business Entity(LLC, LLP, DBA, S-Corp, C-Corp Sole Proprietor)
Do you have a registered EIN with the IRS? If so, please list below.
Do you have a DUNS #? If so, please list below.
Have you established personal credit?
Have you established business credit?
Personal/Business CreditMarketing/BrandingTeam BuildingBuilding a ClienteleSalon Industry As A WholeOther
Copy of Drivers License

Cancelof
Copy of Profession License(cosmetology, barber, etc.)

Cancelof
DISCLAIMER: The information provided in this intake form is intended to assist in understanding your needs and preferences. While every efforts will be made to maintain confidentiality, please be aware that submission of this form does not create a professional-client relationship. By completing this form, you acknowledge that the information you provide is accurate to the best of your knowledge. Your personal information will be handled in accordance with our privacy policy and will not be shared with third parties without your consent.
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