Program:*

Personal Information

First Name:*
Last Name:*
Home Phone:*
Mobile:*
E-Mail:*
Address1:
Address2:
City:*
State:*
Zipcode:*
For internal reporting, please indicate your race:
If other: Please specify:
Birth Date:*

Educational Background

High School:
High School Graduate?*
High School Grad Date:
College Graduate?
College Name:
Degree Received:
Are you a graduate of a vocational training program?
Vocational School Name:
Certification Received:

Employment Background and Skills

Current work status:*
Current/Last Employer:
Current/Last Employer Location:
Current/Last Job Title:
Description of Work Responsibilities:

What Brought You to Aveda

Have any of your friends or relatives attended Cinta Aveda?
Friends: If yes who?
How did you hear about us?*
Please Specify:

Preliminary Financial Aid Questions

**this information is strictly used for the determination of your federal funding eligibility**

Marital Status:
If yes, are your parent's willing to help with Financial Aid?
Would you like to speak to our Financial Aid advisor to discuss your options?
Do you have any dependents?
If so; how many and what are their ages?
US Military Veteran:
Citizenship:
Have you previously obtained Financial Aid?
"If yes, how many schools have you previously attended?

Additional Information

Why do you want to enter this career?*
Are there alternative careers you may also be interested in?
If yes, specify:
Please list four words or phrases that best describe you:*
What would prevent you from applying for/attending any of our courses?
Have you attended any other beauty schools?*
If yes, please list each and when you attended.
By submitting this form, I agree that Cinta Aveda Insitute may call, text and/or email me about their educational services at the contact information provided, including a wireless number, using automated technology. Please note, I understand that this consent is not required to attend the Cinta Aveda Institute and I may withdraw my consent to such contact.