Crave Beauty Academy Online Application Form

Program Information

Which location are you interested in ?*
I hereby apply for acceptance in the program of study selected below:*
Desired Start Date*

Applicant Information

Salutation:
First Name:*
Middle Name:
Last Name:*
Address:*
Apartment/Unit#:
City:*
State:*
Zip:*
Phone:*
Cell Phone:
E-Mail Address:*
Birth Date:*
Place of Birth*
Sex*
SSN
Place of Employment
Marital Status*
Number of Children
Ages
Have you been convicted of a felony ?*

CONTACTS

Emergency Contact*
Emergency Contact Phone*
Emergency Contact Alternate Phone
Parent/Guardian Name(If Required)
Parent/Guardian Alternate Phone
Parent/Guardian Phone
Parent/Guardian City
Parent/Guardian State
Parent/Guardian Zip

EDUCATION

High School
Parent/Guardian Address
High School Address
Yes, I received my G.E.D.
No, I did not receive my G.E.D.
G.E.D. Date
College Name
College Address
Degree

How do you plan to finance your education?

Cash
Personal Payments
Financial Aid
Other

Did you graduate?

Yes
No

CHARACTER REFERENCES

Please list two professional references.

Full Name
Company
Relationship
Address
Phone
Full Name
Relationship
Address
Company
Phone

How Did You Hear About Us?

How did you hear about us?
Please Specify:

REASONS FOR ATTENDING:

Essay*