Campus Preference:*
Program:*

Personal Information

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

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:
Have you attended any other beauty schools?*
If yes, please list each and when you attended.

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:
Would you like to speak to our Financial Aid advisor to discuss your options?
If yes, are your parent's willing to help with Financial Aid?
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:

What are your career goals? (Select all that apply)

Make more money
Improved benefits
Job security
Career satisfaction
Working environment
Better hours
Travel opprtunities
Independence
Advanced opportunities
Self-esteem
Entrepreneurship
What would prevent you from applying for/attending any of our courses?
Do you have any leanring disabilities that you would like us to provide accomodations for ?*
Felony charges may affect your licensing in California. Have you ever been convicted of a felony ?*
If yes, please explain

I certify that the information provided for admission to the Cinta Aveda Institute is complete and accurate to the best of my knowledge. I understand that misrepresentation of information is sufficient grounds for cancelling my admission to the Cinta Aveda Institute

Please type your name to acknowledge your understanding of the above certification statement.*
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.