Campus Preference:*
Program:*
Desired Start Date*

Contact Information

Legal First Name:*
Legal Last Name:*
Preferred First Name:
Country:*
State:*
Zipcode:*
City:*
Address:*
Mobile:*
Instagram
Home Phone:
Email Address:*
What are your expectations for your tour and meeting with us today?*

Educational Background + Financial Aid Questions

High School Name and Location
High School City/State
Did you Graduate High School?*
High School Grad Date
If no do you have a GED?
College - School Name, Location & Major
Did you graduate College?
Vocational Training – School Name, Program & Location
Did you Graduate Vocational?
Are you Licensed?*
Are you interested in Financial Aid ?*
Have you previously obtained Financial Aid?*
If yes, at how many schools ?
Are you elgibile to receive veterans benefits?*
Have you recently completed a FAFSA ?*
Are you a U.S. Citizen | Permanent Resident with Active Green Card Status?*

Additional Information

How did you hear about us?*

Employment Background and Skills

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

Career Questions

Name three people that support you in your decision to come to Cinta Aveda
What are the reasons that would prevent you from starting and attending school ?

What are your Career Goals

Make more money
Improved benefits
Job security
Working environment
Career satisfaction
Better hours
Travel opprtunities
Independence
Advanced opportunities
Self-esteem
Entrepreneurship
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.