Personal Information

Program:*
Desired Start Date
First Name:*
Last Name:*
Birth Date:*
Age:*
SSN
Drivers License/ID #:*
Mobile:*
E-Mail:*
Address:*
City:*
State:*
ZipCode:*
Gender*
Emergency Contact Name:*
Emergency Contact Relationship:*
Emergency Contact Phone:*

Education

High School:*
Grade Completed:*
High School Grad/GED Date
College:
College Years Completed:
College Degree:
Vocational School:
Vocational Years Completed:
Vocational Degree:

Financial Aid

Financial Aid Needed?*
Previous Financial Aid?
FA Year:
Type of Aid:

Demographics

Various governmental agencies require private post-secondary educational institutions to compile statistics on the institution’s student population. Information requested on this questionnaire will be kept confidential and will be used only to compile information for the purposes described above. Completion of this section is voluntary and in no way affects any decision regarding admission to any of the academies’ programs.

Ethnicity:

Record

I acknowledge the state of Montana may deny my ability to get a state issued license if I have a criminal record.

Have you been convicted of a crime other than a minor traffic ticket?*
If yes list any and all crimes:

Students with Disabilities

Montana Academy of Salons does not discriminate on the basis of disability in admission or access to its programs, services, or activities of individuals who meet essential eligibility requirements. If you are admitted, and you require reasonable accommodations for a documented disability, please contact our Academy Owner if you want to attend in order to create an academic plan to meet your needs.

Experience

Do you have, or have you ever been licensed in the beauty and wellness field? If Yes please select License.*
Barbering
Supplemental Barbering
Cosmetology
Esthetics
Manicuring
Massage Therapy
Microdermabrasion
Teacher Training
By submitting this form, I agree that Montana Academy of Salons 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, this consent is not required to attend their institutions and you may unsubscribe at any time.