1. First Name:*

2. Last Name*

3. Mobile Phone*

4. Address*

5. City:*

6. State*

7. Zip Code*

8. Email address*

Confirm Email*

9. Facebook Page

10. Twitter Account

11. Instagram Account

12. Name(s) of those most supportive of you pursuing this education

13. Phone Number

14. Their relationship to you

15. Name of Graduating High School

16. Year Graduated*

17. How did you hear about our Academy ?*

18. Program of Interest*

19. When did you first become interested in a career in the beauty industry ?*

20. Have you visited any other beauty schools ?*

21. If yes, which ones and when ?

22. Approximately when would you like to start training ?*

23. Do you have a drivers license ?

24. Have you been able to save money to invest in your education ?

25. Are you interested in any other careers ?

26. if yes, please list other careers you are still interested in

27. Have you made arrangements for childcare ?

28. Have you been enrolled in any other schools or colleges since high school ?

29. If you have, please list each one and when you attended

Goal 1

Goal 2

Goal 3

By clicking submit, I provide my express consent for The Salon Professional Academy (TSPA) to contact me at the number(s) provided about their programs using a variety of methods including phone (both mobile or home, dialed manually or automatically), email, mail, and text message until TSPA is notified otherwise. I am not required to provide consent in order to attend TSPA.

Three (3) goals you would like to accomplish in todays appointment