| Email Form |
| *First Name | |
| *Last Name
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| *Address
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| *City / Town | |
| *Province | |
| *Country | |
| *Postal Code | |
| *Phone | |
| *Email | |
| *Personal Info
Date of Birth |
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| *Occupation | |
| *Employer | |
| *Highest Level of Education Completed
(Please note: transcripts must be supplied) |
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| *Emergency Contact Person |
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| *Street Address | |
| *City / Town | |
| *Province | |
| *Country | |
| *Postal Code | |
| *Home Phone | |
| *Work Phone | |
| *Relationship | |
| *Background Info
Provide the names, and daytime phone numbers of 3 References, such as past or current Employers, Instructors, Supervisors, or co-workers (no Relatives or Friends please). |
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| *Reference #2 | |
| *Reference #3 | |
| *Please Answer the following questions
How long have you considered taking Hairstyling? |
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| *Why do you feel you would like to work in this profession? |
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| *Do you have a problem that would prevent you from attending class Tuesday - Saturday? |
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| *How did you learn about Est-Elle Academy? |
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| *Are you right or left handed? |
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| *Which month do you wish to apply for?
January, March, May, July, September or November? |
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| We welcome any questions, comments, or suggestions |
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| *Verification |
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| *Denotes required fields |
