First Name:
Last Name:
Street Address:
City:
Province/State:
Postal Code/ZIP:
Telephone:
Email:
Sex:	Female Male
Date of Birth:
Marital Status:	Single Married
Children:	Yes No
Physical impairment or illness which could hinder you from exercising your trade:
How did you hear about our school or our program?:
Language(s):	French English
Schooling:	High School Equivalent College University
What are the name of the institutions where you attended school?:
Course Applying For:	English Aesthetics Course English Gel Nail Technician English Make Up Course French Aesthetics Course French Gel Nail Technician French Make Up Course Body_Piercing
All applications require the perspective student to submit a copy of their high school diploma or a transcript of their marks.  All applicants must also submit a copy of their birth certificate.  Please be aware that your application can not be processed prior to receipt of the above mentioned documentation. References in case of Emergency	You can find contact information for your high school in order to obtain a copy of your diploma or a transcript of your marks through the link below. high school transcripts link
Reference 1 Information
Name:
Street Address:
City:
Telephone:
Relationship:
Reference 2 Information
Name:
Street Address:
City:
Telephone:
Relationship:
Comments: