A NEW CAREER!

  New Day Class Begins May 1, 2012

Registration  Details
*This form is an application only, and does not ensure registration, nor obligate you in any way to register for a program at  Academy of Nail Technology.
Please call if you have any questions and we will be happy to assist you.
Telephone (602) 995-5666      Email: academyofnail@aol.com

Student Application
Preferred month to start program
Education Information  (You must provide one of the following -please check one)

Health Information
Do you have any health issues that the school should be aware of?
If yes, please specify:
Do you have any allergies or skin sensitivities?

If yes, please specify:
Are you taking any medications that the school should be aware of?

If yes, please specify:
Financial Responsibilities
Have you ever had any types of loans?
Have you ever defaulted on a loan?
Are you planning on working while you attend school?
How do you plan to finance your tuition?

A  representative of Academy of Nail Technology will be calling you to schedule a appointment time.
Full Name:
Date of Birth:
Street Address:
City:
State:
Zip Code:
Cell Phone:
Day Phone:
E-Mail:
Program Selection   (please select one you are most interested-please check one)
Full Time: Tuesday – Friday   9am - 5pm
Part-Time: Tuesday – Friday  5:30pm - 9:30pm and Saturday  8:00am - 3:00pm
I may need the program hours to be customized to suit my personal or professional needs.
Refresher Program  80 hours
Instructor Training Course
High School Diploma
Graduation Equivalency Certificate (GED) or GED test with a total score of 45
Transcript of hours showing proof of 2 years of high school
An Associate Degree or 15 credits from a junior college
A college or university Diploma
Proof of 23 years of age
Yes No
Yes No
Yes No
Yes No
Yes No
Yes Full Time   Yes Part time   No
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