New Advanced Student Application

Advanced Student Application

Contact Information

First Name

Middle Name

Last Name

Preferred Name (if different from above)

Cell Phone

Birth Date

Why Are We Collecting this Information?

Legal sex designation*: AI is required to collect this data in order to comply with federal reporting including IPEDS reporting, student employment, international student status and the granting of federal financial aid. If you are an employee or federal aid recipient your designation must match your sex designation with the Social Security office. If you are an international student your designation must match the sex designation on your passport. Gender*: AI recognizes that gender is not limited to, nor always congruent with, the categories available in legal sex designation.

Social Security No

Legal Sex Designation

Gender

Ethnicity

Current Address

Street

Address Line 2

City

State/Province

Zip/Postcode

Country

Permanent Address (If Different from Above)

Street

Address Line 2

City

State/Province

Zip/Postcode

Country

Emergency Contact Information

Contact Name

Cell Phone

Street

City

State

Zip Code

Course Information

Program

Program Start Date

Desired Schedule

Anticipated Tuition Plan

History

Did you graduate from high school?

If you have attended additional schools, where?

Where did you receive your basic esthetics training?

Employment Information

Hire Start Date

Hire End Date

Employer

Employer Phone Number

Duties

Physical Information

In general, how do you consider your health?

Please list any physical or mental conditions which could interfere with your training or attendance: (if none, type n/a)

Please list any medical conditions or medications the faculty should be advised of: (if none, type n/a)

Name and phone number of your family doctor: (if none, type n/a)

Essay Questions

What is it about being an esthetician that interests you the most?

What are your professional goals in the esthetics industry after you graduate?

How did you first hear about the us?

Have you toured any other schools?

Next Steps

Please read and indicate you understand your additional responsibilities in the next steps of this application process:

Next Steps

After $35 application fee is paid you will recieve an email and a text within ten minutes. The email will have instructions and login information. These emails can go into spam or promotions so please check those.

IMPORTANT

Failure to complete all of the steps above will cause your enrollment to be incomplete and can possibly cause you to forfeit your desired class start date. Please check your email spam folder, specifically "Promotions" if using Gmail, as occasionally correspondence from the school is automatically sent there. Your application confirmation email may also appear in your spam folder.*

Conditions of Enrollment

I expect to enter the college as indicated in the application above, subject to my acceptance by the Aesthetics Institute. If accepted, I intend to put forth my best efforts to successfully complete my training. I do allow the school to use my name and/or photograph for its publicity.

APPLICATION FEE

I understand that a $35 non-refundable application fee is required. I understand that after I submit my application below, I will be redirected to a payment page. This fee can be paid via debit/credit card.

Today's Date

Applicant Signature

For Technical Help

If you experience any technical issues with our application or have a question about its completion, please send an email to admissions@aiofportland.com

Enter the above code

Required

Advanced Student Application

Contact Information

Why Are We Collecting this Information?

Current Address

Permanent Address (If Different from Above)

Emergency Contact Information

Course Information

History

Employment Information

Physical Information

Essay Questions

Next Steps

*IMPORTANT*

For Technical Help

IMPORTANT