The International Hair Academy

Information Request Form

If you are considering any of our courses or classes and would like to receive additional information, please complete the following form.

Name:
Street Address:
City / Town:
Province / State:
Postal Code / Zip:
Day Phone:
Cell/Evening Phone:
Best Time To Call:
E-Mail:

Personal Information

What is your age?
What is your Occupation?
Who is your Current or Last Employer?
What is your Highest Level of Education? (Transcripts must be supplied)
High School Graduation Year or GED?

Please answer the following Hair Styling questions, as applicable:

Which Program are you interested in taking?

Hair Styling - 1500 Hour Diploma Full Time
Hair Styling - 1500 Hour Diploma Part Time Days

When would you be interested in starting school for the Hair Styling Program?

How long have you considered taking Hair Styling?

Why do you feel you would like to work in this profession?

Please answer the following Esthetics questions, as applicable:

Which Class are you interested in taking?

Esthetic - Mini Facials and Make Up Class
Esthetic - Manicure and Pedicure Class
Esthetic - Nail Extensions - All Types Class
Esthetic - Nail Extensions - Gel Only Class
Esthetic - Depilatory Waxing Class

When would you be interested in starting these Esthetic Classes?

Please answer the following General questions, as applicable:

How did you learn about the International Hair Academy?

Client Referral
Friend
Internet
Previous Graduate Referral
Salon Referral
School Referral
Yellow Pages
Other

Do you have any questions about the International Hair Academy or our programs?

I would like you to:

Please contact me.

Send me additional information on the programs I have selected.

Please wait a momemt while your request is processed. Your application will be emailed to the International Hair Academy.

If you are having trouble with this form, send the above information in an email message to : information@intlhairacademy.com