Online Enrollment Application

Park Avenue School of Cosmetology Application for Enrollment Fields with an * are required
Full Name:**
Address:**
City, State, & Zip:**
Phone:**
Cell Phone:
Email:**
Type of Course:**	Cosmetology Esthetics Nail Technology
Attendance:**	Full Time Part Time
I would like to begin classes in:**
Highest Level of Education:**	High School Diploma/GED College or University 1+ years College or University Graduate
Graduation/GED Date:**
Have you previously attended Cosmetology School?:**	Yes No
If Yes, when:
Are you transferring hours?:	Yes No
If Yes, transfering from what school?:
Do you have a current student loan for attendance?:*	Yes No
Are you in default or have defaulted on a student loan?:*	Yes No
How did you hear about us?:
Additional Comments:

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