General Inquiry Form - Aveda Institute Las Vegas

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Physical Address: Casal Aveda Institute 6000 Mahoning Avenue Austintown Plaza Austintown, OH 44515-2240 Telephone: (330) 792-6504 Fax: (330) 792-6509 Hours of Operation: Tuesday - Saturday, from 8:30 AM to 5:00 PM For any Casal Aveda Institute Admissions related questions or information, please complete the form below.
Admissions Information Inquiry (*required)
Contact Information:
Salutation:
First Name:
Last Name:
Email Address:
Street Address:
Apt./Suite:
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Home Phone:
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Additional Information:
Gender:	Male Female
Do you have medical conditions that might affect your training?	Yes No
I have a :	High School Diploma GED Neither
I have attended : (select all that apply)
I am interested in the following programs: (select all that apply)
I am interested in Student Loans or Applying for Financial Aid:	Yes No
I am interested in starting the program in:	Winter: Spring: Summer: Fall:
Short Essays (please limit each answer to 3 brief paragraphs):
When did you first become interested in cosmetology?


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Admissions Information Inquiry