O'Briens Aveda Institute

We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, or any other basis prohibited by federal, state, or local law. No question on this form is intended to secure information to be used for such discrimination. The school is required to report some of the information requested below. Your contribution is voluntary. It will be held confidential.

Please note: If you do not hear back from us within two business days, please check your spam/junk mailbox

Program Interested In:*

First Name*

Last Name*

Phone Number*

Email*

Mailing Address*

City*

State*

Zip*

Gender

Are you a citizen of the United States of America?*

Are you a resident of Vermont?*

Race:*

Relationship Status?*

Do you have any children?*

Do you live with your parents?*

Highest level of education?*

What High School did you attend?*

Graduation Year:*

Do you have an IEP that you wish to submit to us for your file?*

Have you ever attended Cosmetology School?*

If Yes, where?*

# of Clock Hours:*

First name as you would like it to appear on your name tag*

What hand are you?

Smock/Shirt Size:

Do you have a driver's license?*

If Yes, License number:*

Will you be driving to school?*

Vehicle Make:*

Vehicle Color:*

License plate number:*

Do you have any health problems that we should be aware of:

If Yes, explain:

Please list any medications you take:*

Will you be taking these medications at school?

Have you ever been convicted of a felony?

If yes, what was the charge?*

*If you have been convicted of a felony you must contact the State of Vermont Office of Professional Regulation to confirm that you will be eligible for licensing*

Will you be applying for financial aid?

Have you begun the process yet?

Have you been in contact with our financial aid department yet?

Do you have defaulted loans?

What types of jobs have you held?

What did you like about your previous job?

What did you dislike about your previous job?

How long have you wanted to be in this field?

In the event of an emergency, who is your primary contact?

First Name*

Last Name*

Phone Number*

Relationship to you:

What made you choose our Institute?

How did you hear about us?:*

Other:

If referred by a person or salon, who was it?

The following documents are also required to complete your enrollment application:

This completed application

Non-refundable application fee of $50

MMR Immunization Record (Measles, Mumps, Rubella)

Copy of High School Diploma or GED (If using transcripts must submit 2 SEALED copies)

Copy of valid photo ID

Copy of Birth Certificate, Social Security Card, OR Passport

400 CORNERSTONE DRIVE
WILLISTON, VT 05495 (802) 876-7044

If you are applying for financial aid please do so at www.fafsa.ed.gov For Vermont Residents, please also complete the VSAC Incentive Grant at www.vsac.org It is encouraged that you schedule an appointment with our Financial Aid department to discuss your application and needs.

I certify that the information I have provided for admissions to Aveda Institute Williston is complete and accurate to the best of my knowledge. I understand that misrepresentation of information is sufficient grounds for canceling my admission to Aveda Institute Williston. I also understand that this application does not guarantee my admission to the Institute. I am not considered enrolled until I have completed all admission requirements and received an acceptance letter.

Your Name:*

If under 18, Your Guardians Name:*

*Required field