Student Application Form.
Please fill out the application form below to apply. We will respond shortly.
General Information.
First Name:
Last Name:
Address 1:
Address 2:
City:
State:
Zip Code:
E-mail Address:
Telephone (Home):
Telephone (Work):
Date of Birth:
Social Security Number:
Name of High School
or College Attended:
Education:
HS graduate
GED
Gender:
Male
Female
Marital Status:
Single
Married
Class Information.
Course of Interest:
Basic Esthetician
Master Esthetician
Instructor Program
Class Attendance:
Day
Night
Student Attendance:
Full Time
Part Time
Date of Class in Which You Wish to Enroll:
How did you hear about Mandalyn Academy?
I would like to enroll in Mandalyn Academy Skin and Body Care Institute. I have received and read a copy of the school catalog and have enclosed the required fees and recent photos.
Please note:
Photo copy of your Drivers License or Birth Certificate, photo copy of High School Diploma, along with fees and two recent photos are required at time of registration. If you do not have a high school diploma or equivalent, an entrance exam must be taken. This test is available through UVSC.
