Pre-Enrollment Form

First Name *

Last Name

Your Email Address *

What program are you interested in completing enrollment for?

What is your highest level of education?

Do you have any previous experience in the beauty industry?

Please select at least one option.

Yes, in Cosmetology

Yes, in Barbering

No

What is your preferred method of contact?

Please select at least one option.

Phone

Email

Text

What is your availability for classes?

How did you hear about us?

Please select at least one option.

Social Media

Website

Referral

Event

Additional questions or comments

Impact Hair Academy