Esthetic Diploma Program Application Thank you for considering The Esthetic Institute Training Centre for CIDESCO training. To apply, print this form, complete all fields, and email the completed form to info@estheticinstitute.ca. Applicants will be contacted by mail to be notified of the status of their applications. To expedite the processing of your application, please ensure that your form is completed in all fields, unless otherwise indicated, and ensure any additional required documents are attached. Please write legibly. Please note that there is a limited number of students that can be accommodated in this class, and not all applicants will be accepted to the CIDESCO programme. Application fee: $35.00 CDN (non-refundable) Personal Information Given name:
Family name:
Middle name(s): Mailing address:
Residential address (if different from mailing address):
Telephone:
Email:
Date of birth:
Citizenship: Education
Applicants to the CIDESCO programme are required to have completed secondary school, including grade 10 mathematics and grade 12 English. While there are no other specific academic pre-requisites, biology, chemistry, and electrical physics will be featured strongly in this programme, therefore an adequate background in these subjects would be an asset to students. The Esthetic Institute may access transcripts for Canadian applicants through the applicant’s provincial student number. Applicants over 20 years of age may have different application requirement, please contact us for further information. Applicants are required to be proficient in written and spoken English. The Esthetic Institute conducts all classes in English and does not have the capacity to offer language assistance. Students must be proficient enough to participate in classes, study, communicate with students, educators, and clients, write client notes and essays, as well as be examined in English without assistance. Please note that international students are personally and solely responsible for acquiring any required visas to study in Canada. Are you legally eligible to attend school in Canada? YES
NO
(indicate one)
In which language was most of your secondary education conducted? Do you have a secondary school diploma, or equivalent? YES_
NO
If you are still completing secondary school, what is your expected completion date? Have you taken grade 12 biology, or equivalent? YES_ Have you taken grade 11 chemistry, or equivalent? YES
NO NO_
List all grade 11 and 12 subjects taken (or equivalent), and grades achieved in each class, if completed:
Alberta Education Number (if under 20 years of age): If you attended secondary school in another Canadian province, indicate your provincial education number here: If you attended secondary school outside of Canada, or if you do not have a provincial education number, please attach your school transcript to your application.
References
Please provide two character references. References should be individuals who have held an official position of leadership for the applicant, such as a teacher, coach, employer, or clergy. References should know the applicant well enough to comment on the personality and strengths of the applicant, but should not include family members or personal friends. References’ comments will not be disclosed to the applicant.
Name: Email: Telephone: Relationship to the applicant:
Name: Email: Telephone: Relationship to the applicant:
Essay Please write, in the space provided below, an essay discussing what attracts you to The Esthetic Institute’s CIDESCO programme, and the traits you possess that will help you to excel. Discuss what you expect the program to be like and what you hope to learn from it. Your essay must be written in your own hand.
Application Fee Applicants from within Canada may submit their application fee via a major credit card or bank draft (made out to The Esthetic Institute). International applicants may submit their application fee by credit card. Please inform your bank or credit card company in advance that there will be an international charge on the account so that it is not declined. For credit card payment, we accept: VISA Master Card American Express Card type: Card number: Expiry Date security code (3 digits on back of card): _______________________________________________ Name of cardholder: I, (cardholder) hereby authorize The Esthetic Institute to charge the above credit account $35.00 for the processing of this application. I understand that this fee is nonrefundable. Signature of cardholder:
Date: Application checklist
Be sure you have included with your application: Application fee Secondary school transcript, if required Completed essay in the space provided All fields complete Declaration I,_ provided in this application is true and accurate.
Signature of applicant:
(applicant) affirm that the information
Date: