Beginner Brow Enrollment Form

Student Pre-Enrollment Form

Prior to completing this form, please review the Ombre Brow Fundamentals Course Enrollment Requirements
Student Name*

First NameLast Name
Birth Date*

MonthDayYear
Preferred E-mail*
example@example.com
Course Interest*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Have you fully read the Ombre Brow Fundamentals course description & enrollment requirements?*

YesNo
High School Graduate/GED*

YesNo
Are you currently enrolled in another course/higher education program?

YesNo
Do you currently hold any of the following ?*

Esthetician LicenseCosmetology LicenseNail Technician LicenseCertified Makeup ArtistNone
Do you have any impairments that could affect your performance of a cosmetic tattoo on a potential client?

YesNoI'm not sure
Rate Your Makeup Application Skills

I love makeup - I'm a PROI love makeup - I have basic knowledgeI love makeup - I have little knowledgeNever applied makeup - I have no idea
Do you have the skill to sketch or pencil on an eyebrow?

YesNoI have no idea how
Upload Your Best Eyebrow Sketch*

Select File
Select 1 to complete & upload: 1. On a clean light colored paper, sketch with a pencil your best eyebrow shape or 2. Submit a photo of an eyebrow you've penciled on yourself or another person (Note: The instructor needs to assess your skill, make sure what you submit has been completed by you specifically) Cancelof
Are you aware the nature of the industry ?

Yes-I understand this is Cosmetic TattooingNo - I don't fully understand
Where will your studio/clinic be located ?
Have you checked your local/state laws & regulations on the educational requirements needed to open your studio/clinic ?

Yes, I've done all my researchSort of, but need clarificationI have not checked
How many of the required 6 models have you sourced to successfully complete the course hands on clinical ?
I understand the academy is not a traditional university, and cannot accept FAFSA

Yes - I understandNo - I didn't knowI have questions

Professional Scale*

	Strongly Agree	Agree	Neither Agree nor Disagree	Disagree	Strongly disagree
Committed to this profession
Likelihood to study & practice
Open to trainer feedback
Work well with others
Enjoy enhancing & helping people
Have an artistic eye
Easily defeated
Are you a good listener
See yourself as a business owner
I have fully read the student brochure FAQ's

Should be Empty:

Student Pre-Enrollment Form