Application for Enrollment

Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone *

(###)

###

####

Program of Interest

Cosmetology

Esthetician

Manicurist

Cosmetology Instructor

Transfer Student

Start Date of Interest *Choose one *

Cosmetology - June 30, 2025

Cosmetology - September 15, 2025

Esthetician - September 15, 2025

Manicurist - April 14, 2025

Cosmetology Instructor - April 14, 2025

Payment Option *Choose one

Full payment is due at the time of signing the enrollment contract paid directly to Atlas Academy.

Payment plans direct to the Academy during active enrollment: Terms: 4% interest on the calculated balance after the deposit and required fees are paid.

Payment plan direct or indirectly to the Academy during active enrollment at 6% and up to one year as an inactive at 8% student (graduate or withdrawn).

Specific terms outlined by a scholarship or funding program accepted by the Academy (example MI Works, MiTC, GI Bill® etc.). Candidate must be pre-qualified for funding.

Shirt Size *

X-Small

Small

Medium

Large

X-Large

XX-Large

Date *

MM

DD

YYYY

Date

MM

DD

YYYY