HEIRESS ACADEMY

EXPRESSION OF INTEREST FORM

Name

First Name

Last Name

Date of Birth

YYYY

Please select the pronoun you prefer:

Phone

(###)

###

####

Social Media Handles:

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you interested in a hybrid online platform

You will have access to our Pivot Point online platform

Did you graduate from High School?

Yes

Are you able to communicate online

When are you interested in starting the level 1 Hair Design program

Do you have any education or experience relating to Hair to-date?

Yes

May we email you with further information as we grow closer to our start date?

Yes

Do you have any other specific questions at this time?

Do you live within 60 km of Heiress

The hybrid learning style requires students to be in person for all workshops.