Student Application - La Dolce Vita Cosmetology Institute

First Name *

Middle Initial

Last Name *

D.O.B. *

Sex

Address *

City *

State *

Zip *

Phone Number *

Primary E-mail Address *

Driver’s License # or State ID # *

ID of State *

Marital Status

U. S. Citizen

If NO, Alien No *

Birthplace (City, State/Country) *

Employer Name

Phone

Address

City

State

Zip

Please select last grade completed

High School Name

Graduated

GED School Name

Graduated

College Name

Course/s Studied

Graduated

Disclaimer

The prospective student must contact the State Board to determine whether they are eligible to apply for a state license.

Have you ever been convicted of a felony or currently awaiting trial on felony charges? *

If yes, explain *

Are you on probation or parole?

If yes, explain in detail including name and telephone number of probation officer

References of persons who are likely to know your address in the future

Name

Address

City

State

Phone

Emergency Contact Name

Phone

Relationship

Do you have any medical condition or impairment which might affect your training at La Dolce Vita Cosmetology Institute?

If yes, explain

How did you learn about La Dolce Vita Cosmetology Institute?

Who (other than you) most influenced you in your final decision to enroll at La Dolce Vita Cosmetology Institute?

Course Applying For

I wish to apply for admission for the month of __ May 4, 2026

Month

Day

Year

Transfer Students: Previous training at School Name, address, phone#, and total hours completed

The following information must be filled out if applicant is a minor

Parent/s-Guardian/s Full Name

Address

City

State

Zip

Phone

Essay

At the time of Registration:

You must present a copy of your Birth Certificate or Driver’s License along with a copy of your High School Diploma or GED. If you graduated from a high school or obtained a GED certificate but are unable to provide the actual documentation you must provide an official transcript. All diplomas from countries outside the USA must be evaluated by an approved Foreign Credential Evaluator before enrollment.
Online diplomas are unacceptable unless they can provide
documentation for National Accreditation.

Application and Registration Payment Policy
Application Fee is $75.00
A deposit is required at the time of registration.
The deposit for the Cosmetology course is $5,500.00.
The deposit for the Instructor’s course is $1,500.00.

Applicant Signature

Date

Parent/Guardian Signature (if applicant is a minor)

Date