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Esthetics Program Application Form

To download a printable PDF form, please click here. You can fill the form out and fax or mail to Blanche Macdonald Centre, or apply using our online form below.

Have you been in touch with a Blanche Macdonald Director? Yes No
If yes, please let us know who so we can process your application faster:

Personal Information

First Name
 Last Name
 Gender
Male Female
Date of Birth
 Social Insurance Number (optional)
Apt #
 Street No. and Name
 City
Province/State
 Postal/Zip Code
 Country
Telephone
 Fax
 Mobile/Pager
 Email
  Facebook Email (if different)
  Facebook Username
Occupation
 Employer
When is the best time to contact you?

Please list three contacts in the event of an emergency:

Name
 Telephone

 Address
 Email Address
Name
 Telephone

 Address
 Email Address
Name
 Telephone

 Address
 Email Address

Please select one of the following:

I am applying as a(n):
Canadian citizen
Landed immigrant
International student (If English is not your first language, then TOEFL or TOEC scores must be forwarded to the school or an internal English proficiency test will be administered)

Note: Applicants must have completed high school or be at least 19 years of age.

Program Interest

I would like to apply for the following program (please check your choice):

Esthetics Day Program. Starting On:
Esthetics Evening Program. Starting On:
Other, please specify

Financial Responsibility

Have you ever had any types of loans? (school, personal): Yes No
If yes, please specify

Have you ever defaulted on a loan? Yes No
If yes, please specify the type of loan default

Note: Only Canadian citizens and Landed Immigrants are eligible for federal/provincial student loan funding.

Please check the appropriate choice below:

I am paying for the course through my own finances
I would like to apply for a BC/Canada Student Loan
I am obtaining a loan through other means (please specify: )
Other (please specify: )

Educational Information

Did you graduate from high school? Yes No

Did you attend a Post Secondary Institution? Yes No
If yes, please tell us where:

What level of education? (please specify area of study and name of institution)

High School
Diploma, please specify
Undergraduate Degree, please specify
Graduate Degree, please specify
Other, please specify

In addition:

My transcripts will be forwarded by

Do you have any education or experience that may relate to the study of Esthetics? Yes No
If yes, please specify:

Have you studied anatomy or physiology? Yes No
If yes, how advanced were your studies?

Health

Do you have any health issues/problems that the school should be aware of? Yes No
If yes, please specify

Are you taking any medications that the school should be aware of? Yes No

Do you have normal hand/eye coordination? Yes No

Do you have any allergies or skin sensitivities that would prevent you from receiving Esthetic treatments (is. psoriasis, eczema)? Yes No
If yes, please specify

General Interest

Have you applied make-up or skin care to others? Yes No

Have you ever experienced a spa treatment (ie. facial, manicure, massage)? Yes No

Are you comfortable receiving Esthetics services from others? Yes No

How did you decide that you wanted to be an Esthetician?

What area of Esthetics appeals to you the most?
Promotion of health
Involvement with the medical field
Nurturing/caring dynamics
Business development potential
Other, please specify

How did you hear about the Blanche Macdonald Centre?
Reputation
Advertising, please specify
Internet, please specify
Blanche Macdonald's Page on Facebook
Magazines/Newspapers, please specify
Referral, please specify
Other, please specify

Why did you choose Blanche Macdonald?

This application has been completed by:

Name of Applicant

Name of parent or guardian (if applicant is under 19)

Upon receipt of completed application and acceptance into the college, students must provide the appropriate enrollment fee. An official enrollment agreement will be issued and your name added to the list for the program/course of your choice.

Note: Course offerings, schedules, tuition fees, facilities and faculty are subject to change without notice. We also reserve the right to cancel or postpone classes due to inadequate enrollment.