Microblading Certification CourseApplication for AdmissionEnrolling ProgramClass Type :Microblading Basic Course at CampusMicroblading Advanced Course at Campus(Required the person completed a basic course)Full Online Microblading Certification courseField is required!Field is required!Course start date:Part 1 : March 26, 2023 (sun) & Part 2 :May 6(sat)-May 7(sun), 2023Part 1 : May 28, 2023 (sun) & Part 2 :July 1 (sat)-July 2(sun), 2023Other[{"f":"{class_type}","l":"equal","v":"Microblading Basic Course at Campus"}]Field is required!Field is required!Desired date of attendance :Select a date[{"f":"class_type","l":"equal","v":"Microblading Advanced Course at Campus"}]Field is required!Field is required!Start Date:Select a date[{"f":"{class_type}","l":"equal","v":"Microblading Full Online"}]Field is required!Field is required!Payment Option ( Microblading Basic Course at campus) :Pay deposit now $200 (Remaining balance ($2365.44) is due before starting date )Pay in full now ($2565.44)2 times payment ( Pay now for Part 1 /$1465.97, Payment for Part 2 / $1151.83 is due before starting Part 2 )Other[{"f":"{class_type}","l":"equal","v":"Microblading Basic Course at Campus"}]Field is required!Field is required!Tuition Breakdown ( Microblading Basic Course at campus-Pay in Full)Tuition ( Included Student Kits & Textbook ) : $2450.00 Tax (State of Hawaii 4.712%) $115.44 ------------------------------------------------------------------------ Total : $2565.44[{"f":"{basic_course_at_campus_payment_option}","l":"equal","v":"Pay deposit now","a":"or","fa":"{basic_course_at_campus_payment_option}","la":"equal","va":"Pay in full now"}]Tuition Breakdown ( Basic Course at Campus - 2 time payment)Part 1 (before you start) $1400+tax= $1465.97 Part 2 (Before Starting course Part 2 ) $1100+tax= $1151.83 ------------------------------------------------------------------------ Total : $2617.80[{"f":"{basic_course_at_campus_payment_option}","l":"equal","v":"2 time payment"}]Payment Option ( Microblading Advanced Course at campus ) :Pay deposit now $200 (Remaining balance ($1318.32) will be at start day)Pay in full now ($1518.32)Other[{"f":"{class_type}","l":"equal","v":"Microblading Advanced Course at Campus"}]Field is required!Field is required!Tuition Breakdown ( Microblading Advanced Course at Campus)Tuition ( Included Student Kits & Textbook ) : $1450.00 Tax (State of Hawaii 4.712%) $68.32 ------------------------------------------------------------------------ Total : $1518.32[{"f":"{class_type}","l":"equal","v":"Microblading Advanced Course at Campus"}]Online Course Payment Plan :Paid in full $2565.44Payment plan (Tuition $2450+ Application Fee $50+tax=$2617.80)Other[{"f":"{class_type}","l":"equal","v":"Microblading Full Online"}]Field is required!Field is required!Tuition Breakdown ( Full Online - Paid in full )Tuition ( Included Student Kits & Textbook ) : $2450.00 Tax (State of Hawaii 4.712%) $115.44 ------------------------------------------------------------------------ Total : $2565.44[{"f":"{online_course_payment_plan}","l":"equal","v":"Paid in full"}]Tuition Breakdown ( Full Online - Payment plan )Part 1 (before you start) $1400+tax= $1465.97 Part 2 (one month later) $1100+tax= $1151.83 ------------------------------------------------------------------------ Total : $2617.80[{"f":"{online_course_payment_plan}","l":"equal","v":"Payment plan"}]You will not receive transcript or certificate until financial obligation has been met.The final payment must be in the form of cash or credit card. No personal checks will be accepted.[{"f":"{online_course_payment_plan}","l":"equal","v":"Payment plan","a":"or","fa":"{basic_course_at_campus_payment_option}","la":"equal","va":"2 time payment"}]DisclaimerIf the student has a second party who is responsible for payments, all the required information must be given to Administration with the amount of incremental payments and the date payments are to be made, and the form of payment must be approved by the school’s Director, Mr. Eric Ho.Fees and Other Charges• Your application fee is nonrefundable.• Your account will be assessed a $20 service charge for any payment returned for insufficient funds, or which is not collectible for any other reason, and your plan will be cancelled. • There will be an additional late charge for any payment not received in full by the due date. • If payment due is from $0 – $999.99 a $20 late fee will be charged to your account. • If payment due is from $1,000 – $1,999.99 a $25 late fee will be charged to your account. • If payment due is $2,000 or above a $30 late fee will be charged to your account.I agree to the terms of this contract. If these terms need to be modified, I am to notify the school’s Director, Mr. Eric Ho of any changes, which must be agreed upon by both parties. Any unpaid balances will be transferred to HNA’s legal department to begin the collection process. Transcript of hours will not be released until balance is paid in full.Your initials[{"f":"{online_course_payment_plan}","l":"equal","v":"Payment plan (Tuition $2450+ Application Fee $50+tax=$2617.80)","a":"or","fa":"basic_course_at_campus","la":"equal","va":"2 time payment"}]Field is required!Field is required!Please Provide a phone number and contact name for any problems with the above Payment Plan.Secondary Applicant Name :Field is required!Field is required!Secondary Applicant Relationship :Field is required!Field is required!Secondary Applicant Phone :Field is required!Field is required!Secondary Applicant email :Field is required!Field is required![{"f":"{online_course_payment_plan}","l":"equal","v":"Payment plan","a":"or","fa":"{basic_course_at_campus_payment_option}","la":"equal","va":"2 time payment"}]Student InformationFirst Name:Your First NameField is required!Field is required!Middle Name:Your Middle NameField is required!Field is required!Last Name:Your Last NameField is required!Field is required!Phone number:Your Phone numberField is required!Field is required!Cell Phone Number:Your Cell Phone numberField is required!Field is required!EmailYour E-mail AddressField is required!Field is required!Re-enter your E-mail addressRe-enter your E-mail addressE-mail address did not match!E-mail address did not match!Address :Your AddressField is required!Field is required!City :CityField is required!Field is required!State :StateField is required!Field is required!Country :Country :Field is required!Field is required!Zipcode :ZipcodeField is required!Field is required!Social Security Number :Social Security NumberField is required!Field is required!Date of Birth : Select a dateField is required!Field is required!Sex :FemaleMaleField is required!Field is required!Country of CitizenshipCountry of CitizenshipField is required!Field is required!Current Employment Name :Current Employment Name :Field is required!Field is required!Employment Phone :Employment Phone :Field is required!Field is required!Will you be working during school?YesNoField is required!Field is required!If yes, where and schedule :[{"f":"working_during_school","l":"equal","v":"Yes"}]Field is required!Field is required!English language :PoorAverageExcellentField is required!Field is required!What language do you speak/write fluently?[{"f":"{english_language}","l":"not_equal","v":"Excellent"}]Field is required!Field is required!Do you have any physical, mental or sensory conditions or allergies that might affect your performance?YesNoField is required!Field is required!If yes, please specify:[{"f":"health_condition","l":"equal","v":"Yes"}]Field is required!Field is required!Do you have any background or experience in this profession ?YesNoField is required!Field is required!If yes, please specify:[{"f":"{experience}","l":"equal","v":"Yes"}]Field is required!Field is required!Upon graduating, do you plan to work in this profession ?YesNoField is required!Field is required!Have you attended another Beauty School ?YesNoField is required!Field is required!If yes, School of Name :[{"f":"{beauty_school}","l":"equal","v":"Yes"}]Field is required!Field is required!Why are you interested in our program ? Field is required!Field is required!Uniform Size :SmallMediumLargeX-Large2X-LargeField is required!Field is required!How did you hear about us :Our own websiteInstagramFacebookGoogle searchInternet ad Newspaper or Magazine adFriend or Family Previous studentOtherField is required!Field is required!In the event of Emergency:1) Name:Field is required!Field is required!1) Phone number :Field is required!Field is required!1) Relationship :Field is required!Field is required!2) Name:Field is required!Field is required!2) Phone number :Field is required!Field is required!2) Relationship :Field is required!Field is required!Supporting Documents :1. Be at least 16 years old of age. If you are under 18, parent or guardian must enroll the applicant. 2. Copy of ID (Passport, State ID, or Driver’s license) 3. A deposit of $200.00USD Check, Money order or Credit card (send a link) 4. Completed of HNA Application form 5. A copy of high school diploma or the education equivalent (G.E.D. certificate) *If you take the Hawaii state exam 6. (For Advanced course) Copy of Certificate: Person who has nail training or has a nail license.I hereby grant permission regarding all photographs taken of me or my work to be used for illustration, promotion, and advertising. Initials Field is required!Field is required!I certify that this application is correct to the best of my knowledge. I understand that by signing this application I acknowledge and I agree to all the rules and policies of Honolulu Nails and Aesthetics Academy.Please upload your IDPlease upload your IDField is required!Field is required!Signature of application: Field is required!Field is required!Select a dateField is required!Field is required!Signature of Parent / legal guardian Field is required!Field is required!Select a dateField is required!Field is required!Please click submit button only once and it takes a few moments to process. Thank you.Submit