Untitled Form

Take Our Alumni Survey
(Fields with asterisk (*) are required.)

Name* First Last
Address*
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Email*
Program of Study at the Aveda Institute Chicago* Cosmetology Esthiology
Start Date / MM / DD YYYY
Completion Date / MM / DD YYYY
Have you taken your State Board Exam?* Yes No
Did you receive your license?* Yes No
If NO to either of the above, please explain:
Are you presently employed in the Beauty/Skin Care field? Yes No
If NOT employed in the Beauty/Skin Care field, please explain:
If you ARE employed in the Beauty/Skin Care field, are you employed: Full-time Part-time
(Select one)
If employed in the Beauty/Skin Care field, what is the name of your salon?
Salon Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Salon Phone - (###) - ### ####
Name of Salon owner/manager:
Starting wages annually:
How satisfied are you with your present job? Very Satisfied Somewhat Satisfied Neither Satisfied or Dissatisfied Dissatisfied
(Select the option that best applies)
Why do you feel this way?
If you are not working in the Beauty/Skin Care field, would you like placement assistance? Yes No
(Select one)
Have you taken Advanced Education classes? Yes No
Have you taken Continued Education classes? Yes No
If YES to either of the above, which classes have you taken?
Additional comments you would like to share with the Aveda Institute Chicago:

2828 N. Clark Street • Chicago, Illinois 60657 • 1-773-883-1560