APPLICANT CONTACT INFORMATION

Levittown Beauty Academy LLC.
8919 New Falls Rd
Levittown Pa. 19054
Applicant Contact Information
215-943-0298

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
State:
ZIP
Daytime Phone:
Evening Phone:
Email:

Program Of Interest:
Cosmetology:
Nail Technology:
Cosmetology Teachers Program:
Class Schedule Request:
Full Time Day:
Part Time Evening:
Combination:

Class Begins First Monday Of Every Month:
When Would You Like To Begin Classes Month And Year:

Would You Like Us To Contact You By Phone For More Information:
Would You Like Us To Send You A School Brochure:
Are You Interested In Financial Aid:
Comments: