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DESIRED PROGRAM/COURSE CERTIFICATION(S)
(select all that apply)
Facial & Chemical Peels
Laser/IPL Hair Removal
Medical Aesthetics Program
Same address as applicant
If the emergency contact's address is different from the applicant's, please list it here:
Do you have or experience any health issues or medical concerns that could impact your training? (If yes, please explain):
EXTENDED APPLICANT INFORMATION
How did you hear about GLAMMED Canada?
When did you first become interested in these types of certifications?
Have you ever been enrolled in a medical aesthetics and/or aesthetics course?
If yes, please list the course name and school:
Grade Point Average:
Other college(s), universities or extended education attended since high school:
I certify that all statements on this application are true and complete.
I understand that my application will not be considered complete without the applicable registration fees paid.
Your application was submitted successfully!
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