Student Admissions Application

Please complete the online application below. After you receive your acceptance, you may begin the enrollment process.

First Name *

Last Name *

Date of birth *

Address *

City *

State *

Postal code *

Phone *

Email *

Which course(s) are you interested in? *

Laser Training & Certification Course ($6,500)

Injectables Training & Certification Course ($3,999)

PDO Training & Certification Course ($2,800)

Skin Expert Online Certificate ($799)

Advanced Aesthetics Online Certificate ($1,500)

PRP & Microneedling Online Certificate ($2,995)

NCLC Exam Prep & Safety Officer Training Certification

Medspa Trainer Online Certificate ($999)

Medical Director Certification Program ($15,000 with NCLC)

Medical Director Certification Program ($10,000 without NCLC)

Education *

High School Diploma/GED

Associate Degree

Bachelor's Degree

Master's Degree

Doctorate

Diploma/Professional Degree (aesthetician, etc.)

Education and License background. Please be as specific as possible describing your education, licenses obtained, professional background. *

Please describe any clinical or spa experience you currently have. *

Please upload a current resume.

When would you like to complete your course(s)?

In the next month

In the next 3 months

In the next 6 months

In the next 6-12 months

In 1+ year

Future Career Goals *

Obtain a career working for a medical aesthetic clinic or medical spa

Open my own medical spa

Practice independently

I am a current provider and looking to expand my education and services

You are...

Independent, paying for your own training

An employer, paying for an employees training

Which payment options are you interested in?

Pay in Full (Get a discount)

Installment Plan (Break into three equal payments)

Financing Plan (If approved, get up to 18 months to pay)

Which is most important to you?

Small Group Learning

Larger Classes

A lot of hands on practice

Models provided for me

Ability to have training in my own clinic

Online learning

Fast track programs (2-5 days total)

Two-Three week in person programs

Career Guidance

Tuition Fees

What is the best time to connect with you via phone?

Morning (MST)

Afternoon (MST)

Evening (MST)

Call Anytime

My schedule is buy, please text me first to coordinate

By providing my email address and phone number, I agree to receive emails and text messages from National Medspa Training Institute