Please take a moment to fill about the form below. We will contact you to schedule an interview. In preparation: Please have your high school and post-high school transcripts sent to the Academy: IMPACT cosmetology academy ATTN: Admissions Dept 3812 Illinois Rd Fort Wayne, IN 46804 Name (required) Email (required) Address Phone Number (required) Highschool Graduation / GED Date When would you like to start class? 0-3 Months3-6 Months6-12 Months Subject Please tell us about yourself and what interests you about cosmetology. If you were referred by someone, please tell us who Referred Name Email/Phone I am aware I am transmitting personal information for use in initiating my application, and acknowledge submitting any false and fraudulent information is against the law and may result in my request/application being denied, and possible criminal prosecution.