Request for Leave of Absence

To receive a request for a leave of absence from Capri Beauty College, please provide the following information.


Name:
Address:
City:
State:	ZIP:
Student ID:
Date of Birth:
Home phone:
Mobile phone:
Can you receive text messages?
eMail address:
Start date:
End date:
Reason:

Please enter any other comments or questions here. If this is not your first Leave of Absence, please specify the dates of all previous Leaves of Absence.

An official leave of absence will not begin until you receive personal notification from Capri Beauty College. A representative will contact you within 3 business days.