HOLLYWOOD EDUCATION INSTITUTE
APPLICATION FORM
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3470 Wilshire Blvd., Suite 350, Los Angeles, CA 90010 TEL: 213.386.3800 FAX: 213.402.5533
E-mail: info@hollywoodinstitute.net Website: www.hollywoodinstitute.net
Personal Information
Address
Emergency Contact
Program of Study
Program:
Payment
Fees:
$
$
$
Method of Payment:
Financial Sponsor

All applications must be accompanied by a separate financial support document or if students have a sponsor, she/he must also sign below.

"I certify that sufficient funds are available to cover the school and living expenses for my
: and his/her dependent(s) during his/her term of study at Hollywood Education Institute. I accept full financial responsibility for the expenses."
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Agreement

"I certify that I am at least 18 years of age and that the information I have provide on this application Form is accurate and complete. I hereby affirm that I have sufficient funds to pay tuition and living expenses for the period of my student at Hollywood Education Institute."