First Name *

Last Name *

Phone *

Email *

Date of birth *

Address

Street Address *

City

State

Country

Postal code

Have you completed high school or earned a GED? *

Yes I completed high school

Yes I have a GED

I have neither

Emergency Contact Name

Emergency Contact Relationship *

If yes, provide the school name. *

Graduation Date *

Have you previously attended a cosmetology or beauty school? *

Yes

No

If yes, provide the name of the school and the reason for leaving. *

What interests you most about cosmetology as a career? *

Which program are you most interested in? *

Day

Night

Do you have any prior experience or training in cosmetology? *

Yes

No

If yes, describe your experience. *

Are you right-handed or left-handed? *

Right-handed

Left-handed

Have you had a chance to review the tuition details? Our program tuition is $16,050, which includes a comprehensive kit, supplies, uniform, and equipment. We also offer financial assistance options to make your journey more accessible. *

Yes

No

What is your preferred payment option? *

Pay In Full

Installment Plan

Apply for Financial Assistance

Upload a Valid ID: Please upload a copy of your government-issued ID for verification purposes (Driver’s License, State ID, or Passport). *

What are your career goals after completing this program? *

Do you have any specific questions or concerns about the program? *

Signature *

Clear

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