First Name
Last Name
Email
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Phone
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Address
Street Address
City
State
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Postal Code
Are you Looking to be a Cosmetologist or a Esthetician, or Both?
Why do you Want to be a Cosmetoglogist/Esthetician?
Highest Level of Education
Have you Ever Been Convicted of a Crime?
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No
Have you Ever Been Disciplined by the SC Board of Cosmetology or any Other Boards Alike?
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Gender
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Date of Birth
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City and State of Birth
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Driver's License Number
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Social Security Number
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Drivers License
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Proof of Education
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Social Security Card
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DISCLAIMER: This fee is not included in the cost of tuition and is nonrefundable.