A Better Education for Better Career
Student Application
When would you like to start? (Check One)
*
ASAP
January
February
March
April
May
June
July
August
September
October
November
December
Name
*
Last
First
Middle Initial
Social Security
*
Age
*
Date of Birth
*
/
Month
/
Day
Year
Date
Address (Street, City, State, Zip)
*
Street City, State, Zip
Email
*
Mobile
*
Carrier
*
Emergency Contact
*
Emergency Contact Number
*
Education
High School
*
Address (Street, City, State, Zip)
*
Street City, State, Zip
College
Address (Street, City, State, Zip)
Street City, State, Zip
Do you have high school diploma/ GED/ 4 year College Degree?
*
Yes
No
Can you provide proof (ie diploma or transcript)?
*
Yes
No
Transfer Students
Previous Cosmetology School Hours
Start
-
Month
-
Day
Year
Date
End
-
Month
-
Day
Year
Date
School Name
Address (Street, City, State, Zip)
Street City, State, Zip
Can you provide proof with a transcript?
Yes
No
Were your hours completed within the last 4 years?
Yes
No
Have you completed your FAFSA application?
Yes
No
Date?
/
Month
/
Day
Year
Date
Did you do the FAFSA Entrance Counselling?
Yes
No
Have you ever had financial aid before?
*
Yes
No
What Year?
Did you sign your Master Promissory Note?
*
Yes
No
Signature
*
Date:
*
/
Month
/
Day
Year
Date
Submit
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