A Better Education for a Better Career
Student Application
When would you like to Start?
*
ASAP
January
February
March
April
May
June
July
August
September
October
November
December
Name (last)
*
(first)
*
(mi)
Social Security
*
Age
*
Date of Birth
*
/
Month
/
Day
Year
Date
Address
*
Street Address
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Mobile
*
-
Area Code
Phone Number
Carrier
Emergency Contact
Mobile
*
-
Area Code
Phone Number
Education
High School
Address
College
Address
College: Do you have either high school diploma/ GED/4 year College Degree?
Yes
No
Can you provide proof (ie diploma, official transcript)?
Yes
No
Transfer Students
Previous Cosmetology School Hours
Attended: start
end
School Name
Address
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
mm/dd/yy
Did you do the FAFSA Entrance Counselling?
Yes
No
Have you had financial aid before?
Yes
No
What Year?
yyyy
Did you sign your Master Promissory Note?
Yes
No
Signature
Date
/
Month
/
Day
Year
Date
Submit
OFFICE ONLY:
Diploma
SS
DL
EC
Hold Auth
StrtInput
EFP
FAFSA
MPN
EA
OVR
Cosmetology
Esthetician
Nail Tech
Instructor
Massage
Esthetician & Nail Tech Combo
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