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Cosmetology Program Application

Cosmetology Application.

Step 1 of 4

Student Information

Program Completion(Required)
How do you wish to attend the Cosmetology Program? You may either choose "Full Program" or "Hours-Completion". "Full Program" refers to students who wish to attend the entire program to get 1,000 hours. "Hours-Completion" refers to students who were in another Cosmetology program and just need to finish their 1,000 hours.
Student Name(Required)
MM slash DD slash YYYY
Gender(Required)
Please note that the data we report each year only allows us to report two genders.
Martial Status(Required)
High School Graduate or Equivalent (GED Test, etc.)?(Required)

Student Information 2

Mailing Address(Required)
Emergency Contact(Required)
Emergency Contact Relationship(Required)