Online Enrollment Application
Program Information
Please select the program of interest and month you would like to start training
Ethnicity
...
White
African American
Two or More Races
Unknown/Other
Asian
Hispanic
Alaskan Native
American Indian
Ethnicity
...
White
African American
Two or more races
Unknown Other
Asian
Hispanic
Alaska Native
American Indian
Program of Interest
...
Cosmetology
Barber
Manicuring
Esthetics
Barber Crossover
Instructor
Desired Start Month
...
January
February
March
April
May
June
July
August
September
October
November
December
First name
Middle Name
Last name
Permanent Address
Street
City
State/Province
Zip/Postcode
Demographic Info
Sex
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Female
Male
Date of Birth
Cell Phone
Driver's License Number
Left or Right Handed
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Right
Left
Email
Employer
Employer Phone
High School or GED City
Yes or No?
Yes
No
