Contact

Full Name

Date of Birth (YYYY-MM-DD) (YYYY-MM-DD)

Phone Number

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Current Address

Preferred Language

English Spanish

Are you at least 16 years old?

Yes No

Do you have a high school diploma or GED?

Yes No

Which schedule works best for you?

Full Time — Tuesday through Saturday, 9:00 AM to 5:00 PM Part Time B — Tuesday through Saturday, 9:00 AM to 4:00 PM Part Time A — Tuesday through Saturday, 9:00 AM to 2:00 PM I am flexible

How do you plan to pay tuition?

Self-pay Monthly payment plan Employer sponsored Not sure yet

What is your prior cutting or barbering experience?

No experience — complete beginner Some experience — I have cut friends or family Intermediate — I cut regularly but not professionally Advanced — I have professional experience

Do you currently hold any barbering or cosmetology licenses?

Yes No

If yes, list license(s) and state(s):

Have you ever been convicted of a felony or crime?

Yes No

If yes, please explain:

Why are you interested in becoming a barber?

Do you have reliable transportation to attend daily?

Yes No

Are you currently employed?

Yes No

Additional Questions or Comments

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