Battle Creek (269) 964-4016 * Portage (269) 321-8708 

       

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Application for school

Please fill in all fields marked with a *
Name *
Address *
City *
State *
Zip *
Email *
Home Phone *
Cell Phone *
Employer *
Work Phone *
Date of Birth *
Social Security Number  please bring to first appt.
Drivers License Number  please bring to first appt.
Number of Dependents *
Ages
How did you hear about our academy?* *
I plan to enroll in* Cosmetology
Nail Spa Tech
Instructor
*
I would like this schedule * Full Time Days, M-F, 9-4:30
Part Time Days, M-F, 9-1
*
I plan to take classes at * Battle Creek
Portage
*
I want to begin in * January
April
June
September
November
*
Last High School *
High School Grad Date *
High School GED High School
GED
*
Previous Colleges Attended *
Have you ever had a student loan Yes
No
*
Cosmetology School Transfer Only
Name of School		 *
Transfer School Address *
New and Transfer Students:
Do you want to apply for financial aid?		 Yes
No
*

Enter web form code		 Web Form Code







 

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