A decorative stripe.

First Class Cosmetology School - Print Application

 

 

 

 

 

Educating the Future's Top Cosmetologists Today!

Mail to:

First Class Cosmetology School

322 State Street, Beloit, WI  53511

608-362-5216

Confidential Application

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Please Print Clearly

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Application Fee: $100.00 (non - refundable)


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Program Preference:  ____ Cosmetology   ____ Nail Technology   ___ Esthetics   (check one)

Today's Date:

_____________
Social Security #: ____ -  _____ - _______ Date of Birth: ______________
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First & Last Name: ________________________________________________________________
Address: ________________________________________________________________
City: ________________________ State: __________
Zip: (AC) Phone#: ___ - ____ - ____
Emergency Contact:

_________________________________________________________________

Present Employment:

_________________________________________________________________

Education Level:

  ____ High School   ____ GED    ___Did Not Graduate   (Please check one)

Name of High School: ________________________________________________________________

Scheduled class date you wish to attend:

_______________________________________

Have you ever attended college/vocational training?

___Yes   ___No  (Please check one)

Name & Address of college/vocational school:

_______________________________________

________________________________________________________________________

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Signature:

____________________________________   Date: ________________

**Note:  Application processing does not begin until application fee is received.