admission application new

This is a confidential application for admission and represents no obligation on your part or on the part of Staunton School of Cosmetology Incorporated. Keeping in mind the best interest of all concerned, it is the aim of the school to accept only men and women whose general qualifications indicate that they would benefit from the training. Your answers to the following questions will assist us in determining your qualifications. A final decision will be made after a personal interview with a school representative.

Name *

First

Last

Phone *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Male or Female *

Male
Female

Marital Status *

Birthdate *

Age *

US Citizen *

Yes
No

Birth Certificate or Citizenship *

Birth Certificate
Citizenship

Are you a dependent or independent? *

Dependent
Independent

Your number of dependents *

Their Ages *

Housing Status

Your Closest Relative *

(Other than Parent)

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Name of High School *

Graduation Date *

Diploma Type *

Diploma
GED

Name of Vocational/Trade School

Start Date

End Date

Name of College/University

Start Date

End Date

Personal Reference *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Relationship *

Business Reference *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Relationship *

If you have pre-school or school aged children, what will you do for primary and backup-child care? *

Do you have primary and backup childcare for Saturdays, holidays, snow day, summers, etc.? *

Yes
No

Do you have financial arrangements made to sustain you while you are attending school and until you graduate? *

Yes
No

If you work, will you be able to work a schedule that will not conflict with your training? *

Yes
No

List some qualities you have that will help make you become a successful cosmetologist *

I acknowledge that the information I have provided is to the best of my knowledge, complete and accurate. I understand The Staunton School of Cosmetology may use this information to determine my eligibility for admission to The Staunton School of Cosmetology, as well as other internal uses as related to The Staunton School of Cosmetology operations as a business and educational institute. *

Acknowledged

Signature *

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