admission application new Please enable JavaScript in your browser to complete this form.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 *FirstLastPhone *Email *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeMale or Female *MaleFemaleMarital Status *SingleMarriedSeparatedDivorcedWidowedBirthdate *Age *US Citizen *YesNoBirth Certificate or Citizenship *Birth CertificateCitizenshipAre you a dependent or independent? *DependentIndependentYour number of dependents *Their Ages *Housing StatusRentOwnLiving with ParentsYour Closest Relative *(Other than Parent)Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Name of High School *Graduation Date *Diploma Type *DiplomaGEDName of Vocational/Trade SchoolStart DateEnd DateName of College/UniversityStart DateEnd DatePersonal Reference *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Relationship *Business Reference *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *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.? *YesNoDo you have financial arrangements made to sustain you while you are attending school and until you graduate? *YesNoIf you work, will you be able to work a schedule that will not conflict with your training? *YesNoList 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. *AcknowledgedSignature *Clear SignatureSubmit
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