Online Application Process

Fill out and submit the form below securely online to enroll in one of our programs. You can also download a printable application, if you prefer, and mail or fax it to us. Click here to download a printable application.

Click here to CONTACT US with any questions you may have about our programs. Please call 888-844-HAIR (4247) if you need assistance or would like to apply over the phone.

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Choose Your Program
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Personal Information

Name
*

Date of Birth
* / * / 19 *

Contact & Mailing Information

Street Address
*

City
*

State
*

Zip
*

Home Phone
*
Enter as (XXX)XXX-XXXX

Work Phone

Cell Phone

Email
*

Marital Status

No. of Dependants

Emergency Contact

Emergency Phone

Employment Data

Occupation

Employer

Type of work you enjoy

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Educational Data

I have a

High School Diploma

G.E.D.

Other: granted to me from (specify below)

City:

State:

Country:

Highest Grade Completed

List schools attended after High School:

I have not attended any other post secondary schools.

School Name:

City, State, Country:

Year(s) Attended:

If required,

I CAN

CANNOT

provide proof of Graduation from high school or passing the G.E.D. or other equivalency.

If accepted as a student, when can you begin your training?
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Comments & Questions

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