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Online Application Process

Electrology Program Application

Fill out and submit the form below for information on enrolling in one of our programs.

You may also contact below 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.

Be sure to provide a detail description or information so that we can properly assist you.

Note: Required fields are marked with an asterisk ( * ) Personal Data

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Educational Data

Diploma, Certificate or Degrees earned that are equivalent and recognized by the United States educational system.

HIGH SCHOOL: (Please read carefully. If needed, use AACRAO for reference in recognized educational levels)

Certificate, Diploma or Degrees earned by the applicant: (Check as many as applicable)

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Financial Aid History
Employment Experience

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Family Data And Emergency Contact

Father

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Mother

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Personal Reference

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Additional Info

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Work And Interests

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Electrology Programs by State: