| First Name* |
|
| Last Name* |
|
| Please provide at least one phone number [home or cell] |
| Phone Number |
|
| Cell Number |
|
| Best Time to call |
|
| May we Text you? |
|
| Address* |
|
| City |
|
| State |
|
| Zip |
|
| E-mail address* |
|
| High School |
|
| Did you graduate? |
yes
no
|
| Questions or Comments |
|
| Program of Interest |
cosmetology
manicuring
barber crossover |
Estimate Form to find out if you may qualify
for financial aid
(if you are not interested in financial aid please continue to the
campus choice question)
|
| Income level from all sources |
|
| Marital status |
number of children
|
| Are you a citizen of the US? |
yes
no
|
| Have you ever had a student
loan? |
yes
no
|
| Choose campus preference |
|
| |
|
