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Personal Information

Name*

First Last

Gender*

Government entities require Accredited Title IV Post-Secondary schools to collect and report student data.

Male
Female

Address*

Street Address City State / Province / Region ZIP / Postal Code

Birth Date*

Cell Phone*

Email*

Program of Interest*

Online application currently only offered for Cosmetology/Hairdressing course.

Will you require Financial Aid assistance to attend school?*

Yes
No
Maybe

Have you ever been convicted of a felony?*

Yes
No

Nearest Relative

Name*

First Last

Phone*

Demographic Information

Government entities require Accredited Title IV Post-Secondary schools to collect and report student data.

What is your Ethnicity?*

Hispanic or Latino
Not Hispanic or Latino

What is your race?*

Mark one or more to indicate what you consider yourself to be.

American Indian or Alaska Native
Asian
Black or African American
Naive Hawaiian or Pacific Islander
White

Previous Education

Name of High School*

City

State

Date of Diploma*

Date of diploma or expected date of diploma.

Legal*

Privacy Disclosure: I hereby consent to receive autodialed and/or pre-recorded telemarketing calls , emails and text messages (standard text message charges may apply) from or on behalf of International Institute of Cosmetology at the telephone number and/email address provided. I understand that consent is not a condition of purchase. I also give the International Institute of Cosmetology permission to store my data for marketing, enrollment and contacting purposes.

International Institute of Cosmetology, LLC admits students of any race, color, sex, age, religion, national or ethnic origin to all rights, privileges, programs, and activities generally accorded or made available to students at the school. (The International Institute of Cosmetology does not discriminate on the basis of race, color, age, sex, religion, physical handicap, or national or ethnic origin in administration of its educational policies, admissions policies, and scholarships, and other school-administered programs).

It is understood that if admitted, I will inform myself of the rules and regulations of International Institute of Cosmetology, LLC and will conduct myself in accordance with the provisions as stated. I certify that the facts
contained in this application are true and complete to the best of my knowledge.

I further understand that the $50.00 Application Fee paid with this application is non-refundable. There is a 30 day maximum lapse time between application date and contract signing date, after which the application is void and student must then re-apply and re-pay the non-refundable application fee.

Yes, I am 18 years of age or older, I have read and understand the above and give my consent. If under 18 need signature of parent/guardian below.

Signature*

Application Fee*

Price: $50.00

Payment Method

Phone

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One Step Closer to Your Future!

Personal Information

Nearest Relative

Demographic Information

Previous Education