Paul Mitchell the School
1340 West Main Street, Turlock, CA  (209) 632-2233 or  FAX
APPLICATION FOR ENROLLMENT AT Adrian's Beauty Colleges
First Name:
Last Name: MI
Address1:
Address2:
City:
 Zip:
Country:
Home or Cel Phone:
Day Phone:
Email: <<enter valid e-mail address
Re-enter Email: Please confirm your e-mail address. The verification e-mail does not match the e-mail that you entered above.
Birthday: Enter as mm/dd/yyyy
MaritalStatus:
Citizen:
yes no
Social Security No.: Enter as nnn-nn-nnnn
Driver's License:
 
Passport:
Issuing Country:  
Course of Interest:
Cosmetology Esthetics Nail Technician Advanced Classes Makeup
Interested in:
Student Housing Financial Aid
Are you interested in Day or Evening classes?: Daytime  Evening
  What start date are you considering?
  (Classes shown are for Turlock)
  Cosmetologist
Daytime
4/30/13 5/14/13 5/28/13 6/11/13 6/25/13 2014 or Later
  Manicurist
Daytime
5/14/13 6/25/13 2014 or Later
Are you right or left handed: Right handed  Left handed
Why have you chosen a
career in the beauty industry?
  What ares of this industry are you most interested in?
(Please check all that apply)
 
Haircutting Makeup Salon Management
Chemical Work Skin Care Retailing
Men's Hair Care Nail Care    
Other:
   
How did you hear about Adrian's Beauty Colleges?:
Did you visit or consider other cosmetology schools?:
yes no
If so which ones?:
Education  
High School or GED: Year Graduated or will graduate:
College:
Degrees Earned:
Special Interests:
Occupation:
Telephone:
Supervisor:
Can we call this person as a reference: yes no
References:  
#1 Name:
Phone:
 Relationship:
 
#2 Name:
Phone:
 Relationship:
Additional Info or
Considerations:
I would like to receive periodic news about Adrian's Beauty Colleges via email.
Please place me on your mailing list for printed materials about Adrian's Beauty Colleges.