Application

PRE-ENROLLMENT INTERVIEW APPLICATION

Institute of Hair Design provides an equal opportunity for all persons without regard
to race, color, sex, national origin, age, religion or handicap in all matters of
admission, employment and student activities.

	Name
	Email Address
	Address:
	City/State/ Zip
	SS#:
	DOB:
	Home Phone:
	Cell Phone:
	Parents Name:
	High School Attending:
	Grade Level:
	GPA:
	Are you currently incarcerated?	Yes No
	Have you received any post secondary education?	Yes No
	If yes did you finish the program?
	If not, Why:
	Why are you interested in pursuing a cosmetology education?
	What other careers are you considering?
	How did you hear about this school?
	Would you prefer to attend:	Days (Tuesday-Friday 8:00am – 4:00pm) Nights (Monday-Thursday 5:00 pm – 9:00pm)
	When could you start?