Academy Application Form

Applicant Details:
Full Name *

First Name Middle Name Last Name
Gender *

male female
Birth Date *

Month Day Year
Country of birth *
Telephone Number *
Present Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Permanent Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail *
Person to contact in case of emergency: *
Parent/Guardian
Relationship *
ex. Father, Mother, etc.
Course of Study Applied for:
Date Of Desired Enrollment *

Month Day Year
Date
Mode of study: *

Full time Part time
Tuition Deposit Information:

In the event your application is accepted for enrollment you must be able to provide a $1000 tuition down payment to secure your enrollment. This payment must be made within 14 days of receiving your acceptance letter to Dakota Barber Academy.
Do you understand and agree to the above tuition deposit policy? *

YES NO
Education:

Please give details of all schools attended.

Education History

	Name of School/College/University	Address	Dates Attended From(mm/yy)To(mm/yy)

Education Qualifications:
Have you previously studied or obtained hours in any barbering course? *

Yes No
Statement In Support Of Application:

This section must be completed.You should state why you want to undertake this course,any relevant experience,skills and attributes,and your long terms goals.
Reference:

All applicants must provide two references. These people should include a name, title, contact information and how you know the reference
Name:
Title:
Relationship to you:
Contact Information:
Name:
Title:
Relationship to you:
Contact Information:
Please tell us where you found out about Dakota Barber Academy
Please read and check that you accept the following:
I understand and agree that this application must be completely filled out in order to be considered for enrolment. I understand the non-refundable application fee of $50 must be made at the time of application and that this application does not guarantee acceptance to Dakota Barber Academy.
I understand and agree to provide proof of high school graduation or proof of GED completion in order to attend Dakota Barber Academy. In addition, I must provide a copy of my driver's license, birth certificate or state issued ID.
I understand and agree to write a personal statement (short essay) on my personal achievements as part of my application process. (1 full page, double spaced)
Declaration I certify that, to the best of my belief, the information I have provided is complete and true.
Signature of Applicant

First Name Last Name
Date

day month year

My Products

Online Application Fee $ 50.00

Non-refundable online application fee for consideration of enrollment to Dakota Barber Academy. The application is not considered complete until all required documents described within the application are received.

Total $ 0.00

Credit Card

Should be Empty:

Applicant Details:

Course of Study Applied for:

Tuition Deposit Information:

Education:

Education Qualifications:

Statement In Support Of Application:

Reference:

Please read and check that you accept the following:

Credit Card