Paul Mitchell The School Fort Lauderdale Admissions Application

PM Schenectady LLC, DBA Paul Mitchell The School Fort Lauderdale is an independently owned and operated franchisee of Paul Mitchell Advanced Education, LLC.

Name*

First NameMiddle Name (n/a if no middle name)Last Name

Address*

Address

Street Address Line 2

CityState

Zip Code

Last 4 of your Social Security Number

Date of Birth*

Date

Cell Phone*

Format: (000) 000-0000.

Alternate Phone Number

Format: (000) 000-0000.

Email Address*

example@example.com

Cosmetology 1200 clock hoursCosmetology 1300 clock hoursBarbering 900 clocked hours

U.S. high school diplomaG.E.D. (high school equivalency diploma or certificate)Foreign High School Diploma (must be equivalent to U.S. high school diplomaSuccessful completion of home-schoolingSuccessful completion of the equivalent of at least a two-year college programSuccessful completion of the equivalent of a bachelor's degree or higher degree

U.S. CitizenU.S. Permanent ResidentNon-Resident Alien, Visa CategoryAsylum/DACA Status

Non-Resident Alien, Visa Category:

FemaleMaleSelf-Identify

Self-Identify:

YesNo

Name of the school

Description of the policy violation

Approximate date of the incident

Description of the disciplinary action

We encourage you to review the catalog in detail and all consumer information disclosures on our website at: http://www.paulmitchell.edu/fortlauderdale/consumer-information.

In compliance with applicable laws and in furtherance of its commitment to fostering an environment that welcomes and embraces diversity, the school does not discriminate on the basis of race, color, creed, religion, national origin, ethnic origin, sex (including pregnancy and parenting status), disability, age, veteran status, sexual orientation, gender identity or expression, marital status or genetic information in its programs or activities, including employment, admissions, and educational programs.

We encourage people of all backgrounds to apply to be a student. We are committed to providing qualified students with a documented disability an equal opportunity to access the benefits, rights, and privileges of school programs in the most integrated setting appropriate to the student's needs, in compliance with theADA section 504 of the Rehabilitation Act of 1973 and consistent with all federal and state laws.

We encourage you to reach out to the ADA coordinator at the school to complete an Application for Accommodations, to identify reasonable and appropriate accommodations prior to enrollment.

I understand that I cannot be considered for admission to the school until I complete all required components of the admission process.I understand that a criminal conviction at any time prior, during or after my program of study may lead to a license denial by the licensing authority in any jurisdiction. In such cases, it will be up to the licensing authority to determine my eligibility.I understand that completion of this application does not guarantee that will be admitted to the school.I understand that once accepted, I will not become an enrolled student at the school until I complete and enter into an enrollment agreement with the school and meet all other requirements for enrollment.I certify the information I have provided on my Application for Admission to Paul Mitchell The School Fort Lauderdale is true and accurate.

Applicant Signature*

Date*

Date

1. Submit this application for admissions with the following documentation:

Proof of completion of secondary education (or equivalent) such as a High School Diploma, G.E.D. or Homeschooling documents.
Submit a copy of a government issued identification such as a driver's license or birth certificate.
If you would like to be evaluated for transfer credit from another cosmetology program, submit official transcripts from the school.

2. Pay the non-refundable $25 application fee.

A decision regarding your admission will be made once the full application process has been completed. You will receive an official letter notifying you of the decision within 7 days after you meet all application requirements.

APPLICATION FOR ADMISSION

APPLICANT INFORMATION

PRIOR TRANSFER CREDITS

DISCIPLANARY HISTORY:

ACKNOWLEDGE

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