School Application Form

School Application Form
Student Information
Name

First NameLast Name
Do you have a high school diploma or GED
Name of the High School you graduated or will graduate from. Month/Year of Graduation
Name of High School City and State MM/YYYY
Have you previously been enrolled in cosmetology, esthetics or barber school? If so please provide license number you were assigned. License #*
Do you have a criminal history? This could effect your application for testing with TDLR.
Gender
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number

Area CodePhone Number
Parent(s)/Guardian(s) Information (if applicant is under the age of 18)
Name

First NameLast Name
Relationship
Phone Number

Area CodePhone Number
In one paragraph, tell us why you want to become an Aesthetician.
Type response here.
Date of Registration

MonthDayYear
Date
How did you hear about us?
Should be Empty:

Student Information