Intern Application Form

Name:*

First NameLast Name
Birth Date

MonthDayYear
Phone Number:*

Area CodePhone Number
E-mail Address:*
Instagram Handle *
Facebook Url *
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How were you referred to us?*

TwitterFacebookInstagramWebsite
Cosmetology School*
School Start Date *
Projected Completion Date*
Why did you choose to pursue a career in the beauty industry?*
Why did you choose Selah for your possible apprenticeship?*
Tell us a little bit about yourself, your family, your future plans.*
What would you consider to be your greatest weakness?*
What would you consider to be your greatest strength?*
What does working as a team mean to you?*
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