BGMU SKIN SCIENTIST APPLICATION
Check your email after you submit your application
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
What city and state do you live in?
*
EX: Dallas, TX
Date of Birth
*
EX: 11-16-2000
Referred From
*
Please Select
Facebook
Instagram
TikTok
YouTube
Google
Friend
BGMU Scientist
If referred from a BGMU Scientist, please tell is who
Level of Interest
*
Please Select
😀 Seriously ready to enroll
❓Just need information
📆 Would like to enroll in the future
Program Type
*
Please Select
20 weeks days M-TH 10am-4pm
20 weeks evenings 6:00-9:30pm
20 weeks Distance T-TH 6-9pm
32 weeks In-Person
32 weeks Distance
48 weeks In-Person
48 weeks Distance
FYI: ENROLLMENT FEE MUST BE MADE TWO WEEKS PRIOR TO START DATE
First tuition payment is due the first day of class
Anticipated Start Date
*
Please Select
Jan 20, 2025
March 10, 2025
Monthly Enrollment for Local Resident
Why is NOW a great time to get your LICENSE?
*
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