Jays Barber College
Admissions Application
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Gender
*
Please Select
Male
Female
Residential Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
In Case of Emergency Contact (First & Last Name)
*
In Case of Emergency Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Program of Interest
*
Please Select
Barber/Stylist
Braider
Lashes
Cross Over
Do you have any learning disabilities of which the school or its instructors ned to be aware of?
*
Please Select
Yes
No
Form of ID
*
Please Select
Photo ID
Drivers License
ID Number
*
Preferred Schedule
*
Full Time
Part Time
Are You?
*
Left Handed
Right Handed
Have you received your high school diploma or G.E.D.?
*
High School Diploma
G.E.D.
Neither
Are you transferring from another Cosmetology School?
*
Yes
No
If yes, please provide Name of School
Date Attended
-
Month
-
Day
Year
Date
Upload Copy of ID
*
Upload a File
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of
Upload Copy of Diploma or G.E.D.
*
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Application Fee
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$
100.00
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