Pre-Enrollment Form

Pre-Enrollment Form

Please fill out this form to express your interest in enrolling at our beauty school.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Date of birth:
Emergency contact name, relationship, and phone number:
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Which program(s) are you interested in?*

Cosmetology 1000 hoursEsthetics/Skin Care 750 hoursManicure 600 hoursHair-weave 300 hoursBarbering 1000 hoursEye lash 320 hoursHair-weave/ Esthetician 800 hoursEsthetician/ Manicure 800 hours
Preferred start date

MonthDayYear
Date
Upload ID

Cancelof
If yes, please describe your prior experience
SSN or permit #
Deposit amount:
Payment schedule:
Preferred monthly payment amount?
Are you interested in being considered for funding through the Texas Workforce Commission (TWC) Vocational Rehabilitation or Workforce programs?

YesNoI’m not sure and would like more information
Have you ever been convicted of a felony or misdemeanor?

YesNo
AgreementI certify that the information I provided is true and correct to the best of my knowledge. I understand that submitting this pre-enrollment form allows The Institute of Beauty Konnections to contact me regarding admissions, program details, schedules, and financial options. Submission of this form does not guarantee acceptance or obligate me to enroll.Name & Date:

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Payment Amount

USDDescription

Credit Card

Apple Pay

Google Pay

Cash App Pay

ACH Bank Transfer

Afterpay