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.Format: (000) 000-0000.
Date of birth:
Schedule:
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?
Preferred start date

MonthDayYear
Date
Upload ID & SSN

Cancelof
Do you have prior experience? 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?
Are you made aware of the guidelines that describe the process by which TDLR determines a criminal conviction. https://www.tdlr.texas.gov/crimconvict.htm
Agreement: I 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 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. I further understand that the $500 registration fees are non-refundable. Name & Date:

USDDescription

Credit Card

Apple Pay

Google Pay

Cash App Pay

ACH Bank Transfer

Afterpay