Apply Now - Cosmetology & Spa Academy

Phone(Required)

Phone Provider Company

Email(Required)

Planning to Start Month(Required)

Campus(Required)

Program(Required)

Student Information

Educational, Demographic & Financial Assistance Data

Year of High School Graduation:

Year you received a GED:

Name of High School:

Name of GED Issuer:

Complete this part if you are interested in Federal Financial Aid.

The following information will be used for reporting purposes only

Emergency Contacts

Relationship #1

Phone #1

Relationship #2

Phone #2

Please List Any Medical Conditions or Medications that we need to be aware of:

I have read and understand the admission application. I certify that information given within is correct and complete. I understand that false or misleading information given in my application may result in discharge. I understand, also that I am required to abide by rules and regulations of the Cosmetology and Spa Academy. I have been aware before my enrollment that a copy of the Student Catalog can be found at https://cosmetologyandspaacademy.edu/disclosures/ and I can receive one free printed version from admission office per my request.

Date(Required)

Student’s Signature:(Required)

Parent name and signature (if applicable)

Email