APPLICATION FORM

Cource *
COSMETOLOGIST
ESTHETICIAN
MANICURIST
BEAUTY INSTRUCTOR

Enrolling program start date
/ /

Time *
DAY
EVENING

Name
Last *
First *

Home Phone *

Cell Phone *

Email *

Social Security Number *

Date of Birth *

Sex *
Female
Male

Country of citizenship *

Do you need M1 visa support from our school? *
Yes
No

Address *

Current Employment Name

- Phone

Previous Employment Name

- Phone:

Will you be working during school *
Yes
No
- If yes, where and schedule:

English language: What language do you speak/write fluently *
Poor
Average
Excellent

Do you have any physical, mental or sensory handicaps which might affect your performance? *
Yes
No
- If yes, please specify

Do you have any background or experience in this profession *
Yes
No
- If yes, please specify

Upon graduating, do you plan to work in this profession *
Yes
No

Have you attended another Beauty School *
Yes
No
- If yes, School of name

Why are you interested in our program *

How did you hear about us
WEB
SNS
Friend or Family
- Other

In the event of Emergency
- 1 Name *

- 1 Phone *

- 1 Relationship *

- 2 Name

- 2 Phone

- 2 Relationship

Supporting Documents *
  1. Be at least 16 years old of age. If you are under 18, parent or guardian must enroll the applicant.
  2. Copy of ID (Passport, State ID, or Driver’s license)
  3. A deposit of $200.00USD Check, Money order or Credit card
  4. Completed of Application form
  5. Payment plan Agreement
  6. A copy of high school diploma or the education equivalent (G.E.T certificate) *If you take the Hawaii state exam
  7. Social Security Number *If you take the Hawaii state exam
  8. (For Professional course) Copy of Certificate: Person who has nail training or has a nail license.

I certify that this application is correct to the best of my knowledge. I understand that by signing this application I acknowledge and I agree to all the rules and policies of MARIE BEAUTY COLLEGE Hawaii.
Yes