Get Cosmetology Application For College Form

I UNDERSTAND THAT FALSIFICATION OF MY INFORMATION MAY RESULT IN DISCIPINARY ACTION BY THE COLLEGE. Applicant s Signature Date Application MUST be completed and returned to the Cosmetology department for consideration of acceptance into the program. EDUCATION High School Diploma GED or Certificate of Equivalency Completion High School Attended Address Highest grade completed College Expected graduation date Graduated date STATE BOARD OF BARBERING AND COSMETOLOGY ACT CHAPTER 2 DENIEL OF LICENSE Have you had a criminal conviction Explain Conviction THAT FALSIFICATION OF MY INFORMATION MAY RESULT IN DISCIPINARY ACTION BY THE COLLEGE.. For Office Use Only Date Received Time Received COSMETOLOGY PROGRAM APPLICATION Priority is given to San Mateo County residents. Students living outside the county will only be accepted if space is available. Spring 20 Starting in January Last Name Fall 20 Starting in August First Name Middle G or SS Previous name s on academic records Current Address City State Daytime Phone Evening Email Address Zip Code Cell Would you like to receive email Yes Have you ever attended a school for any of the following programs Cosmetology Esthetician Manicuring Yes No PLEASE ATTACH RECORDS OF PROOF OF TRAINING OR WITHDRAWAL FROM ALL SCHOOLS PREVIOUSLY ATTENDED Do you hold a license in any of the following fields Cosmetology Esthetician Manicuring CLASSES YOU ARE APPLYING FOR Fundamentals of Cosmetology Beginning Advanced Cosmetology Course Transfer prior hours in an Esthetician Manicuring or Barbering Program Brush-up must have completed 1600 hours of Cosmetology Training Teacher Training must have a valid Cosmetology License When space is available students with previous training may be eligible for admission to the Advance Standing program in cosmetology within a one-year period of withdrawal from a previous school and upon submission of State Board records to will be not be admitted to the Advanced Standing program* Admission Requirement Students must complete the four items below. 1. CSM Admissions Application 3. CSM English Placement Test 4. CSM matriculation requirement IF YOU NEED FINANCIAL AID APPLY EARLY. IF ENGLISH IS YOUR SECOND LANGUAGE EOPS MAY BE ABLE TO HELP. I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION ON THIS APPLICATION IS TRUE AND CORRECT. For Office Use Only Date Received Time Received COSMETOLOGY PROGRAM APPLICATION Priority is given to San Mateo County residents. Students living outside the county will only be accepted if space is available. Spring 20 Starting in January Last Name Fall 20 Starting in August First Name Middle G or SS Previous name s on academic records Current Address City State Daytime Phone Evening Email Address Zip Code Cell Would you like to receive email Yes Have you ever attended a school for any of the following programs Cosmetology Esthetician Manicuring Yes No PLEASE ATTACH RECORDS OF PROOF OF TRAINING OR WITHDRAWAL FROM ALL SCHOOLS PREVIOUSLY ATTENDED Do you hold a license in any of the following fields Cosmetology Esthetician Manicuring CLASSES YOU ARE APPLYING FOR Fundamentals of Cosmetology Beginning Advanced Cosmetology Course Transfer prior hours in an Esthetician Manicuring or Barbering Program Brush-up must have completed 1600 hours of Cosmetology Training Teacher Training must have a valid Cosmetology License When space is available students with previous training may be eligible for admission to the Advance Standing program in cosmetology within a one-year period of withdrawal from a previous school and upon submission of State Board records to will be not be admitted to the Advanced Standing program* Admission Requirement Students must complete the four items below.