Pre-Admission Q-form

Your Name (required)

Your Address (required)

Home Phone (required)

Cell Phone

How did you find our School?  Salon/ Shop Yellow Pages Friend Internet

Explain:

Did you graduate High School?  yes no // Choose one:  Diploma GED

What year did you graduate?
What school did you graduate from?

What aroused your interest in the school?

Do you like to deal with people?  yes no

Explain:

Do you have a problem with noise?  yes no

Explain:

Do you have a problem with crowds or some one invading your space?  yes no

Explain:

Do you deal with aggressive people?  yes no

Explain:

Are you quick to anger?  yes no

Do you like to draw?  yes no

Do you work with your hands? (woodworking, gardening, sewing, ect...)  yes no

Do you have any relative in the field you have chosen?  yes no

Relative Name?
Where? (shop/salon)

What makes you fell you can be successful in the field you have chosen?

Are you aware that your own motivation is what is needed to be successful?  yes no

Are you ready to commit 10 to 16 months for you basic artistic and technical level of education, that will prepare you for licensing?  yes no

In your own words tell me what you would like to get out of this education:

Once you obtain you license, what are your plans?

Do you currently have a job?  yes no

If yes, how with this job effect your school hours?

If you don't have a job will you need to work at any time while you are in school?  yes no

If yes, how will this impact your schooling?

Do you have children?  yes no

If yes, will they require daycare or babysitter?  yes no

If you have a daycare or babysitter problem, do you have an alternative source to use, so that it will not effect your school hours?

Explain:

Do you have a car?  yes no

If yes, if you have car trouble, do you have an alternative source to get yourself to school?  yes no

Explain:

Are you currently under doctor's care?  yes no

If yes, Explain:

Have you ever served in the U.S. Armed Forces?  yes no

Branch:

Years:

Have you ever been convicted of a felony or misdemeanor?  yes no

if yes, Explain:

Have you ever been convicted of a drug related offense? radio drugoffense "yes" "no"]

If yes, Explain:

:


Your Email (required)

Your Message