Your Name (required)
Your Address (required)
Home Phone (required)
What location are you interested in attending? Memphis, TN - Jackson AveMemphis, TN - WinchesterJackson, TN
How did you find our School? Salon / ShopYellow PagesFriendInternetRadioTV
Did you graduate High School? yesno // Choose one: DiplomaGED
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? yesno
Do you have a problem with noise? yesno
Do you have a problem with crowds or some one invading your space? yesno
Do you deal with aggressive people? yesno
Are you quick to anger? yesno
Do you like to draw? yesno
Do you work with your hands? (woodworking, gardening, sewing, ect...) yesno
Do you have any relative in the field you have chosen? yesno
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? yesno
Are you ready to commit 10 to 16 months for you basic artistic and technical level of education, that will prepare you for licensing? yesno
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? yesno
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? yesno
If yes, how will this impact your schooling?
Do you have children? yesno
If yes, will they require daycare or babysitter? yesno
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?
Do you have a car? yesno
If yes, if you have car trouble, do you have an alternative source to get yourself to school? yesno
Are you currently under doctor's care? yesno
If yes, Explain:
Have you ever served in the U.S. Armed Forces? yesno
Have you ever been convicted of a felony or misdemeanor? yesno
if yes, Explain:
Have you ever been convicted of a drug related offense? radio drugoffense "yes" "no"]
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