STEPS FOR ENROLLMENT

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1554 Valley View Blvd. Altoona, PA 16602 Phone: (814) 942-3141 Fax: (814) 943-5188

AltoonaBeautySchool.com

STEPS FOR ENROLLMENT

Admissions Requirements

1. High School Diploma or GED

2. Proof of Age (Driver’s License or Birth Certificate)

3. Completed ABS Enrollment Application with required add-ons:  School Visits

o First Visit:

 Tour Campus

 Receive School Literature

 Receive Financial Aid Applications  Schedule Next Appointment o Second Visit

 Financial Planning / Aid Interview

 Complimentary Service (Facial or Manicure)  Visit Class in Session

 Schedule Final Appointment o Third Visit

 Finalize all Financial Requirements

 Submit completed Enrollment Application  Submit all required documents

 Complete Enrollment Agreement  Pay $50 Enrollment Fee

 Your enrollment application will be reviewed. You will receive a letter of acceptance or denial within 10 business days of your third visit.

If you have any questions, please call any one of our Admissions Representatives. We are here to assist you! The Admissions Representatives can be reached at: (814) 942-3141.

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Student Application

1554 Valley View Blvd. Altoona, PA 16602 P: (814) 942-3141 F: (814) 943-5188 AltoonaBeautySchool.com

Please check the course for which you are applying:

When do you plan to enroll at Altoona Beauty School, Inc.____________________ ESTHETICS

COSMETOLOGY

NAIL TECHNOLOGY TEACHERS

FULL TIME PART TIME

APPLICANT INFORMATION

__________________________________________________________________________________________________

Last Name First Name Middle Initial

__________________________________________________________________________________________________

Street Address City State Zip Code

__________________________________________________________________________________________________

Date of Birth Social Security Number (required) Email Address

__________________________________________________________________________________________________ Contact Number Alternate Contact Number Driver’s License Number/

Issuing State

PARENT INFORMATION FATHER

__________________________________________________________________________________________________

Name Address Phone Number Work Number

MOTHER

__________________________________________________________________________________________________

Issuing State

SPOUSE INFORMATION

__________________________________________________________________________________________________

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YES NO YES NO EDUCATION

Do you have a High School Diploma? If yes, name of High School

______________________________________

If no Diploma, do you have a GED?

Have you been enrolled in Cosmetology School before?

If YES, complete information below:

__________________________________________________________________________________________________ School Name

__________________________________________________________________________________________________

Dates Attended: from ______________ to ______________

How many hours did you complete?________________ ** Provide an Official Transcript**

Have you ever attended any Post-Secondary Institution?

If YES, complete information below:

__________________________________________________________________________________________________ School Name

__________________________________________________________________________________________________

Dates Attended: from ______________ to ______________

Did you obtain a degree? If yes, what is your major?

______________________________________ YES NO YES NO YES NO

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EMPLOYMENT

__________________________________________________________________________________________________

Name Dates Employed Work Number

__________________________________________________________________________________________________

Name Dates Employed Work Number

HEALTH FORM

__________________________________________________________________________________________________

Name

All information provided is confidential. The school may request a Doctor’s Release for your student file depending upon your responses. Your responses are voluntary and in no way affect your admissions eligibility. However, by responding accurately, we can better assess your reasonable accommodation needs if necessary.

Have you been diagnosed by a physician with any of the following conditions within the past six months? Check All that Apply: List of Medications taken for Treatment: (Past or Current) ___Alcohol, Drug Substance Abuse Medications:______________________________

___Carpal Tunnel Syndrome Medications:______________________________ ___Back / Spine Condition Medications:______________________________

___Cancer Medications:______________________________

___Chronic Lung Condition Medications:______________________________

___Diabetes Medications:______________________________

___Emphysema Medications:______________________________

___Sight Impairment Do you wear glasses? YES NO ___Hearing Impairment Do you wear a Hearing Aid? YES NO

___Heart Condition Medications:______________________________

___Hepatitis A, B or C Medications:______________________________

___Epileptic Medications:______________________________

___HIV Positive Medications:______________________________

___Allergies: Skin, Seasonal, Etc. Medications:______________________________ Please List Allergies:_______________________________________________________________ ___Other

Please Explain: :_______________________________________________________________ Please Answer the Following:

Are you Pregnant? YES NO

Are all required Inoculations (shots) current? YES NO

Have you ever been medically diagnosed with a learning disability, included but not limited to A.D.D. or A.D.H.D, Dyslexia or other? YES NO

Name of Physician:________________________________ Phone Number:_________________ I understand that if any of the above information changes during my enrollment period, I am responsible for notifying the Administrative Office and updating this form.

________________________________________________ ____________________

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EMERGENCY CONTACT INFORMATION

In the event of an emergency, you are authorizing Altoona Beauty School, Inc. to contact the individuals listed below. The individuals listed below are eighteen years of age or older. By providing accurate contact information, you authorize these individuals to make emergency treatment decisions if you are unable to do so. If the individuals listed are unavailable for contact, you authorize Altoona Beauty School, Inc. to make emergency medical treatment decisions on your behalf.

__________________________________________________________________________________________________ First and Last Name Phone Number Relationship to Applicant

CHILD CARE / ADDITIONAL FUNDING INFORMATION

PROVIDER #1

__________________________________________________________________________________________________

Name Phone Number

__________________________________________________________________________________________________

PROVIDER #2

__________________________________________________________________________________________________

Name Phone Number

__________________________________________________________________________________________________

If you are receiving funding from another organization such as

OVR, TAA, WIA, Public Assistance or Veterans Training Please list your providers below. PROVIDER #1

__________________________________________________________________________________________________ Name Case Worker / Counselor Name Phone Number __________________________________________________________________________________________________

__________________________________________________________________________________________________ Comments

PROVIDER #1

__________________________________________________________________________________________________ Name Case Worker / Counselor Name Phone Number __________________________________________________________________________________________________

__________________________________________________________________________________________________ Comments

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REFERENCES

List two References NOT Living with you:

__________________________________________________________________________________________________

REQUIRED APPLICATION SUBMISSIONS / ENCLOSURES (We will copy all documentation for you if needed) ___Copy of Driver’s License or Birth Certificate

___Copy of High School Diploma or GED (Official High School Transcripts will be accepted) ___Essay

___$50 Application Fee  Is Non-Refundable

 Can be paid with a Credit Card or Money Order only  Must be paid on final visit

 Failure to pay Application fee will delay the proceeding of the Admissions Process

NOTARY

APPLICANT AFFIDAVIT (must be signed in presence of notary)

Commonwealth of Pennsylvania, County of ________________. I, ___________________________________ being duly sworn, do depose and say that I am the person making the foregoing application, that I have read all the items therein carefully, and that all the statements are true and to the best of my knowledge and belief. Subscribed and sworn before me ______ day of ________________ 20_______

____________________________ Applicant’s Signature

_____________________________ My Commission expires __________________ Notary Public

By signing below, I certify that the information provided is true and correct to the best of my knowledge. I give my permission for the faculty at Altoona Beauty School, Inc. to call any of the above listed persons in reference to my admission and attendance at Altoona Beauty School, Inc.

____________________________________________ _____________________

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ESSAY

Write one essay, consisting of at least 500 words. You may use additional paper if necessary. You may choose from the following topics:

 Briefly explain your interest in the cosmetology profession, describe yourself and how your

personal traits will benefit you in this profession.

 Briefly explain the steps you have taken to investigate the beauty industry, when you started

thinking about this as a career and your future goals and expectations once you graduate from our school. ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ __________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ __________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ __________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ __________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ______________________________ _______________