Program Application

Are you a U.S. Citizen? *

Gender *

Do you have dependents? *

Are you a Veteran? *

Do you have any existing health conditions? *

Do you have allergies? *

If you answered yes to the above, please list any allergies

What are your hobbies?

How do you stay on top of current events?

List all training attended since high school

Graduate?

How long have you been interested in a career in this industry? *

Why do want to enter this career? *

What other careers have you considered? *

Select the program you would like to enroll in:* Select Cosmetology Full-Time Cosmetology Part-Time Esthetics Full-Time Esthetics Part-Time Cosmetology Instructor Esthetics Instructor Nails Barber Crossover

What year * Select 20222023

Have you ever been convicted of a felony? *

Will you need financial aid to complete your education?

Do you wish to be employed immediately after graduation?

What salary would you expect?

How did you hear about us? *

Have you scheduled a tour of Summit Salon Academy Kansas City? *

Student Signature * Clear signature