APPLY NOW!

Application for Admission
If you wouldn't pass a drug test, please do not proceed! This is a happy, safe, DRUG FREE campus and workplace!

Please tell us about yourself:

First Name
Last Name
Date of Birth
Sex	Male Female
Social Security #
Driver's License #

How can we reach you?
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Cell Phone
Home Phone
FAX
E-mail

Are you:	Right-handed Left-handed
Do you have any allergies or reactions to any chemicals?	Yes No
Do you smoke or use tobacco products?	Yes No
Do you have any back problems or problems lifting heavy weight?	Yes No
Do you have a current tetanus vaccination? (required to attend class)	Yes No
Do you have any medical (mental or physical), conditions or handicaps which might prevent you from fully participating in all class assignments?	Yes No
If so, please describe...
Enter your current occupation-the one you're going to escape from! (if applicable)-
Do you have any previous experience working with pets?	Yes No
If so, please tell us about it!
Which class times are you going to attend?
Which location are you going to attend?
Which course would you like to enroll in?
How will you be paying for your tuition?
How soon can you start?	-- mm/dd/yy
What size smock top do you need?
Why do you want to be a professional groomer?
What are your plans right after you graduate?
Are you interested in:	Owning your own salon? Mobile grooming? Working for someone else?
Can you accept constructive criticism?	Yes No
Are there any other comments you would like to make to help us get to know you better?

I understand that the registration fee of $150.00 is required is non-refundable, but will be applied to my tuition.

Your registration fee may be mailed or called in with a credit card. Your application will not be processed until we receive the registration fee.

For praise, problems, suggestions, complaints or ideas, please call 1-800-658-4979