CALIFORNIA COLLEGE OF BARBERING AND COSMETOLOGY ENROLLMENT APPLICATION

Welcome to CALCBC! We appreciate your interest in achieving your career and educational goals in the Cosmetology/Barbering Industry. Please take a few minutes to answer the following questions. Getting to know you allows us help you to the best of our ability.

Personal Information:

About You:

First Name:*
Last Name:*
Address:*
City:*
State:*
ZipCode:*
Country:
Telephone (Home):
Cell:*
E-Mail:
Date of Birth:*
Best time to reach you:
#1 Preferred method of contact:
#2 Preferred method of contact:

Educational Data:

I have completed High School or its equivalent
Highest Grade completed:
Month and Year completed (MM/YYYY)
Certificate, Diploma or Degrees earned by the applicant:
Graduation Date (MM/YYYY)
Certificate, Diploma or Degrees earned by the applicant: (Please check all that apply)

Employment Experience:

Name of current employer:
Position Held:
How long have you worked there?
What is your work schedule?
Work phone number:

Career Interests:

When would you like to begin school?
Program of Interest:*
Schedule of Interest:
I received a tour of the College Facilities (MM/DD/YYYY):
How did you hear about our college ?*
By clicking the SUBMIT button below as my official signature, I expressly consent to CAL CBC representatives contacting me via telephone, text, email or prerecorded message.