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:*
Office Phone:
E-Mail:*
Date of Birth:*
Best time to reach you:
#1 Preferred method of contact:
#2 Preferred method of contact:
I received a tour of the College Facilities (MM/DD/YYYY):
How did you hear about us?*

Educational Data:

High School Name*
High School Grad Date*
Highest Level of Education
Post Secoundary Grad Date

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:

Emergency Contact Information

Emergency Contact Name
Emergency Contact Cell
Emergency Contact Relationship
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