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High School

Beauty Clinics

Application

Please Fill Out The Application Below

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Last Name *

Street Address *

Apartment, suite, etc

City *

State/Province

ZIP / Postal Code

Country

Email Address *

Phone

Date of Birth *

Social Security Number *0 / 9

ID or Drivers License Number

Driver License State

Emergency Contact Person *

Emergency Contact Phone *

Name of High School You Attend *

Todays Date *

How did you hear about our school?

Signature *By entering name, you are signing this Agreement electronically and all information is legal and not falsified.

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Contact Info:

Email: [email protected]
Phone: 470-278-8882 or 866-399-2983

Address:

Banks Station Plaza
113 Banks Station • Fayetteville, Ga. 30214

School Hours:

Morning Classes

Monday-Friday

9:00 am – 3:30 pm

Virtual

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Please view our handbook

Salon/Spa hours:

Monday-Friday

10:30 am – 2:00 pm

Saturday By Appointment Only

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Beauty 21 Academy

Application Form

Please make sure application fee is paid before application can be submitted.

Name

Home Address

City, State

Zip Code

Date of Birth

Social Security Number

Drivers license number of ID

Nmae of person or emergency contact/phone number

High School Diploma

GED

Do you have an experience in the hair industry?

Do you have any license?

If yes, what kind?

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How did you hear about our school?

Date

Signature

Pay the $75 fee

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