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Beauty 21

Academy

Application

Please Fill Out The Application Below

First Name *

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 *

Education *High School DiplomaGEDNone

Do you have any experience in the hair industry? *

Do you have any license? *

If yes, what kind?

Select Program of Interest

How did you hear about our school?

Todays Date *

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

Please do not fill in this field.

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Enter Email

Email: info@beauty21academy.com
Phone: 470-278-8882 or 866-399-2983

Address:

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

School Hours:

Monday-Friday

9:00 am – 8:00 pm

Salon/Spa hours:

Monday-Friday

10:30 am – 5:00 pm

Saturday By Appointment Only

Beauty 21 Academy © Copyrights 2022

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?

Select a program

How did you hear about our school?

Date

Signature

Pay the $75 fee

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