Today's Date
*
MM
DD
YYYY
Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email Address
*
How did you hear about TBC?
*
I am interested in:
*
Do you need help finding a place to live during your schooling?
*
How do you plan on paying for your tuition?
*
Do you need help finding funding?
*
No
Yes
Cell Phone
(###)
###
####
Home Phone
(###)
###
####
Social Security Number
*
Date of Birth
*
MM
DD
YYYY
Age
*
I am:
*
A US Citizen
A Permanent Resident
Ever convicted of a felony? If yes explain:
*
If yes, please explain.
Alien Resident #
If you are from outside the US, when did you arrive in the U.S.?
1. Most recent or current employer:
*
Please include Length of Employment, City & State, Positions Held, Monthly Earnings, and Reasons for Leaving (if applicable)
2. Employer before most recent:
*
Please include Length of Employment, City & State, Positions Held, Monthly Earnings, and Reasons for Leaving (if applicable)
3. Other previous employer/s
Please include Length of Employment, City & State, Positions Held, Monthly Earnings, and Reasons for Leaving (if applicable)
Current Working Hours/Schedule:
*
What are your goals in the Barbering industry?
*
Do you have any physical restrictions that would prevent good performance as a Barber?
*
How long have you considered Barbering as a career?
*
Why have you decided further training at this time?
*
What most interests you about Barbering as a career?
*
Are you willing to apply yourself to the necessary book studies and practical work associated with Barber training?
*
Do you have any reasons why you may not be able to complete this training?
*
Reference 1: Name, Address, Phone #
*
Reference 2: Name, Address, Phone #
*
Reference 3: Name, Address, Phone #
*
