Anticipated Start Date (required):
---January 4, 2021March 1, 2021April 26, 2021June 21, 2021August 16, 2021October 11, 2021

Please select which program you are interested in (required):
---CosmetologyCosmetology - 3 day programStudent Instructor

BASIC INFORMATION:

Legal First Name (required)

Middle Name

Legal Last Name (required)

Home Address (required)

Phone Number (required)

Email Address (required)

Date of Birth (required)

Social Security Number (required)

Driver's License Number (required)

U.S. Citizen (required)
---YesNo

If "no" to the previous question, Alien Registration Number

Have you ever been convicted of a felony or misdemeanor? (required)
---YesNo

If "yes" to the previous question, please list your conviction

Emergency contact (required)

Relationship (required)

Emergency contact primary phone (required)

Emergency contact alternate phone

Previous Education:

High School Attended (required)

Year of Graduation (required)

Colleges you've previously attended (leave blank if you have not attended college previously):

College

College City and State

Dates Attended

If you have attended a cosmetology school, were you licensed?
---YesNo

If not licensed, please note the dates of attendance

You're getting close to the end, but still a few more things...

How did you hear about Davines Professional Academy - Lincoln?

Have you taken a tour of Davines Professional Academy?
---YesNo

Are you right-handed or left-handed?
---Right-handedLeft-handed

ITEMS NEEDED FOR APPLICATION

Official High School Transcript or GED Certificate

Official College Transcript (if applicable)

Proof of citizenship, permanent residence, and/or immigration status (E.g. Registered copy of birth certificate, U.S. Passport, Certificate of Naturalization, Permanent Resident Card)

Copy of your Driver’s License, State ID Card, Passport, or other government-issued Photo ID.

Proof of name change (if applicable)

Criminal Record (if applicable)

Entrance Essay

Tell us more about you! You can write a letter to your future self, a letter to someone you admire or mentor or a letter of intent. A few prompts to help you get started: What is your vision for your future? Why now? What has made you choose this industry? How will you continue to stay inspired to achieve your goals? What are your goals?
This letter will help us get to know you better, we can't wait for you to get started!

SIGNATURES

National Student Loan Database System
By selecting "I accept" below, upon submission of this application, I am agreeing to the following: I hereby give permission to Davines Professional Academy of Beauty and Business to release information regarding my enrollment to the National Student Loan Database System.
---I acceptI do not accept

I understand that typing my name below constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance and that I am a legal adult at least 18 years of age. If not, I acknowledge that my parent/legal guardian has signed in the next field below.

I understand that typing my name below constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance on behalf of my son/daughter, who is currently a minor under the age of 18.

Acknowledgement that all application fields were filled out accurately
By selecting "I accept" below, upon submission of this application, I am agreeing to the following: I hereby certify the information included on this application for admission is true and correct to the best of my knowledge. An official school catalog will be issued to me prior to my enrollment to Davines Professional Academy of Beauty and Business. Application to the School does not guarantee acceptance.
---I acceptI do not accept

I understand that typing my name below constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance and that I am a legal adult at least 18 years of age. If not, I acknowledge that my parent/legal guardian has signed in the next field below.

I understand that typing my name below constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance on behalf of my son/daughter, who is currently a minor under the age of 18.

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