Are you ready to take charge of your life and get the education and training you need for a rewarding new career? Step 1 of 5 20% Personal InformationToday's Date MM slash DD slash YYYY Name* First Last * Male Female Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Cell Phone*Date of Birth* MM slash DD slash YYYY Email* Parent(s) or GuardianFather First Last Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhonePlace of Employment Mother First Last Address same as father? Yes No Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhonePlace of Employment In case of emergencyName First Last Relationship Home phoneWork phoneWhy did you choose to attend College of Hair Design? How do you plan to finance your education?Financial Plan Cash Federal financial aid (loans/grants) Personal payments to school Applying for scholarships V.A. benefits Other Program Choice:Select Program Cosmetology (East Campus) Barbering (Downtown Campus Only) Esthetics (East Campus) Start Months January April June August November Start Months January April June August November Start Months January March June August October HiddenProgram Cosmetology (East Campus) HiddenProgram Barbering (Downtown Campus Only) HiddenProgram Esthetics (East Campus) Educational InformationHigh School* Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Graduation Year College(s) attended/attending:Release of School File InformationI voluntarily give permission to College of Hair Design to release information contained in my permanent file to either prospective employers or for publicity in the public press.Student's Signature*Date MM slash DD slash YYYY Application FeeAn application fee of $50.00 must be submitted with this application. I understand that the application fee will be refunded only if the application is not accepted, or if I cancel my enrollment and request my money back, in writing or in person, within three working days of signing this application. I hereby certify the information included on this application for admissions is true and correct to the best of my knowledge. An official school catalog will be issued to me prior to my enrollment to the College of Hair Design. I also understand that completing this application for admissions does not guarantee acceptance into the program. By completing/submitting this form, this constitutes your express written consent to be called and/or texted by the College of Hair Design at the number(s) you provided, regarding furthering your education.Signature*ADDITIONAL INFORMATION NEEDED TO BE CONSIDERED FOR ADMISSION The following items must be sent in addition to submitting your application online. You will NOT be considered for admission if the below items are not sent to our Admissions Office. Copy of Birth Certificate (Must be a registered copy, legible and complete, with date and legal name) Copy of High School Diploma, GED, or High School Transcripts Marriage License (if married currently or previously married) Criminal Record (if applicable) You will also need to schedule a campus tour. You can turn in your documents then or mail them to: College of Hair Design 304 S 11th St. Lincoln, NE 68508 Attention Admissions I voluntarily give permission to release information contained in my permanent file to either prospective employers, The National Student Loan Database Information system or for publicity in the public press. Date MM slash DD slash YYYY Application Fee* Price: Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date Security Code Cardholder Name ProspectID Sourcename CommentsThis field is for validation purposes and should be left unchanged.
