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Potential JCA Student Application

First Name

Last Name

Phone

Birthday

Address

Gender

Male

Female

Did you have a high school diploma or GED?

Yes

Month/Year High School Completed

What program are you interested in?

Do you plan to be: (check all that apply)

What schedule are you interested in? (Please check one)

Days (M-F)

Evenings (M-F)

Which best describes your application status? (Please check one)

New applicant

Former JCA student

Transfer

If transfer, from where?

How many hours do you currently have?

Do you currently work?

Yes

Why will you be a great student at our school? (3-4 sentence explanation)

What obstacles might prevent you from achieving excellent attendance and academic performance?

How did you hear about Jana’s Cosmetology Academy?

What traits do you have that will help you succeed in this industry? (3-4 sentence explanation)

What are your long-term career goals? (3-4 sentence explanation)

Why did you choose JCA? (3-4 sentence explanation)

I certify that to the best of my knowledge the information given in this application is true. I understand that any omission or misrepresentation of facts will be cause for refusal of admission cancellation of application or dismissal from Jana’s Cosmetology Academy if later discovered.

Yes

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