New Scales Barber Academy Application

Scales Barber Academy Application

First Name

Last Name

contact info

Cell Phone

Email

Address

Street

Address Line 2

City

State/Province

Zip/Postcode

High School diploma/GED

you can put the date you graduated from high school or when you received your GED.

Highest level of education completed

If yes, what type(s)

HS Graduation Date

Additional Info

Birth Date

Gender

Ethnicity

VA Student

Yes No Not Selected

Program Info

Enroll In

Applicant Signature

Program

Payment Information

Items	Amount
Tuition	$0.00
Total	$0.00

Payment Method

Required

Phone Number

Required

Email

Required

Card Holder Name

Required

Card Holder ID / RIF

Required

Credit Card Number

Required

Expiration Date

Required

Security Code

Required

Currency

USD

Account Number

Required

Routing Number

Required

Enter the above code

Required