New Scales Barber Academy Application-Student Enrollment Agreement

Campus

First Name

Last Name

Class Time

Social Security No

Financial Aid

Yes No Not Selected

Are you interested in financial aid?

Yes No Not Selected

Did you receive financial aid?

Yes No Not Selected

Vocational Rehab/ 3rd Party Billing

Yes No Not Selected

Cash Pay Student

Yes No Not Selected

Cell Phone

Email

Street

Address Line 2

City

State/Province

Zip/Postcode

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

Birth Date

Gender

Ethnicity

VA Student

Yes No Not Selected

Va Education Benefit

How did you first hear about the us?

Enroll In

Applicant Signature

Program

Enter the above code

Required