Application Submission

Prospective Student Application

The following items MUST be submitted with this application; applications will not be processed until all items have been received.

Copy of your driver’s license or state ID

Copy of your high school diploma or GED certificate

Copy of your social security card

Essay stating why you would like to join our program and pursue a career in this industry and where you see yourself in 5 years

$100.00 registration fee.

I understand the terms and agree to submit the above requirements

Yes

PERSONAL IDENTIFICATION

First name

Last name

Address

Select a date required

Birthday required

Social Security Number

Phone

ENROLLMENT SELECTION

PREVIOUS TRAINING

Previous Training

N/A

Yes

Graduated

N/A

Yes

Graduation Date

Name of Institution

Beginning Date

State Board Exam

N/A

Yes

Incomplete Hours

N/A

Yes

End Date

Did You Pass the State Board?

N/A

Yes

Hours Completed

Reason for Leaving

EDUCATION

HIGH SCHOOL STUDENTS: Apply with your academics counselor through your highschool

For All Other Applicates >>>

WORK EXPERIENCE

1] Employer

Beginning Date

Address

End Date

Position

Name of Institution

2] Employer

Beginning Date

Address

End Date

Position

Name of Institution

3] Employer

Beginning Date

Address

End Date

Position

Name of Institution

Department Of Education Requirements: Fill Out to Comply with Equal Opportunity State and Federal Laws

The Department of Education requires schools to collect race and ethnicity information for our students and employees. Please review and respond to BOTH of the questions below:

Please fill out the following questions to assist Reflections Academy of Beauty, an Equal Opportunity School, to comply with state and federal laws. Applications are considered for Cosmetology Education and graduation without regard to race, age, sex, sexual orientation, political and religious views.

BACKGROUND CHECK AUTHORIZATION

Reflections Academy of Beauty does background checks on all its potential students and employees. By initialing next to the agreement and signing this application below you are giving permission for your background check to be done. (Certain offenses could require a person to go before a review board for a license in the industry or a person could be denied a license because of certain offenses. Please see our website for the line to the Barber, Cosmetology, Esthetics, air braiding, and Nail Technology Act of 1985)

Do You Have a Criminal Background?

N/A

Yes

I Agree to Have My Background Checked

Yes

If Yes, Please Briefly Explain

PLEASE READ CAREFULLY BEFORE SIGNING AND SUBMITTING

I certify that the facts set forth in this Application for Enrollment are true and complete to the best of my knowledge. I understand that if I am accepted as a student, false statements, omissions, or misrepresentations may result in my dismissal. I authorize the Administrator/Owner, Admissions Coordinator, and Financial Coordinator to make an investigation of any of the facts set forth in this application and release the Administrator/Owner, Admissions Coordinator, and Financial Coordinator from any liability. The Administrator/Owner, Admissions Coordinator, and Financial Coordinator may contact any listed references on this application.

My signature confirms that I was provided with the following information PRIOR TO ENROLLMENT either in print or from the school website: reflectionsacademyofbeauty.com

[ • Course Catalog • Consumer Information • Compensation a successful graduate may reasonably expect • Physical demands of the profession • Requirements and Laws for obtaining and maintaining a license in this industry for the State of Illinois • Prospective Employer Requirements and Expectations • Outcome rates (completion, licensure, placement, transfer out)]

My Signature confirms my consent for the Electronic Enrollment Submission, for a Formal Background Check to be done, and for Staff of Reflections Academy of Beauty to call, text, or email me.

How did you hear about us?

Friends

Social Media

Other

Your Signature

The following items may be submitted or you may bring them at the time of your appointment. Please note, application will NOT be processed until all items are turned in.

Driver's License or State ID
High School Diploma or GED Certificate
Your Social Security Card
2 References (Personal or Professional)
Essay:

"Why I would like to join Cosmetology and/or

Esthetics school and pursue a career in this

industry. (include: where you see yourself in

the next 5 years)

Upload File

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Thanks for applying! We are so excited for you! We’ll get back to you soon.