RA of B Enrollment Application


241 N. Main St., Decatur, Illinois 62523


Owner EM: riki@reflectionsacademyofbeauty.com

Financial Coordinator EM: lasonya@reflectionsacademyofbeauty.com

2020 Enrollment Dates - Please Choose One


Highest Level of Education
For High School Students:
Previous Cosmetology / Nail Tech School?

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:

1. What is this person's ethnicity?
2. What is this person's race?

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.

Gender Identifier
Select Your Age Range
Citizenship Status
Do You Have a Criminal Background?

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, Financial Coordinator to make an investigation of any of the facts set forth in this application and release the Administrator/Owner, Financial Coordinator from any liability. The Administrator/Owner, Financial Coordinator may contact any listed references on this application.

​Reflections Academy of Beauty does background checks on all its potential students and employees. By clicking on agreement and electronically signing your name, 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)

My signature confirms that I was provided with the following information

PRIOR TO ENROLLMENT either in print or from the school website:           



  • Course Catalog

  • Consumer Information 

For the state of Illinois

Compensation a successful graduate may reasonably expect

Prospective Employer Requirements and Expectations

Physical demands of the profession                                                         

Outcome rates (completion, licensure, placement, transfer out)

Requirements and laws for obtaining and maintaining a license

in this industry

Your Signature



Please complete all information and return to Reflections Academy of Beauty

and we will contact you.

Please Submit Requested Items in this area, OR you may call for an appointment and bring them with you.  Please note, application will NOT be processed until all items are turned it.


  • Copy - Driver’s License or State ID 

  • Copy of your High School Diploma

                    or GED Certificate

  • Copy of your Social Security Card

  • 2 References (Personal or Professional)


  • Essay:

 “Why I would like to join Cosmetology School

and pursue a career in this industry” include

where you see yourself in 5 years

  •  $100 Registration Fee


Submitting your items for enrollment is optional at this time.  You may present your items at the time of your appointment.

For Questions call the admissions director Lasonya 217-425-9117   

Thank you and we are excited for your new adventure! :)

Type Out or Upload Your Essay Submission

We are so glad you have chosen to join the cosmetology family

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DBA Reflections Academy of Beauty 2015


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