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REGISTRATION > Pre-Apprenticeship
This form serves as registration for the pre apprenticeship training. This training is required prior to being licensed by the California State Board of Barbering & Cosmetology.
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APPLICANT INFORMATION
(this section is the information for you registering as a California Apprentice)
DATE of TODAY!
*
MM
/
DD
/
YYYY
First | Last Name
Your answer
Ph#
*
Your answer
Profession for Licensure
BARBER
COSMETOLOGIST
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D.O.B | Date of Birth
MM
/
DD
/
YYYY
Postal Address | Physical Address
Your answer
Email Address
Your answer
ESTABLISHMENT INFORMATION
(this section is the information for the salon / barbershop you will potentially be working in.
Complete this section as best as you can…)
Barbershop | Salon > NAME
Your answer
Barbershop | Salon > ADDRESS
Your answer
Owner > NAME
Your answer
Owner> PH#
Your answer
TRAINER INFORMATION
(this section serves as the information of the barber or cosmetology professional you will be working under)
Trainer > NAME
Your answer
Trainer > PH#
Your answer
Trainer > ADDRESS
Your answer
EMERGENCY CONTACT
(this section serves as the information to your contact person in case of emergency)
Emergency Contact > NAME
Your answer
Emergency Contact > PH#
Your answer
Emergency Contact > RELATION
Your answer
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