Pre Enrollment Questionnaire
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Full Name *
Current Home Address
Phone Number *
Preferred way to contact you *
Email Address *
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Please select all ethnic backgrounds that apply to you
Are you a Veteran?
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What is your primary language? *
Employment Status *
If Employed, where do you work?
Have you ever been convicted of, pleaded guilty to, incarcerated or been placed on probation for any crime? (misdemeanor, controlled substance, robbery, assault, etc.) *
If you answered yes, please explain.
Do you own or have access to reliable transportation? *
If you answered no, please explain how you would plan to get to and from school.
What school location are you interested in attending? *
How many hours can you attend a week?  Check all that apply.
Select what class times you would interested in.  Select all that apply. *
Do you have a high school diploma or a GED?
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Are you in need of accommodations (physical, learning, etc.) to ensure your success while at school? *
If so, please explain
What are some obstacles that you have overcome?
What are some obstacles that you still have left to overcome?
What are 3 personal or professional goals that you have?
How can barbering help you reach your goals? *
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