Reflections Academy of Beauty enrollment application
RAofB Enrollment
Sign in to Google to save your progress. Learn more
Email *
Reflections Academy of Beauty 241 N. Main St. Decatur, IL. 62523 217-425-9117 Lasonya Financial Aid Coordinator
First, Middle, Last Name *
Street Address, Apt/Unit, City, State, Zip *
Good Contact Number *
Email Address *
Type of School Funding *
Your Social Security Number *
Level of Education *
Grade in High School *
High School Name and Address (if it doesn't apply please write a N/A) *
Graduate Date
MM
/
DD
/
YYYY
College Name and Address (if it doesn't apply please write a N/A) *
Graduate Date
MM
/
DD
/
YYYY
Previous Cosmetology / Nail Tech School *
Previous Cosmetology / Nail Tech Name and Address (if it doesn't apply please write a N/A) *
Previous Cosmetology / Nail Tech Graduate Date
MM
/
DD
/
YYYY
Hours Completed (if it doesn't apply please write a N/A) *
Reason for Leaving (if it doesn't apply please write a N/A) *
The Department of Education requires schools to collect race ad ethnicity information for our students and employees. Please review and respond to BOTH of the questions below:
What is this person's ethnicity? *
What is this person's race? *
Please fill out the following questions to assist Reflection's 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 *
Citizenship Status *
Do You Have a Criminal Background? *
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 I confirm that I was provided with the following information PRIOR TO ENROLLMENT either in print or from the school website: reflectionsacademyofbeauty.com *Course Catalog and *Consumer Information
Clear selection
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. *
The Owner, Administrator, and 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 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.
Clear selection
By Typing my Name Here I am agreeing to all conditions of this Application and Giving permission to Reflections Academy of Beauty Staff to do a background check and check References *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy