COSMETOLOGY APPRENTICE DAILY RECORD
Month:
Year: 20
License # CA
Apprentice Name:
License From:
Apprentice Address:
/
/20
City:
Apprentice Phone:
to:
/
/20
Zip:
Salon Phone:
Salon Name:
City:
Item
Salon Address:
On the Job Training Hours &
Curriculum of Cosm etology
A
Barbering & Cosmetology Act & Regulation
Training P erio d:
1
0 t o 400 hrs
2
401-800 hrs
3
801-1200 hrs
4
1201-1600 hrs
5
Zip:
1601-2000 hrs
6
2001-2400 hrs
Days of Month
Ho ur
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
7
2401-3200 hrs
Last
Grand
Total
Month
Hours
Total
Total
27 28 29 30 31
B Co smeto lo gy Chemistry
C Health & Safety Hazardous Materials
D Theo ry o f Electricity
E Disinfectio n & Sanitatio n
F B acterio lo gy, A nato my & P hysio lo gy
G Wet Hair Style
H Thermal Hair Style
I
P ress & Curl
J P erm / Wave
K Chemical Straightening
L Haircutting
M Hairco lo ring
N B leaching
O Scalp & Hair Treatments
P Facials - M anual
Q Facials - Electrical
R Facials - Chemical
S Eyebro w A rching & Hair Remo val
T M ake-up
U M anicure
V P edicure
W A crylic
X Nail Tips
Y Nail Wrap & Repairs
Z A ditio nal Instructio n
To tal ho urs wo rked
To tal Related Training
Signature of Apprentice
DAS Form 103-A
Signature of Owner or Trainer