ELITE COLLEGE OF COSMETOLOGY
0526068-00
Applicant Profile
APPLICANT INFORMATION
Last Name:
First:
Street
Address:
Apartment/Unit #:
City:
State:
Phone:
E-mail Address:
Social Security
No.:
ZIP:
Gender: M /F
(Circle One)
Date of Birth:
Course of Interest:
Age:
Do you Currently Have a HSD or GED?
YES
NO
If so, when?
Are you currently employed?
Could your work schedule ever conflict
with school?
YES
NO
Full-time/Part-time
(circle one)
Transportation Source?________ Own Car
Date
:
M.I.:
______Other
I f something
happens to your
transportation what
other way do you
have to get to
school?
If something
happened to your
baby sitter who
would keep your
children so that you
would not have to
miss school?
Do you have children? ____________
Do you have a dependable babysitter? ___
Are you pregnant? _______________
When is baby due? ________________
Have you attended any other colleges
within the last two years?
YES
NO
Have you applied for Financial Aid within
two years?
YES
NO
Do you Have any Federal Student Loans in
a Deferment or Default status?
YES
NO
Are you thinking about paying cash for your schooling? Yes
Explain Here:
Explain Here:
If yes, where?
If yes, Please
Explain:
or
No
EMERGENCY CONTACT
Name:
Relationship:
Phone:
Name:
Relationship:
Phone:
HOW DID YOU HEAR ABOUT US? Referral, other salon, yellow pages, website, newspaper, etc? _____________________
ENROLLMENT PROFILE
ETHNICITY
WHITE (NON-HISPANIC)
MARITAL STATUS
SINGLE
BLACK (NON-HISPANIC)
MARRIED
HISPANIC
DIVORCED/WIDOWED
ASIAN/PACIFIC ISLANDER
AMERICAN INDIAN/ ALASKAN NATIVE
DATE:
CITIZENSHIP
U.S. CITIZEN
OTHER; PLEASE EXPLAIN
___________________
__________________
OTHER
PLEASE LIST ANY HEALTH RELATED ISSUES THAT WE WOULD NEED TO KNOW ABOUT? ___________________________
Is there any other problem that can keep you from attending school? _____________________________________________
How far do you live from school _________________________________
Program:
Cosmetology-1500 hours
Manicuring-600 hours
Schedule:
Full-Time 34 hours per week
Part-Time 20 hours per week
Plan Start Date:____________________
Plan End Date:_____________________
Transfer Hours:_____________________
Applicant Signature:__________________________________________________________
Responsible Party (if under age 18)______________________________________________
School Catalog
Each student will be issued a school catalog upon enrollment into his/her program.
All pertinent information will be included in this catalog and will be discussed during the orientation process. The catalog can also be
viewed as a pdf format on our website, or ask for a hard copy during this application process.
State Licensing Requirements

 Proof of Identification (Driver’s License)
 High School Diploma or G.E.D. (must be from USA)
1500 Completed hours of Cosmetology Training/ 600 Completed hours of manicuring training
 Passing score of 70% on State Board Examination
Elite College of Cosmetology Completion Rates 2012/2013
Course completion Rate- 57.75%
Licensure Rate- 100%
Employment Rate- 68.29%
On Campus Crime and Safety Statistics
As of January 1, 2013 Elite College of Cosmetology has no record of violation.
http://ope.ed.gov/security
--Go to above website and search under our Institution--
ELITE SCHEDULE
Tuesday- Friday 8:00 to 5:00 p.m.
731-968-5400 Phone
731-968-5489 Fax
459 North Main St
Lexington, Tn 38351
Email: elitecollegeofco@bellsouth.net
Check our website out at www.elitecollegeofcosmetology.com for a pdf format of school handbook and policies
FAFSA website is www.fafsa.ed.gov
Apply for pin at www.pin.ed.gov
U.S Department of Education Website www.ed.gov
www.studentaid.ed.gov
www.direct.ed.gov
www.irs.gov
Direct Loans Website: www.studentloans.gov #18008480979
Occupational profiles for the U.S Department of Labor http://www/onetonline.org
INFO ON COSMETOLOGY/MANICURING EMPLOYMENT & WAGES FOUND AT THIS WEBSITE:
http://www.bls.gov/oes/current/oes395012.htm
http://www.bls.gov/oco/ocos332.htm
Please Sign:_____________________________________________________ updated 1/2014