Enrollment Application | Pinnacle Institute of Cosmetology

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Pinnacle Enrollment Application

Complete Online Application
Book Tour Online
Bring these documents with you to your tour appointment.
- Government issued photo ID
- Accredited high school 4 year Transcript, An Accredited GED Transcript, or a Home School transcript from grades 9-12 and State approval ID card
- Social Security Card (no photos)
$50.00 non-refundable application fee

Course of Study*

First Name*

Last Name*

Address*

Street Address Street Address Line 2 City State ZIP Code

Social Security Number*

Cell Phone Number*

Area Code*

Date of Birth*

MM slash DD slash YYYY

Choose Marital Status*

Single

Married

Separated

Divorced

Have you ever gone by a previous name (s)? yes or no*

YES

If so, what other names have you gone by?

Email Address*

Type a question

Do we have permission to text and email you?**

YES

US Citizenship?*

YES

Veteran?*

YES

Allergies?*

Left Handed?*

YES

Any limitations that may prevent you from successfully completing the program?*

Desired month / year to begin your Cosmetology education?*

MM slash DD slash YYYY

How did you hear about Pinnacle Institute of Cosmetology?*

Pinnacle requires High School 4 year Transcript, an Accredited GED Transcript, or a Home School transcript from grades 9-12, and state approval ID card.

What excites you most about this career?*

In case of emergency, notify*

First Name Last Name

Emergency Phone*

Area Code*

Personal Reference (not employer or relative):*

First Name Last Name

Personal Reference Phone*

Area Code*

*Please note, enrollment is limited. Once our program reaches the maximum capacity, you will be added to our waiting list or placed into the next class.

High School*

Year Graduated*

Month

Day

Year

City*

State*

List ALL training/college attended since high school.

School

City / State

Major Course

Years attended

Have you ever been convicted of a felony?*

YES

If yes, please explain.

Do you need financial aid while you attend school?*

YES

I certify that all statements made in this application are complete and true. I understand that if I have been convicted of a felony, a background check may be performed.

Signature*