Blueprint Hair Academy Registration Form

**DEPOSIT AND REGISTRATION FEE MUST BE PAID BEFORE CLASSES BEGIN IN ORDER TO RECEIVE YOUR UNIFORM AND SCHOOL SUPPLIES

IF STUDENT DROPS OUT OR IS KICKED OUT, PAYMENT IS NON-REFUNDABLE

**NATURAL HAIR/NAIL TECHS/INSTRUCTORS - FULL PAYMENT MUST BE PAID A WEEK BEFORE COMPLETION OF PROGRAM

**BARBERING/COSMETOLOGY PROGRAMS - FULL PAYMENT MUST BE PAID TWO MONTHS BEFORE COMPLETION OF PROGRAM

DEPOSIT/DOWN PAYMENT OF BETWEEN $1500-$2000 (DEPENDING ON YOUR PROGRAM) MUST BE PAID TWO WEEKS PRIOR TO ENROLLMENT

REGISTRATION FEE OF $200 MUST BE PAID AT THE TIME OF REGISTRATION

Blueprint Hair Academy does not discriminate in its employment, admission, instruction, or graduation policies on the basis of sex, religion, sexual orientation, gender identification, age, ethnicity, disability, race, creed, financial status, area of origin, or residence.

First Name *

Last Name

Email *

Phone

Password

Password Confirm

Address Line 1

Address Line 2

City

State/Prov/Region

Postal/Zip

Country

Are you a U.S. Citizen?

If no, are you authorized to work in the U.S.?

Social Security Number

D.O.B.

Do you have a disability?

If yes, Blueprint has partnered up with a company that can sponsor your tuition.

Employment History

Place of Employment

Name of Employer

Dates of Employment

References

Reference 1

Phone Number

Education

Do you have a high school diploma?

Graduation Date

Address

High School Name

High School Location

If no high school diploma, do you have a G.E.D.? *

What is the highest COMPLETED level of your education? *

Program Information

Program of Interest

Have you previously received training in any of these fields? *

If Yes, which field?

# of hours completed:

Name of school attended:

Location:

From

Are you currently enrolled there and wishing to transfer?

If Yes, reason for transfer:

Are you enrolled in any other school and receiving financial aid? *

Are you currently licensed in Cosmetology, Barbering, Esthetics or Manicuring?

If Yes, which one(s)?

From

State

License Number

Expiration date:

Would you like to schedule a transfer hour evaluation?

Are you associated with any Military Branch?* *

If Yes

Active Duty Military and reservists are encouraged to speak with their Educational Services Officer (ESO) or counselor within their military Service prior to executing the Enrollment Agreement / Enrolling in any course at Blueprint Hair Academy.

Referral Information

Please indicate how you were referred to Blueprint Hair Academy:

Name of person / publication:

Background Information

The State of California’s Board of Barbering and Cosmetology - Application to Test requires the following information (Question 1 & 2);

1. Have you ever been convicted of, or pled no contest to, a violation of any law of the United States, in any state, local jurisdiction, or any foreign country? *

If yes, please explain

2. Have you ever had any professional or vocational license or registration denied, suspended, revoked, place on probation or other disciplinary action taken by this or any other government authority in this state or any other state, or any foreign country? *

Please Explain

**If you answered yes to question 1 and/or 2, you will be required to submit a Pre-Approval application to the Board prior to your enrollment.

3. Why have you chosen to pursue a career in this field?

4. Do you intend on going to State Board to become state licensed? *

5. Do you intend to work in the field utilizing the education that you will receive at Blueprint Hair Academy? *

Text

6. How do you plan to utilize your license once you receive it? (Work in a salon/shop/spa, continue with higher education, use the skills learned in conjunction with another license you currently hold etc…?)

Before enrolling in school, it is extremely important for each Prospective Student to understand and prepare for the expectations of progress they will face while enrolled in school. These are a few questions you need to review, and seriously consider your answers before enrolling in school. We ask you to go through this exercise, so you can address the main reasons students drop out of school. If you can manage these issues while enrolled, you will have a better chance of completing, training and becoming successful in our profession.

7. Do you feel you are physically capable of performing all required activities conducted at the school and in your chosen field?(Cosmetology/Barbering and Esthetician occupations generally require continued standing or sitting and constant use of the upper torso, shoulders, arms, wrists and hands, upper back and neck. Certain individuals may have allergies and sensitivity to chemical products used in the profession.) *

8. Blueprint Hair Academy places heavy emphasis on being punctual and has a very strict disciplinary policy regarding time and attendance. Is there any reason why you would not be able to make your “attendance as scheduled” a priority? *

9. As a Cosmetology Student you will also be trained in Esthetics and Manicuring. Is there any reason you would not be able to perform or receive the tasks associated with these sections of the course? (if not applicable, please indicate N/A)

10. Do you have reliable transportation and by what means? Do you have backup transportation and by what means? *

11. Do you anticipate any time off needed during your enrollment? *

12. Have you attended any other postsecondary schools? (Please list) If not use N/A. *

13. NACCAS, Bureau for Private Postsecondary Education and the Board of Barbering and Cosmetology require us to track your employment following graduation; do you have any issue with the administration staff staying in contact with you, and requesting this information following graduation? *

I agree Terms and Conditions By submitting this form, I agree that Blueprint Hair Academy may call, text and/or email me about their educational services. I also understand that prices are subject to change at any time without notice. The new prices will be applied to the new enrollments only. After completing this registration form, please pay registration fee. Two weeks prior to enrollment, enrollment deposit is due.

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Esthetics Program