Enrollment Packet
1926 Thatcher Blvd., Safford, AZ ▪ phone: (928) 348-8878 ▪ www.EAACit.com Revised 5/1/18
TABLE OF CONTENTS ADMISSION REQUIREMENTS.............................................................................. 2 PHYSICAL DEMANDS ............................................................................................. 3 ENROLLMENT ........................................................................................................... 4 FINANCIAL AID ........................................................................................................ 4 SCHOLARSHIP........................................................................................................... 4 TUITION/WAIVERS/FEES ..................................................................................... 4 HOUSING ................................................................................................................... 12 COLLEGE CREDITS ................................................................................................ 12 APPLICATION FOR ADMISSION ...................................................................... 13 EMERGENCY CONTACT INFORMATION ..................................................... 14 LETTER OF INTENT .............................................................................................. 15 EMPLOYMENT HISTORY .................................................................................... 15 CONFIDENTIAL EVALUATION/RECOMMENDATION FOR PROSPECTIVE STUDENT .......................................................................... 16
1
ADMISSION REQUIREMENTS Requirement Checklist If you are ready to fulfill your dream through Eastern Arizona Academy of Cosmetology, here’s how to register: Schedule an appointment with the Director for an acceptance interview; dress professionally and be on time. Complete the Application for Admission. Complete the Letter of Intent. Complete Emergency Contact Information. Distribute Confidential Evaluation/Recommendation form. a. Must be completed by three different individuals who are 18 years or older. b. Must be completed by non-family members. Pay $100 non-refundable commitment fee. The fee will be applied towards the student kit. (Payment by cash, check, cashier’s check or money order – made payable to Eastern Arizona Academy of Cosmetology) Pay student kit balance in full, prior to April 15 for summer semester, May 15 for fall semester and November 15 for spring semester. Any payments made after those dates will have a $50 delivery surcharge applied. (Payment by cash, check, cashier’s check or money order– made payable to Eastern Arizona Academy of Cosmetology) Non-GIFT student = $1,165 Cosmetology and Hairstyling kit balance ($1265 - $100 non-refundable commitment fee = $1,165). $677 Nail Tech kit balance ($677 - $100 non-refundable commitment fee = $577)
GIFT student = $455 Hairstyling kit balance ($555 - $100 non-refundable commitment fee = $455).
$245 Nail Tech kit balance ($245 - $100 non-refundable commitment fee = $145)
Submit a photocopy of picture identification. Submit a photocopy of Social Security card. Submit two passport quality photos. Must be professional photos, senior pictures are not allowed. Passport photos from Wal-Mart, Walgreens, or Holladay’s are accepted. Submit a photocopy of your proof of education. a. High school diploma. b. GED (General Education Diploma). c. A copy of high school transcript showing completion of the 10th grade or higher. It must include: (2) English, (1) math and (1) science.
2
As a prospective student, you are about to embark on the first step towards a rewarding career in cosmetology. We are excited you have chosen the Academy and look forward to your personal interview and acceptance. Our campus is located in the Mt. Graham Shopping Center, on the northeast corner of Highway 70 and 20th Avenue. It occupies over 6,400 sq. ft. and is designed to allow for the instruction of up to 100 students per session. We have the latest instruction materials and equipment available on the market today. Our facility is comprised of:
Reception and retail sales area.
Counseling and conference room.
Comfortable waiting area.
A fifty work station clinic floor area.
Director’s office.
Dispensary area.
Student break room/lunch area with student lockers.
A fifty student classroom with the latest video and audio surround system.
We operate in accordance with the academic, procedural, and equipment requirements established and monitored by the Arizona State Board of Cosmetology. Enclosed you will find the application packet to prepare you for acceptance and registration. If you have any questions, feel free to contact the Academy, Monday – Friday, 8:30 a.m. – 5:00 p.m., (928) 348-8878.
PHYSICAL DEMANDS The following is a list of physical demands you might encounter as a cosmetologist. It is important for you to be aware of the physical requirements. Body Position:
Standing for long periods of time is required. Please consult your physician or chiropractor if you have had any prior back stress or pain.
Hands:
Continuous exposure to water, cleansing agents, and chemicals. Special hand care products are recommended for all service professionals.
Chemicals:
Working with many different types of chemicals. If you have any known allergies or experience allergies or sensitivities to product ingredients, please consult your physician to ensure safety.
3
ENROLLMENT EAAC is a privately-owned school that has partnered with Eastern Arizona College (EAC) to provide an affordable, high quality cosmetology program whose students cannot only obtain a cosmetology license, but also an associate degree. Students must be accepted into the program before registration can occur. Enrollment occurs year-round with start dates in August and January. Prospective students are encouraged to attend the Call for Admissions and Fashion Hair Extravaganza held in the fall and spring. Registration for classes will be completed at Eastern Arizona College on scheduled dates. Private enrollment, through the Academy, is available and discounts may apply. However, students will not be eligible for financial aid and college credits are not earned.
FINANCIAL AID Complete an online, Free Application for Federal Student Aid (FAFSA) form at www.fafsa.ed.gov to determine if you are eligible for financial aid. When applying, utilize Eastern Arizona College’s FASFA Code #001073. Contact EAC’s Financial Aid Office (928) 428-8287 with any financial aid questions. If additional Financial Aid assistance is needed, contact James Pryor at (928) 428-8902 or
[email protected].
SCHOLARSHIP Students not eligible for financial aid will be provided an EAAC scholarship. Full-time cosmetology students receive a $1,500 scholarship per semester for a maximum of $3,000 and part-time students (enrolled in 6-11 credits) receive a $750 scholarship per semester for a maximum of $3,000. Full-time nail technician students receive a $1,000 scholarship for a maximum of $1,000 and part-time students (enrolled in 6-11 credits) receive a $500 scholarship per semester for a maximum of $1,000. Full-time hairstyling students receive a $1,000 scholarship for a maximum of $1,000 and part-time students (enrolled in 6-11 credits) receive a $500 scholarship per semester for a maximum of $1,000. Financial aid “partial qualifiers” may be eligible for a partial scholarship. The amount awarded will equal the difference between the EAAC scholarship amount allotted and the financial aid received. For example, a full-time cosmetology student qualifying for $500 financial aid would be eligible for a $1,000 Academy scholarship. Full financial aid qualifiers are not eligible for this scholarship. Students who have participated in the cosmetology program previously through GIFT may be eligible for a portion of the scholarship and should contact the Dean of Curriculum and Instruction assigned the cosmetology program.
TUITION/WAIVERS/FEES Out-of-state residents may be eligible for a tuition discount. The Western Undergraduate Exchange (WUE) waiver is available to qualified applicants residing in 1 of 14 participating western states. Students may also apply for a limited number of New Mexico waivers which offers their residents Arizona in-state tuition fees. Information is available online at www.eac.edu or by contacting EAC’s Records and Registration Office at (928) 428-8270 (WUE waiver) or EAC’s Scholarship Office at (928) 428-8287 (New Mexico Tuition Waiver). 4
Full Time *Cost of Cosmetology Program w/ Pell Grant (i.e. FASFA)
*Cost of Cosmetology Program w/ EAAC Scholarship Waiver Fall Semester 24
Cosmetology Credits
Spring Semester 20
Fall Semester 24
Cosmetology Credits
Hours 8:30–5:00
Spring Semester 20
Tuition
$
1,350 $
1,350
Tuition
$
1,350
$
1,350
In-state tuition
Course fees
$
4,320 $
3,600
Course fees
$
4,320
$
3,600
$180 per credit
Kit
$
1,265 $
0
Kit
$
1,265
$
0
*$
-1,500 *$
-1,500
Pell Grant
-3048 *$
-3047
$
5,435 $
3,450
Per Semester
3,887 $
1,903
EAAC Scholarship Per Semester
*$
(i.e. FASFA)
$
*Total cost: $8,885
*Total cost: $5,789
Sample represents an Arizona full-time student taking 24 credits 1st semester, 20 credits the 2nd semester, having received the full amount of the EAAC Scholarship.
Sample represents an Arizona full-time student taking 24 credits 1st semester, 20 credits 2nd semester, having receiving a full Pell Grant.
Kit is a one-time fee payable to EAAC Amount based on eligibility Amount due before classes begin
*This is an estimate only. All prices are subject to change.
Part Time *Cost of Cosmetology Program w/ Pell Grant (i.e. FASFA)
*Cost of Cosmetology Program w/ EAAC Scholarship Waiver Cosmetology Credits
Fall Semester
Spring Semester
Summer Semester
19
19
6
Cosmetology Credits
Fall Semester
Spring Semester
Summer Semester
19
19
6
Hours 8:30 – 2:30
Tuition
$ 1,350 $ 1,350
$540
Tuition
$ 1,350
$ 1,260
$ 1,350
In-state tuition
Course fees
$ 3,420 $ 3,420
$1,080
Course fees
$ 3,420
$ 3,420
$ 1,080
$180 per credit
Kit
$ 1,265 $
Kit
$ 1,265
$
$
0
*$
-897
0
$
0
EAAC *$ -1,500 *$ -1,500 *$ Scholarship Per $ 4,535 $ 3,270 $ 1,620 Semester *Total cost: $9,425 Sample represents an Arizona part-time student taking 19 credits, 1st semester; 19 credits, 2nd semester; 6 credits, 3rd semester; having received the full amount of the EAAC Scholarship.
Pell Grant (i.e. FASFA)
Per Semester
Kit is a one-
*$-3,048
0
$-3,047
payable to Amount based on eligibility Amount due
$ 2,987
$ 1,633
$ 1,533
*Total cost: $6,153 Sample represents an Arizona part-time student taking 19 credits, 1st semester; 19 credits, 2nd semester; 6 credits, 3rd semester; having received a full Pell Grant.
*This is an estimate only. All prices are subject to change.
5
time fee
before classes begin
Part Time *Cost of Cosmetology Program w/ EAAC Scholarship Waiver Fall Semester
Spring Semester
Fall Semester
Spring Semester
11
12
9
12
Cosmetology Credits Tuition
$
990
$ 1,080 $
Course Fees
$ 1,980
$ 2,160
Kit
$ 1,265
$
Part-time first three semesters, full-time last semester
900 $ 1,080
$ 1,620
0 $
Hours 1:00 – 5:00
$ 2,160
0 $
0
Amount based on the number of credits $180 per credit Kit is a one-time fee payable to EAAC Amount based on eligibility
EAAC Scholarship Per Semester
*$
-750 *$
$ 3,485
-750 *$ -750 *$ -750
$ 2,490
$ 1,770
$ 2,490
(6-11) cosmetology credits=$750 scholarship for total max. of $3,000 Amount due before classes begin
*Total Cost $10,235 Sample represents an Arizona part-time student (full-time the last semester) taking only cosmetology credits, for four semesters, having received the full amount of the EAAC Scholarship.
*This is an estimate only. All prices are subject to change.
Part Time *Cost of Cosmetology Program w/ Pell Grant (i.e. FASFA)
Cosmetology Credits EAC Credits
Fall Semester
Spring Semester
Fall Semester
Spring Semester
11
12
9
12
1
0
3
0
Hours 1:00 – 5:00
Must attend EAC full-time, 12 or more total credits, to be eligible for a full Pell Grant
Tuition
$ 1,080
$ 1,080
$ 1,080
$ 1,080
Amount based on the number of credits
Course Fees
$ 1,980
$ 2,160
$ 1,620
$ 2,160
$180 per credit
Kit
$ 1,265
$
$
$
Kit is a one-time fee payable to EAAC
Pell Grant (i.e. FASFA) Per Semester
*$ -2,286
$ 2,767
0
*$ -3,047
$
192
0
*$ -2,286
$
414
0
*$ -3047
$
Amount based on eligibility
192
*Total Cost $3,565 Sample represents an Arizona part-time cosmetology student (EAC full-time student) for four semesters, having received a full Pell Grant.
*This is an estimate only. All prices are subject to change.
6
*Cost of Hairstyling Program w/ EAAC Scholarship Waiver Fall Spring Semester Semester Cosmetology 20 12 Credits
Full Time *Cost of Hairstyling Program w/ Pell Grant (i.e. FASFA) Fall Spring Semester Semester Cosmetology 20 12 Credits
Tuition
$
1,350 $
1,080
Tuition
$
1,350
$
1,080
In-state tuition
Course fees
$
3,600 $
2,160
Course fees
$
3,600
$
2,160
$180 per credit
Kit
$
1,265 $
0
Kit
$
1,265
$
0
*$
-500 *$
-500
-3048 *$
-3047
$
5,715 $
2,740
3,167 $
193
EAAC Scholarship Per Semester
Pell Grant
*$
(i.e. FASFA)
Per Semester
$
Hours 8:30–5:00
*Total cost: $8,455
*Total cost: $3,360
Sample represents an Arizona full-time student taking 20 credits 1st semester, 12 credits the 2nd semester, having received the full amount of the EAAC Scholarship.
Sample represents an Arizona full-time student taking 20 credits 1st semester, 12 credits 2nd semester, having receiving a full Pell Grant.
Kit is a one-time fee payable to EAAC Amount based on eligibility Amount due before classes begin
*This is an estimate only. All prices are subject to change.
*Cost of Hairstyling Program w/ EAAC Scholarship Waiver Spring Summer Semester Semester Cosmetology 23 9 Credits
Full Time *Cost of Hairstyling Program w/ Pell Grant (i.e. FASFA) Summer Spring Semester Semester Cosmetology 23 9 Credits
Tuition
$
1,350 $
810
Tuition
$
1,350
$
810
In-state tuition
Course fees
$
4,140 $
1,620
Course fees
$
4,140
$
1,620
$180 per credit
Kit
$
1,265 $
0
Kit
$
1,265
$
0
*$
-500 *$
-500
-3047 *$
-1,345
$
6,255 $
1,930
3,708 $
1,085
EAAC Scholarship Per Semester
Pell Grant
*$
(i.e. FASFA)
Per Semester
$
Hours 8:30–5:00
*Total cost: $8,185
*Total cost: $4,793
Sample represents an Arizona full-time student taking 23 credits 1st semester, 9 credits the 2nd semester, having received the full amount of the EAAC Scholarship.
Sample represents an Arizona full-time student taking 23 credits 1st semester, 9 credits 2nd semester, having receiving a full Pell Grant.
*This is an estimate only. All prices are subject to change.
7
Kit is a one-time fee payable to EAAC Amount based on eligibility Amount due before classes begin
Full Time *Cost of Hairstyling Program w/ Pell Grant (i.e. FASFA)
*Cost of Hairstyling Program w/ EAAC Scholarship Waiver Cosmetology Credits
Summer Semester
Fall Semester
9
23
Cosmetology Credits
Summer Semester
Fall Semester
9
23
Hours 8:30–5:00
Tuition
$
810 $
1,350
Tuition
$
810
$
1,350
In-state tuition
Course fees
$
1,620 $
4,140
Course fees
$
1,620
$
4,140
$180 per credit
Kit
$
1,265 $
0
Kit
$
1,265
$
0
*$
-500 *$
-500
-1,345 *$
-3048
$
3,195 $
4,990
2,350 $
2,442
EAAC Scholarship Per Semester
Pell Grant
*$
(i.e. FASFA)
Per Semester
$
*Total cost: $8,185
*Total cost: $4,792
Sample represents an Arizona full-time student taking 9 credits 1st semester, 23 credits the 2nd semester, having received the full amount of the EAAC Scholarship.
Sample represents an Arizona full-time student taking 9 credits 1st semester, 23 credits 2nd semester, having receiving a full Pell Grant.
Kit is a one-time fee payable to EAAC Amount based on eligibility Amount due before classes begin
*This is an estimate only. All prices are subject to change.
Part Time *Cost of Hairstyling Program w/ Pell Grant (i.e. FASFA)
*Cost of Hairstyling Program w/ EAAC Scholarship Waiver Cosmetology Credits
Fall Semester
Spring Semester
17
15
Cosmetology Credits
Fall Semester
Spring Semester
17
15
Hours 8:30–2:30
Tuition
$
1,350 $
1,350
Tuition
$
1,350 $
1,350
In-state tuition
Course fees
$
3,060 $
2,700
Course fees
$
3,060 $
2,700
$180 per credit
Kit
$
1,265 $
0
Kit
$
1,265 $
0
*$
-500 *$
-500
*$
-3,048 *$
-3048
$
5,175 $
3,550
$
2,627 $
1,002
EAAC Scholarship Per Semester
Pell Grant (i.e. FASFA)
Per Semester
*Total cost: $8,725
*Total cost: $3,629
Sample represents an Arizona full-time student taking 17 credits 1st semester, 15 credits the 2nd semester, having received the full amount of the EAAC Scholarship.
Sample represents an Arizona full-time student taking 17 credits 1st semester, 15 credits 2nd semester, having receiving a full Pell Grant.
*This is an estimate only. All prices are subject to change.
8
Kit is a one-time fee payable to EAAC Amount based on eligibility Amount due before classes begin
Part Time *Cost of Hairstyling Program w/ Pell Grant (i.e. FASFA)
*Cost of Hairstyling Program w/ EAAC Scholarship Waiver Fall Semester
Spring Semester
Summer Semester
11
15
6
Cosmetology Credits
Cosmetology Credits
Fall Semester
Spring Semester
Summer Semester
11
15
6
Hours 8:30 – 2:30
Tuition
$
990 $ 1,350
$540
Tuition
$
990
$ 1,350
$
540
In-state tuition
Course fees
$ 1,980 $ 2,700
$1,080
Course fees
$ 1,980
$ 2,700
$ 1,080
$180 per credit
Kit
$ 1,265 $
Kit
$ 1,265
$
0
$
0
*$-2,286
$ -3,047
*$
-897
$ 1,949
$ 1,003
$
723
0
$
0
EAAC *$ -500 *$ -250 *$ -250 Scholarship Per $ 3,735 $ 3,800 $ 1,370 Semester *Total cost: $8,905 Sample represents an Arizona part-time student taking 11 credits, 1st semester; 15 credits, 2nd semester; 6 credits, 3rd semester; having received the full amount of the EAAC Scholarship.
Pell Grant (i.e. FASFA)
Per Semester
Kit is a onetime fee payable to Amount based on eligibility Amount due
*Total cost: $3,675
before classes begin
Sample represents an Arizona part-time student taking 11 credits, 1st semester; 15 credits, 2nd semester; 6 credits, 3rd semester; having received a full Pell Grant.
*This is an estimate only. All prices are subject to change.
Part Time *Cost of Hairstyling Program w/ Pell Grant (i.e. FASFA)
*Cost of Hairstyling Program w/ EAAC Scholarship Waiver Cosmetology Credits
Spring Semester
Summer Semester
Fall Semester
15
6
11
Cosmetology Credits
Spring Semester
Summer Semester
Fall Semester
15
6
11
Tuition
$ 1,350 $
540
$990
Tuition
$ 1,350
$
Course fees
$ 2,700 $ 1,080
$1,980
Course fees
$ 2,700
Kit
$ 1,265 $
Kit
$ 1,265
0
$
0
EAAC *$ -500 *$ -250 *$ -250 Scholarship Per $ 4,815 $ 1,370 $ 2,720 Semester *Total cost: $8,905 Sample represents an Arizona part-time student taking 15 credits, 1st semester; 6 credits, 2nd semester; 11 credits, 3rd semester; having received the full amount of the EAAC Scholarship.
Pell Grant (i.e. FASFA)
Per Semester
540
$
990
In-state tuition
$ 1,080
$ 1,980
$180 per credit
$
$
Kit is a one-
*$-3,047
$
0 -897
0
*$ -2,286
time fee payable to Amount based on eligibility Amount due
$ 2,268
$
723
$
684
*Total cost: $3,675 Sample represents an Arizona part-time student taking 15 credits, 1st semester; 6 credits, 2nd semester; 11 credits, 3rd semester; having received a full Pell Grant.
*These are estimates only. All prices are subject to change.
9
Hours 8:30 – 2:30
before classes begin
Part Time *Cost of Hairstyling Program w/ Pell Grant (i.e. FASFA)
*Cost of Hairstyling Program w/ EAAC Scholarship Waiver Summer Semester
Fall Semester
Spring Semester
6
11
15
Cosmetology Credits
540 $
Cosmetology Credits
Tuition
$
990
$1,350
Tuition
$
Course fees
$ 1,080 $ 1,980
$2,700
Course fees
Kit
$ 1,265 $
$
Kit
0
0
EAAC *$ -250 *$ -250 *$ -500 Scholarship Per $ 2,635 $ 2,720 $ 3,550 Semester *Total cost: $8,905 Sample represents an Arizona part-time student taking 6 credits, summer semester; 11 credits, fall semester; 15 credits, spring semester; having received the full amount of the EAAC Scholarship.
Pell Grant (i.e. FASFA)
Per Semester
Summer Semester
Fall Semester
Spring Semester
6
11
15
540
$
990
$ 1,350
In-state tuition
$ 1,080
$ 1,980
$ 2,700
$180 per credit
$ 1,265
$
$
Kit is a one-
*$ -897
0
$-2,285
0
*$ -3,047
time fee payable to Amount based on eligibility Amount due
$ 1,988
$
685
$ 1,003
*Total cost: $3,676 Sample represents an Arizona part-time student taking 6 credits, summer semester; 11 credits, fall semester; 15 credits, spring semester; having received a full Pell Grant.
*These are estimates only. All prices are subject to change.
10
Hours 8:30 – 2:30
before classes begin
Full Time *Cost of Nail Tech Program w/ Pell Grant (i.e. FASFA)
*Cost of Nail Tech Program w/ EAAC Scholarship Waiver One Semester
Cosmetology Credits
Hours 8:30–5:00
One Semester
18
Cosmetology Credits
18
Tuition
$
1,350
Tuition
$
1,350
In-state tuition
Course fees
$
3,240
Course fees
$
3,240
$180 per credit
Kit
$
677
Kit
$
677
*$
-1,000
*$
-3048
EAAC Scholarship
Pell Grant (i.e. FASFA)
Kit is a one-time fee payable to EAAC Amount based on eligibility Amount due before
*Total cost: $4,267
*Total cost: $2,219
Sample represents an Arizona full-time student taking 18 credits in one semester, having received the full amount of the EAAC Scholarship.
Sample represents an Arizona full-time student taking 18 credits in one semester, having received a full Pell Grant.
classes begin
*These are estimates only. All prices are subject to change.
Part-Time *Cost of Nail Tech Program w/ Pell Grant (i.e. FASFA)
*Cost of Nail Tech Program w/ EAAC Scholarship Waiver 1st Semester
2nd Semester
9
9
Cosmetology Credits $
810 $
810
Course fees
$
1,620 $
1,620
Kit
$
677 $
0
*$
-500 *$
-500
$
2,607 $
1,930
Per Semester
2nd Semester
9
9
Cosmetology Credits
Tuition
EAAC Scholarship
1st Semester
Hours 8:30–2:30
Tuition
$
810
$
810
In-state tuition
Course fees
$
1,620
$
1,620
$180 per credit
Kit
$
677
$
0
-2,286 *$
-2,285
821 $
145
Pell Grant (i.e. FASFA)
Per Semester
*$
$
*Total cost: $4,537
*Total cost: $966
Sample represents an Arizona part-time student taking 9 credits 1st semester, 9 credits the 2nd semester, having received the full amount of the EAAC Scholarship.
Sample represents an Arizona full-time student taking 24 credits 1st semester, 20 credits 2nd semester, having receiving a full Pell Grant.
*These are estimates only. All prices are subject to change.
11
Kit is a one-time fee payable to EAAC Amount based on eligibility Amount due before classes begin
HOUSING On-campus housing is available at EAC. Dorms officially open in August but are available earlier. A daily rate applies. The dorms are closed during Christmas break and for the summer, beginning in May. Contact Housing at (928) 428-8605 for more information.
COLLEGE CREDITS Students will earn 44 credits in the certificate program which can later be applied towards the Cosmetology AAS degree or General Technical Studies AAS degree. Students can also earn an Associate of General Studies degree. A cosmetology student can apply 25-29 cosmetology credits as electives in this degree.
12
APPLICATION FOR ADMISSION Name: _______________________________________________________________________ Mailing Address: ______________________________________________________________ City:
_________________
Birth Date:
___/___/___
State:
_____________
Zip Code:
_____________
SSN#:
____-____-____
DL#:
________________
Cell #:
________________
Please list all phone numbers:
Home #:
____________
Email Address:
Work #: _____________
______________________________________________________________
Emergency Contact:
____________________________
High School Name:
_________________________________________________________
City/State:
_________________
(High School or GED Center)
Postsecondary School Attended: School Name
Yes
Phone #:
________________
HS/GED Graduation:
No
______________
If yes, complete information below
City/State
Years Attended
____________________
_______________
______________
_________
____________________
_______________
______________
_________
Race:
Degree
African American
Caucasian
American Indian/Alaska Native
Hispanic
Asian
Other
Sex: Male Citizenship Status:
___________________________________
Female U.S. Citizen (If naturalized, naturalization number) ___________________ Permanent Resident Alien Registration Number __________________________________________ Other __________________________________________________________________
State of Residence:
_____________________________
I am applying for the:
Since: _________
AZ residency must be verified for students to pay in-state fees. Please refer to Eastern Arizona College’s current catalog for residency status guidelines.
Cosmetology program Hairstylist program Nail Technology program Cosmetology/Hairstylist/Nail Tech/Esthetics Instructor program
Full time Part time
Please tell us why you feel you should be considered for acceptance. ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________
Student Signature:
___________________________________________
Date:
_____________________
Application must be completely filled out or it will not be processed
13
EMERGENCY CONTACT INFORMATION Name:
_____________________________________________________________________________
Parent/Legal Guardian Name:
_________________________________________________________
Address 1:
__________________________________________________________________________
Address 2:
__________________________________________________________________________
City:
____________________ State:
___________________
Zip Code: ______________
Home Phone:
(
) __________________
Work Phone:
(
) _____________________
Additional No.:
(
) __________________
Email Address:
___________________________
Note: Parent or Legal Guardian will be contacted first in case of an emergency, unless otherwise noted.
Please provide contact information for at least two (2) emergency contacts. Contact 1 Name:
__________________________________________________________________________
Address 1:
__________________________________________________________________________
Address 2:
__________________________________________________________________________
City:
____________________
Phone No.: (
State:
_________________ Zip Code:
) ___________________ Additional No.:
(
________________
) ________________________
Email Address: ________________________________________________________________________ Contact 2 Name:
__________________________________________________________________________
Address 1:
__________________________________________________________________________
Address 2:
__________________________________________________________________________
City:
____________________
Phone No.: (
State:
_________________ Zip Code:
) ___________________ Additional No.:
(
________________
) ________________________
Email Address: ________________________________________________________________________
14
LETTER OF INTENT Why is it important for you to continue your education? _________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Why are you interested in cosmetology? _______________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ What other careers are you considering? _______________________________________________ __________________________________________________________________________________ __________________________________________________________________________________
EMPLOYMENT HISTORY From:
_______ To:
_______
Position/Job Description: Reason for Leaving:
Employer
_____________________________________
_______________________________________________________
______________________________________________________________
__________________________________________________________________________________ From:
_______ To:
_______
Position/Job Description: Reason for Leaving:
Employer
_____________________________________
_______________________________________________________
______________________________________________________________
__________________________________________________________________________________ From:
_______ To:
_______
Position/Job Description: Reason for Leaving:
Employer
_____________________________________
_______________________________________________________
______________________________________________________________
__________________________________________________________________________________
15
CONFIDENTIAL EVALUATION/RECOMMENDATION FOR PROSPECTIVE STUDENT This evaluation is to be completed by a non-relative who has been associated with the candidate listed below. The person completing this form should be someone who has observed the candidate in a work-related setting, on a project, or in an activity (i.e. teachers, cosmetologists, community associates, supervisors, etc.). The individual completing the evaluation/recommendation can submit the completed form to the following address: EAAC, 1926 Thatcher Blvd., Safford, AZ, 85546 Name of Candidate:
_____________________________________________________________________ Check Appropriate Column Outstanding Average
Weak
Unknown
Attitude Towards Friends Attitude Towards Supervisors Capacity for Future Development Cooperation Initiative Judgment Work Performance Honesty/Ethics Responsibility Uses Time to Best Advantage Follows Instructions Punctuality Communicates Effectively Written Statement Please use the back of this form to write your opinion of the candidate’s personal and work-related qualifications. Please include your recommendation for the candidate’s acceptance into the cosmetology program. Comments are for the exclusive use of the instructor in the selection process and are not shown to the candidate.
The Cosmetology Training Program at EAAC is 1,600-hours minimum, Hairstyling Program is 1,000-hours minimum and the Nail Tech Program is 600-hours minimum. These programs are designed to provide the qualifying hours of training necessary to take the State Board of Cosmetology Licensing Examination in cosmetology, hairstyling and/or nail technology. Name of Reference: Address: City:
______________________________________
Phone:
(
) ___________________________________
_____________________________________________________________________________________________________ _____________________________
State:
I have known the candidate through my relationship as: Signature:
_________________________________
Zip Code:
________________
_____________________
From:
__________ To:
____________________________________________________________
Date:
___________________________
16
_________
CONFIDENTIAL EVALUATION/RECOMMENDATION FOR PROSPECTIVE STUDENT This evaluation is to be completed by a non-relative who has been associated with the candidate listed below. The person completing this form should be someone who has observed the candidate in a work-related setting, on a project, or in an activity (i.e. teachers, cosmetologists, community associates, supervisors, etc.). The individual completing the evaluation/recommendation can submit the completed form to the following address: EAAC, 1926 Thatcher Blvd., Safford, AZ, 85546 Name of Candidate:
_____________________________________________________________________ Check Appropriate Column Outstanding Average
Weak
Unknown
Attitude Towards Friends Attitude Towards Supervisors Capacity for Future Development Cooperation Initiative Judgment Work Performance Honesty/Ethics Responsibility Uses Time to Best Advantage Follows Instructions Punctuality Communicates Effectively Written Statement Please use the back of this form to write your opinion of the candidate’s personal and work-related qualifications. Please include your recommendation for the candidate’s acceptance into the cosmetology program. Comments are for the exclusive use of the instructor in the selection process and are not shown to the candidate.
The Cosmetology Training Program at EAAC is 1,600-hours minimum, Hairstyling Program is 1,000-hours minimum and the Nail Tech Program is 600-hours minimum. These programs are designed to provide the qualifying hours of training necessary to take the State Board of Cosmetology Licensing Examination in cosmetology, hairstyling and/or nail technology. Name of Reference: Address: City:
______________________________________
Phone:
(
) ___________________________________
_____________________________________________________________________________________________________ _____________________________
State:
I have known the candidate through my relationship as: Signature:
_________________________________
Zip Code:
________________
_____________________
From:
__________ To:
____________________________________________________________
Date:
___________________________
17
_________
CONFIDENTIAL EVALUATION/RECOMMENDATION FOR PROSPECTIVE STUDENT This evaluation is to be completed by a non-relative who has been associated with the candidate listed below. The person completing this form should be someone who has observed the candidate in a work-related setting, on a project, or in an activity (i.e. teachers, cosmetologists, community associates, supervisors, etc.). The individual completing the evaluation/recommendation can submit the completed form to the following address: EAAC, 1926 Thatcher Blvd., Safford, AZ, 85546 Name of Candidate:
_____________________________________________________________________ Check Appropriate Column Outstanding Average
Weak
Unknown
Attitude Towards Friends Attitude Towards Supervisors Capacity for Future Development Cooperation Initiative Judgment Work Performance Honesty/Ethics Responsibility Uses Time to Best Advantage Follows Instructions Punctuality Communicates Effectively Written Statement Please use the back of this form to write your opinion of the candidate’s personal and work-related qualifications. Please include your recommendation for the candidate’s acceptance into the cosmetology program. Comments are for the exclusive use of the instructor in the selection process and are not shown to the candidate.
The Cosmetology Training Program at EAAC is 1,600-hours minimum, Hairstyling Program is 1,000-hours minimum and the Nail Tech Program is 600-hours minimum. These programs are designed to provide the qualifying hours of training necessary to take the State Board of Cosmetology Licensing Examination in cosmetology and/or nail technology. Name of Reference: Address: City:
______________________________________
Phone:
(
) ___________________________________
_____________________________________________________________________________________________________ _____________________________
State:
I have known the candidate through my relationship as: Signature:
_________________________________
Zip Code:
________________
_____________________
From:
__________ To:
____________________________________________________________
Date:
___________________________
18
_________
