New Online Application

Online Application

Personal Information

Last Name

First Name

Preferred First Name

Middle Name

Maiden Name

Street

City

State/Province

Zip/Postcode

Home Phone

Cell Phone

Have you ever been convicted of a felony?

Yes No Not Selected

Enrollment Information

Which Best describes your application status?

New Applicant

Former Student

Transfer

If transfer, from where?

Only fill out if you are a transfer student.

How many hours do you currently have?

Only fill out if you are a transfer student.

When would you like to begin classes?

Program of Interest

Campus

Class Schedule

Class Time

Do you have reliable transportation?

Yes No Not Selected

If you reside outside of Mississippi, are you planning on getting licensed in:

My state of residence

Both

Education

High School Name/ or equivalent

HS Graduation Date

City

State

From (mo. yr)

To (mo. yr.)

Do you have any other schools to list

Yes No Not Selected

Name of School

City

State

From (mo./ yr)

To (mo. yr.)

Do you have any other schools to list?

Yes No Not Selected

Name of School

City

State

From (mo./ yr)

To (mo. yr.)

Have you been suspended or dismissed from any barbering school or college for academic, attendance or disciplinary reasons?

Yes No Not Selected

If yes, explain:

To provide you the best education, please let us know if you have an IEP or Special Education plan so we can make accommodations for your State Board Exam.

Yes No Not Selected

Employment and Military History

List your employment experience (including military service) for the last 12 months.

Employer

Street Address

City, State, Zip

From (mo./yr.)

To (mo./yr)

Employer

Street Address

City, State, Zip

From (mo./ yr.)

To (mo./ yr.)

Employer

Street Address

City, State, Zip

From (mo./ yr.)

To (mo./ yr.)

1.) Why will you be a great student at our school?

2.) What obstacles might prevent you from achieving excellent attendance and excellent academic performance?

3.) How did you hear about Upper Kutz Barber College?

4.) What traits do you have that will help you succeed in this industry?

5.) What are your long-term career goals?

6.) Why did you choose Upper Kutz Barber College?

Admission Policy

All prospective students must complete an Admissions Application and return it to the campus location. All applications will be reviewed and approved by the campus Admissions Representative and campus Manager. Incomplete applications will not be considered for review. Applications received from an applicant with a felony conviction will be further reviewed by the schools’ owner, directors staff, and campus Admissions Representative and Manager. Submitting an application does not guarantee admission. Prospective students will be notified by phone of approval or denial of admission. In the event a prospective student cannot be reached via phone, a letter will be mailed to the address provided on the Admissions Application. Upper Kutz Barber College reserves the right to approve or deny admission based on information gathered from the Admissions Application, during conversations with prospective students or friends and family members of prospective students (on the phone or in person), letters written by or on the behalf of a prospective student, or any other form of communication.

Note:

As part of the enrollment process, a down payment of $100.00 (NON-REFUNDABLE) will be required to start the college program of choice. The down payment will cover all registration fees. Financial Assistance is available to those who qualify.

Student Signature

I certify that to the best of my knowledge, the information given in this application is true. I understand that any omission or misrepresentation of facts will be cause for refusal of admission, cancellation of application, or dismissal from Upper Kutz Barber College if later discovered. I further understand that, if I am approved and accepted into the program, it is MY RESPONSIBILITY to arrange for ALL ADMISSION CREDENTIALS (diploma, official transcripts, down payment, etc.) to be received by the Admissions Office AT THE TIME OF MY ENROLLMENT.

Applicant Signature

Date

Enter the above code

Required