Admission Form

Required fields are marked with *

Please fix the following problems with your application:

First name *

Middle intial

Last name *

Male Female *

Day 12345678910111213141516171819202122232425262728293031 Month JanFebMarchAprMayJunJulAugSepOctNovDec Year 20132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913 Date of Birth *

SIN number *

Mailing address *

City *

Province *

Postal Code *

Phone *

Cell

Fax

Email *

How did you hear about us?

Program Blended Hairstyle Makeup Esthetics DiplomaHair Styling Diploma Which program are you interested in? *

School LethbridgeMedicine Hat Which school will you be attending? *

Month JanFebMarchAprMayJunJulAugSepOctNovDec Year 2013201420152016 Preferred target start date (3 intakes / year)? *

Left Handed Right Handed This is to help us order kits *

Education Information

Highest level of Math achieved *

Highest level of English achieved *

Total High School credits *

Yes No Are you missing one of the above mentioned admission requirements? *

Yes No If you are missing the above requirements, are you applying as mature student status? *