Student Application For Admission

Please fill out application. Fields marked with * are required. Dates must be entered as (DD-MM-YYYY)


General Information
   
Employment Information
     
   
     
Educational Information (Please select last grade completed)
Post Secondary School (s)   Course (s)   Degree (s)
 
     
Family Information
Father Mother
     
 Please list two (2) additional references of persons who are likely to know your address in the future years.
 
 
Disabilities
 Do you have any of the following?
   
   
   
   
   
 
   
 You are not required to answer these questions. However, it will help us serve you better, assist us in planning, and prevent unnecessary mistakes in correspondences.
     
Health Survey
 The college is required to provide this information to the United State Department of Education, to assist in determining compliance with the Equal Oppurtunity Programs under the
 Civil Rights Act of 1964 and to assist this institution in obtaining information necessary to apply for federal funds to be used for financial aid. It is not used in application decisions.
     
  Health Counseling
  Psychological Counseling
  Speech or Hearing Assistance
     
     
  Diabetes
  Epilepsy
  Cardiac Condition
  Hypertension
  Asthma/Hay Fever
     
Please mark appropriate answers. Please answer all questions.
   
 Please write a paragraph stating why you would like to become a Cosmetologist/ Nail Technician/ Esthetician.
   
   
    High School Counselor
  High School Instructor
  Fried/Acquaintance
  Salon
  Family Member
  Newspaper/Magazine Ad
  Mailing
  Career Day
  Radio
  Television
  Employer
  Phone Book
  Other
 
 
     
Financing your Education
 If you need Government financial assistance to attend Michigan College of Beauty you (and/or your family) are required to complete an FAFSA (application for Federal Student Aid) available from the Director of Admissions of MCB or by going to www.FAFSA.ed.gov. These will serve as an application for the Pell Grant and/or student loans. To determine qualifications an FAFSA must be completed. Proof of income will also be required to be submitted.
     
 Please select appropiate column if necessary.
 
     
Campus Information
 Waterford: Port Huron Cosmetology College (PHCC) dba Michigan College of Beauty (School Code: 008946)
  5620 Dixie Hwy
  Waterford, MI 48329
  Phone: 248-623-9494
  Fax: 248-623-6505
 
Course Selection Information
  Cosmetology
  Manicuring
  Esthetician
  Instructor Training
  Transfer Student
 
     
    January
  February
  March
  April
  May
  June
    July
  August
  September
  October
  November
  December
     
    Day Class
  Night Class
 
 
 Please list two (2) references of persons who would recommend you for training, not relatives.
     
     
 Submit this application as a true statement of fact for your consideration.