Application & Assessment – Ambler Step 1 of 2 50% Name* First Last Address* Street Address City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneCell PhoneDate of Birth* Date Format: MM slash DD slash YYYY Email* EducationDo you have a HS Diploma or GED?*YesNoHigh SchoolHS City & StateHS Grad YearCollegeCollege City & StateCollege Grad Year Program InformationCampus of Interest*Allentown, PAAmbler, PAPhiladelphiaStroudsburg, PAProgram Applied For*CosmetologyEstheticsNail TechnicianCosmetology TeacherProgram Schedule*Day ClassEvening ClassAre you left-handed or right-handed? (important to know for your kit)*Left-HandedRight-Handed Background HistoryHave you ever been placed on probation, suspended, removed, dismissed or expelled from any school or academic program since 9th grade?*YesNoIf yes, please describe and explain:*Have you ever been convicted?*YesNoIf yes, please describe and explain:* Please note that convictions may affect your eligibility to take the license exam. Please discuss with school representative for more information. What motivates you to be a beauty professional?*Do you let your personal life affect your attitude during school or work?*Who supports your plan of going to beauty school?*How do you respond to constructive criticism?*Do you feel it is important to be punctual? Explain.*How would a teacher or employer describe you?*How do you learn new skills?*How do you prepare for a test?*How do you feel about rules and regulations in school?*What are your outside commitments while attending school?*Do you enjoy working with people? Please describe an experience to illustrate your answer.*Why do you think you can be successful as a beauty professional?*Do you consider your education an investment or an expense? Please explain.*How do you plan to pay for your education?*Do you want to be an average or an exceptional beauty professional? Why?* By clicking the Submit Application button, you acknowledge and agree that the information represented in this application are accurate. Furthermore, I understand that inaccuracy in my application, including supplemental information, may result in termination, if accepted.