application - Moore Norman Technology Center

Cosmetology, Master Instructor Application

Student Statusrequired

I am a current high school student.

I am an adult student

Student Legal First Namerequired

Must contain only letters

MI

Must contain only letters

Student Legal Last Namerequired

Must contain only letters

Are you a high school graduate?required

Yes

No

Applicants without a high school diploma or GED are not eligible to apply.

If you are interested in pursuing your cosmetology license consider applying for other Cosmetology programs. Visit the webpage to learn more about the requirements and application period.

Contact customer.inquiry@mntc.edu or call 405-801-5000 with any questions you may have.

Do you have a current cosmetology license?required

Yes

No

Applicants without a current cosmetology license are not eligible to apply.

If you are interested in pursuing your cosmetology license consider applying for our Cosmetology, Adult (evening program). Visit the webpage to learn more about the requirements and application period.

Contact customer.inquiry@mntc.edu or call 405-801-5000 with any questions you may have.

If yes, how long has your license been current without a lapse?required

Submit the dates of your current license without a lapse.

I am able to attend Full Time during the day.required

Yes

No

Student Date of Birth

Primary Phonerequired

e.g., 4058015000

Student Emailrequired

Please provide a personal email that you check regularly.

Physical Addressrequired

e.g., 123 Oak Street

Apt or Suite

Cityrequired

Must contain only letters

Staterequired

ZIPrequired

Is your mailing address the same as your physical address?required

Yes

No

Mailing Address

Mailing Address 1required

e.g., P.O. Box 1234

Mailing Address 2

Cityrequired

Must contain only letters

Staterequired

ZIPrequired

Must contain only numbers

Emergency Contact - Primary

Emergency Contact First Namerequired

Emergency Contact Last Namerequired

Relationshiprequired

List Relationship:required

Emergency Contact Primary Phonerequired

e.g., 4058015000

Phone Typerequired

Home

Cell

Work

Emergency Contact Email

Disclaimer, Policies, and Guidelinesrequired

I give permission/consent to Moore Norman Technology Center to release academic and personal information (for example, grades, educational progress or attendance records) from school files and sources to an inquiring school or agency.

I understand that completing this form with written consent (signature) releases Moore Norman Technology Center and any person or persons connected with Moore Norman Technology Center from any and all liabilities of student confidentiality relating to any information described above which is given to the inquiring school or agency.

I certify that all information given here is complete and correct to the best of my knowledge. I understand that submission of false information or academic records is grounds for denial of admission and that failure to do so may result in my being denied admission. I further agree that upon admission to Moore Norman Technology Center, it is my responsibility to read the Moore Norman Technology Center student handbook and abide by its rules and regulations regarding conduct and other obligations which have been made by properly constituted authorities.

Adult Fees & Tuition
Americans with Disabilities Act
Family Education Rights and Privacy Act (FERPA)
Nondiscrimination Policy

By entering my digital signature below, I acknowledge that I have read, understand, and will abide by all of the policies and guidelines in this application.required

Applicant's Digital Signature (e.g., Jane Doe)

Office Use Only

Comments

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Cosmetology, Master Instructor Application

Mailing Address

Emergency Contact - Primary

Moore Norman Technology Center

Franklin Road Campus

South Penn Campus

Legal Statements

Policies

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