Please submit the form below to apply on-line to Cosmix School of Makeup Artistry
Once you have completed the form, press the submit button on the bottom of your
screen.
| GENERAL
INFORMATION: |
First Name: |
|
Last Name: |
|
| Date of Birth: |
|
| Address: |
|
| Apt/Suite: |
|
| City: |
|
| State/Providence: |
|
| Country: |
|
| Postal Code: |
|
Email Address: |
|
Phone Number: |
|
| Cell Phone: |
|
| Social Security Number: |
|
| Gender: |
|
| Are you a US Citizen? |
|
| Country of Permanent Residence: |
|
How did you hear about us?
(Hold alt key to select more than one) |
|
| |
EDUCATION: |
Are you a licensed
Esthetician or Cosmetologist? |
|
Students must
be 18 years old and have proof of a high school diploma or G.E.D. |
| Please
check one of the following: |
|
ENROLLMENT
INFORMATION: |
When would you like to
begin? |
|
| CLASSES: |
|
|
|
|
OTHER
INFORMATION:
PLEASE CHECK ALL APPROPRIATE BOXES (Statistical use only by State and
Federal Agencies) |
|
FOR
FOREIGN STUDENTS ONLY: |
| What is your present
knowledge of English? |
|
All applicants who
will enter the U.S. on a student visa must complete the following questions
about financial support. Source of financial support (SELECT ONE):
|
If
financial support is not coming from the student, the following statement must
be completed by the student’s financial sponsor:
I (Financial Sponsor)
, certify that I will
assume full financial responsibility (including educational and living expenses)
for (Student)
while he/she is enrolled at Cosmix School of Makeup Artistry. |
METHOD OF
PAYMENT: |
In order to apply, students must submit a Student Application Form with a $350.00 deposit for Freelance, $450.00 for Fashion, and $500.00 for Production, $300 for Skin Care, or $250 for an individual class (includes a $150.00 non-refundable registration fee). Students may pay with cash, credit card, wire transfer, or a check drawn on an American bank. For more information about wire transfers, call the school or email christina@cosmixinc.com.
The balance of tuition is due in full before the start of classes if paying by credit card or cash, 1 week in advance if paying by check unless monthly payments have been arranged. International Students must pay in full 2 weeks before the start of classes.
Please make checks payable to COSMIX SCHOOL OF MAKEUP ARTISTRY. I understand that $150.00 of this amount is a non-refundable registration fee should I fail to commence class. |
|
| |
 |
Credit Card Type: |
|
Credit Card Number: |
|
Name on Card: |
|
Security Code (CVV): |
|
Expires (MM/YY): |
/
|
Billing Zip Code: |
|
| |
|
|
|
|