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Student Application Form

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?
Reading:  
Writing:  
Listening:  
Speaking:  

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.

Program Name: Individual Classes:





 
Credit Card Type:
 
Credit Card Number:
 
Name on Card:
 
Security Code (CVV):
 
Expires (MM/YY):
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Billing Zip Code:
 
   
 
 
     
 

  Cosmix School of Makeup Artistry
  2635 E Oakland Park Blvd, Fort Lauderdale, FL 33306



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2013 Copyright Cosmix, Inc. All Rights Reserved.
 

Call Us at 954-564-4181, Request a Catalog, or Contact Us Via E-mail Today! Come visit the Makeup School & Makeup Studio

Licensed by the FL Department of Education, Commission for Independent Education Lic. #3170

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