COSMETOLOGY APPLICATION FORM

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1 COSMETOLOGY APPLICATION FORM PLEASE COMPLETE THIS APPLICATION FORM USING BLOCK CAPITALS, TICK APPROPRIATE BOXES AND MAIL OR FAX: FAO STEPHANI PATTERSON SASSOON ACADEMY 321 SANTA MONICA BLVD SANTA MONICA CA USA T F E STEPHANIP@SASSOONACADEMY.COM APPLICATION (USA students) PERSONAL DETAILS EMERGENCY CONTACT (DAY) (HOME) D.O.B (mm/dd/yy) ZIP CHARACTER REFERENCE (A letter of recommendation must be included) PLACE OF BIRTH ZIP MARITAL STATUS USA CITIZEN Yes No SOCIAL SECURITY NUMBER DEPENDANTS (DAY) (HOME) EDUCATION HIGH SCHOOL ATTENDED S COLLEGE ATTENDED S DEGREE (Please specify) ATTENDANCE S (Please specify your choice of dates) 1ST CHOICE 2ND CHOICE DECLARATION (I certify under penalty of law that the above information in this form is true and correct) SPECIALIZED TRAINING (Please specify) PRESENT OCCUPATION SIGNATURE OF APPLICANT INTERVIEWED BY

2 APPLICATION ADDENDUM (Foreign students) (Please complete both applications) CHARACTER REFERENCES 1. COUNTRY OF CITIZENSHIP D.O.B (mm/dd/yy) MY EDUCATIONAL OBJECTIVE IS MAXIMUM STAY PERIOD IN THE UNITED S MONTHS YEARS 2. SCHOOL LAST ATTENDED CITY COUNTRY FIELD OF STUDY WAS STUDIES WERE COMPLETED ON (MM/DD/YY) FAMILY CONTACT LIVING OUTSIDE OF THE USA EMERGENCY CONTACT FAMILY CONTACT LIVING IN THE USA

3 FINANCE, LIVING ARRANGEMENTS & DOCUMENTATION HOW WILL STUDENT BE SUPPORTED DURING THE TEN-MONTH COURSE? DECLARATION (I certify under penalty of law that the above information in this form is true and correct) ESTIMATE COST OF LIVING AND INCIDENTAL EXPENSES FOR THE PERIOD OF TEN MONTHS: TUITION & FEES $ SIGNATURE OF APPLICANT INTERVIEWED BY DEPENDENTS EXPENSES $ LIVING EXPENSES $ OTHER (SPECIFY) $ TOTAL $ DURING THE BASIC COSMETOLOGY COURSE, 10 MONTH PROGRAM, I WILL BE LIVING WITH: RELATIVES FRIENDS I WILL BE RENTING OTHER, PLEASE SPECIFY APPLICATION (USA students) Dear Student, Before you complete the enclosed application, please read the following. Students are advised that cosmetology classes are demanding and require the individual to stand for up to 8 hours per day and to work with chemicals such as permanent solutions and colors. You must be able to meet these requirements, with or without accommodation, in order to successfully attend the Sassoon Academy. Any student requesting a reasonable accommodation for a disability must follow Sassoon s Policy for Accommodating Students with Disabilities. I understand that Sassoon Academy reserves the right to change the Course Schedule start date while a reasonable accommodation request is pending. I acknowledge that I am able to stand for up to 8 hours per day and to work with chemicals as will be required to attend Sassoon Academy. FOR US CITIZENS, PLEASE SUBMIT THE BELOW DOCUMENTS ALONG WITH YOUR COMPLETED APPLICATION: SIGNED Autobiography Letter of recommendation Copy of driver s license Copy of social security card If applicant is a Permanent Resident from another country, they will need a copy of proof of US citizenship papers Copy of High School Diploma/GED or College Diploma Completed Sassoon Aptitude test Completed School Performance fact sheet 2 small headshot photos (1 x 1.5 ) FOR THE FOREIGN STUDENT, PLEASE SUBMIT THE BELOW DOCUMENTS ALONG WITH YOUR COMPLETED APPLICATION: Autobiography 2 letters of recommendation Copy of driver s license Copy of birth certificate Copy of family bank statement Copy of personal bank statement Copy of passport Copy of last diploma received Completed Sassoon Aptitude test Completed School Performance fact sheet 2 small headshot photos (1 x 1.5 ) PARENT/ GUARDIAN This signed form must be returned with the students completed application. The Sassoon Academy will not acknowledge application or issue acceptance without this addendum. APPLICATION ADDENDUM (Foreign students) I hereby state, under penalty of perjury that I do not have hours from any cosmetology school, or other school of specialized training in the field of cosmetology, cosmetician, manicurist, electrologist, instructor or cosmetologist/barber, taken in the state of California, in any of the fifty states, or taken out of the country that may be used as a transfer or as supplemental hours by the California State Board of Cosmetology. SIGNED PARENT/ GUARDIAN This signed form must be returned with the completed application. The Sassoon Academy will not acknowledge application or issue acceptance without this addendum.

4 Payment Plan Options COSMETOLOGY FEE $20,000 - includes the State Board Kit value $600 A $75.00 registration fee is required with all applications (non-refundable) Sassoon Academy is pleased to offer financing from 8 months up to 120 months (10 years) for your Cosmetology Couse Whichever payment plan you decide to use, a down payment will be needed to secure your place in class. Financing through TFC Credit Corporation is not available to foreign students. Listed below are the financing details. In addition to financing the Cosmetology course fee, we can also finance the Sassoon Professional Kit (Value $1,586) into the payment plan option of your choice. DISCOUNTED TUITION FEES PAYING IN ADVANCE For students who wish to pay all tuition fees in advance of starting their course, we offer the following discounts. A down payment will be required to secure your booking. Payment Plan #1 Discount $7, $2, The following discount shall apply when full payment is received by Sassoon Academy at least 45 days prior to the course start date. Payment Plan #2 Discount $7, $1, The following discount shall apply when full payment is received by Sassoon Academy at any later time prior to the course start date. SHORT TERM INTEREST FREE FINANCE Payment Plan #3 Initial Followed by 8 monthly payments of Total amount repaid Interest rate $10, $1, % For students who wish to pay all tuition fees in advance of starting their course, we offer the following discounts. A down payment will be required to secure your booking. LONG TERM Payment Plan #4 Loan based on 120 months (10 years) $5, $3, $2, $25, $23, $22, $ $ $144.84

5 Payment Plan #5 Loan based on 84 months (7 years) $3, $2, $1, $23, $22, $21, $ $ $ Payment Plan #6 Loan based on 60 months (5 years) $2, $1, $1, $22, $21, $21, $ $ $ Regardless of which payment plan you choose, we require a down payment to secure your booking. The size of this down payment shall determine the interest rate applied. DECLARATION Sassoon Academy reserves the right to refuse credit. Schedule and fees are subject to change. Notice: Any holder of a consumer credit contract is subject to all claims and defenses which the debtor could assert against the seller of goods or services obtained pursuant hereto or with the proceeds hereof. Recovery hereunder by the debtor shall not exceed amounts paid by the debtor hereunder. Furthermore, the institutions making the loan or extending the credit can be subject to all defenses and claims which could be asserted against it notwithstanding the presence or absence of the notice and notwithstanding any agreement in which the student waives the right to assert any defenses or claims. PAYMENT DETAILS CARD NUMBER EXPIRATION CARDHOLDER NAME CARDHOLDER SIGNATURE CVC

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