International Makeup School Cosmetics Training Make Up School, Cosmetic School, Professional Make-up Artist, Makeup Artist School

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:

Country of Citizenship:

Country of Permanent Residence:

How did you hear about us?
(Hold alt key to select more than one)

EMERGENCY CONTACT:

Name:

Telephone:

EDUCATION:

High School:

Art School or Trade School:

College:

Are you a licensed Esthetician or Cosmetologist?

Yes No

In order to enroll, Students must be 18 years old, have a high school diploma or G.E.D. or take the Wonderlic Basic Skills Test and minimally score 200 on the Verbal and 210 on the Quantitative tests.

Please check one of the following:

I have proof of a high school diploma or equivalent
I have proof of a G.E.D. or equivalent
I do not have any of the above documentation

How will you provide proof of meeting the high school requirement?

I will fax a copy of my documentation to the Admissions Office.
I will mail a copy of my documentation to the Admissions Office.
I do not have the necessary documentation. I will take the basic skills test.

ENROLLMENT INFORMATION:

When would you like to begin?

Day Evening

CLASSES:

Program Name Or Individual Classes

Multi Media Makeup Artistry
Fashion Makeup Artistry
Production Makeup Artistry

Fundamental Make-Up Technique
Airbrushing

OTHER INFORMATION:
PLEASE CHECK ALL APPROPRIATE BOXES (Statistical use only by State and Federal Agencies)

African American Caucasian
American or Alaskan Indian Asian or Pacific Islander
Hispanic Limited English
Visually Impaired Speech Impairments
Hearing Impaired Physical Impairments

Please briefly describe experiences you have in make-up, hairstyling, design or art:

FOR FOREIGN STUDENTS ONLY:

What is your present knowledge of English?

Reading:	GOOD FAIR POOR NONE
Writing:	GOOD FAIR POOR NONE
Listening:	GOOD FAIR POOR NONE
Speaking:	GOOD FAIR POOR NONE

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):

Self Family Member Parent Friend

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.

$150 REGISTRATION FEE PAYMENT: