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2008 STARTING AND ENDING DATES

PLEASE CHECK THE APPROPRIATE BOXES

DAYS       EVENINGS       SATURDAYS

BASIC CAREER COURSE 100 HOURS
       DATES YOU WISH TO ATTEND 		ADVANCED CAREER COURSE 300 HOURS
       DATES YOU WISH TO ATTEND


NOV 26 -- DEC 21 (2007)
JAN 7 -- FEB 1
FEB 11 -- MAR 7
MAR 17 -- APR 11
APR 21 -- MAY 16
MAY 26 -- JUNE 20
JUNE 30 -- JULY 25
AUG 4 -- AUG 29
SEPT 8 -- OCT 3
OCT 13 -- NOV 7
NOV 17 -- DEC 12
 NOV 26 -- FEB 1 (2007)
JAN 7 -- MAR 14
FEB 11 -- APR 18
MAR 17 -- MAY 23
APR 21 -- JUNE 27
MAY 26 -- AUG 1
JUNE 30 -- SEPT 5
AUG 4 -- OCT 10
SEPT 8 -- NOV 14
OCT 13 -- DEC 19
NOV 17 -- JAN 23



2008 School Holidays
Memorial Day (5/24-26) Independence Day (7/4-6) Labor Day (8/30-9/1)
Thansgiving (11/27-30) Christmas (12/25) New Year's (1/1)
*Please note that holidays are not included in the Basic/Advanced Hours.
This will extend certain ending dates.*



GENERAL INFORMATION
NAME:   MR. MRS. MS.  
HOME ADDRESS:  
CITY:      STATE:      ZIP:  
SOCIAL SECURITY NUMBER:  
DATE OF BIRTH:  
AREA CODE + PHONE - HOME:  
AREA CODE + PHONE - OTHER:  
E-MAIL:  
HOW DID YOU HEAR ABOUT THE NEW YORK SCHOOL OF DOG GROOMING?

HAVE YOU HAD ANY PREVIOUS GROOMING EXPERIENCE?YES NO
IF YES, WHERE AND WHEN:

BACKGROUND INFORMATION
NAME OF LAST HIGH SCHOOL:  
ADDRESS OF HIGH SCHOOL:  
MAIDEN NAME:  
OTHER NAMES USED:  
DID YOU GRADUATE?   YES NO
IF YES, YEAR:       IF NO, DO YOU HAVE A GED?   YES NO
DID YOU ATTEND SCHOOL AFTER HIGH SCHOOL?     YES NO
IF YES, NAME THE POST SECONDARY SCHOOL?  
NAME OF CURRENT EMPLOYER:  
ADDRESS // CITY // STATE // ZIP    
AREA CODE + PHONE NUMBER:  
SPOUSE'S NAME:       WORK PHONE:  
SPOUSE'S EMPLOYER:  
PARENT'S NAME:  
HOME PHONE:  
ADDRESS // CITY // STATE // ZIP  
PERSONAL REFERENCE:     RELATIONSHIP:  
ADDRESS:     PHONE:  

MEDICAL HISTORY
ALLERGIES...............................YESNO.... IF YES, WHICH:  
DIABETES.................................YESNO
EPILEPSY.................................YESNO
HEART CONDITION....................YES NO
IMPAIRED VISION......................YESNO
PROSTHETIC DEVICES..............YESNO.... IF YES, WHICH:  
ARE YOU ON MEDICATION?......YESNO.... IF YES, PLEASE LIST:  

SIGNATURE_______________________________DATE___________________



Please contact us if you have any difficulty in meeting our schedules.

IMPORTANT: You must complete ALL questions on this enrollment application.
Print this application and mail it to us with a non-refundable fee of $50.00.*
*Fee must accompany this application.