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2010 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 30, 2009 - DEC 25, 2009
JAN 4 - JAN 29
FEB 8 - MAR 5
MAR 15 - APR 9
APR 19 - MAY 14
MAY 24 - JUNE 18
JUNE 28 - JULY 23
AUG 2 - AUG 27
SEPT 7 - OCT 4
OCT 11 - NOV 5
NOV 15 - DEC 14
NOV 30, 2009 - FEB 5, 2010
JAN 4 - MAR 12
FEB 8 - APR 16
MAR 15 - MAY 21
APR 19 - JUNE 25
MAY 24 - JULY 30
JUNE 28 - SEPT 3
AUG 2 - OCT 8
SEPT 7 - NOV 12
OCT 11 - DEC 17
NOV 15 - JAN 21



2010 School Holidays
Memorial Day (5/29-5/31) Independence Day (7/3-7/5) Labor Day (9/4-9/6)
Thanksgiving (11/25-28) Christmas (12/25-12/26) New Year's (1/1-1/2)
*Please note that holidays are not included in the Basic/Advanced Hours.
This will extend certain ending dates.*



GENERAL INFORMATION
FULL NAME MR. MRS. MS.
MAIDEN NAME
OTHER NAMES USED
HOME ADDRESS
CITY // STATE // ZIP // COUNTRY
SOCIAL SECURITY NUMBER
DATE OF BIRTH
AREA CODE + PHONE - HOME
AREA CODE + PHONE - OTHER
E-MAIL
HOW DID YOU HEAR ABOUT US?
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
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 // COUNTRY
 AREA CODE + PHONE NUMBER
SPOUSE'S NAME
AREA CODE + PHONE NUMBER
SPOUSE'S EMPLOYER
PARENT'S NAME
PARENT'S PHONE
ADDRESS // CITY // STATE // ZIP // COUNTRY
PERSONAL REFERENCE
RELATIONSHIP
ADDRESS
AREA CODE + PHONE

MEDICAL HISTORY
ALLERGIES YES NO      IF YES, WHICH?
DIABETES YES NO
HEART CONDITION YES NO
IMPAIRED VISION YES NO
PROSTHETIC DEVICES YES NO      IF YES, WHICH?
ARE YOU ON MEDICATION? YES NO      IF YES, WHICH?


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.