PO Box 50214 Summerville, SC 29485 (843) 879-8680 www.profilebarber.

com Dear Prospective Student, Thank you for your interest in Profile Barber Institute! At Profile, we provide all the essentials for our students to become licensed Barbers under the requirements of South Carolina State Board of Barbering and Master Styling. Profile Barber Institute focuses on careers, not just jobs. Our Instructors work with students teaching them beyond the basics of Barbering. Identifying the diverse needs of our community, local businesses and industries helps enable our students to achieve the knowledge and skills necessary to enhance their career opportunities now and in the future! Profile offers a 1500 clock hour course of study that involves instruction in cutting, styling and business. This course can be completed in less than a year if attended full-time (40 hours per week). The following is your check off list to be completed before you can be accepted for enrollment into Profile. Please make certain that you complete all forms in this packet and collect copies of all necessary documents to submit to our Admissions Director. If you need assistance in completing these forms or have any questions regarding them, please contact us. A member of our staff will provide the necessary guidance you need. Please check off the following as they are completed: Application for Enrollment (pages 2) Health Form (page 3) Copy of Proof of Education (High School Diploma, G.E.D.) Copy of Proof of Age (Drivers License or Birth Certificate) Non-refundable enrollment fee Respectfully, Profile Admissions Office

General Admission Requirements The college practices no discrimination on the basis of race, sex, creed, religion, financial status or country or area of origin of residence. In general, students are required to have completed the 9th grade, or the graduate or GED recipient must furnish a copy of their High School transcript, graduation certificate or GED Certificate. Students must be free of all contagious or infectious conditions and be of good moral character.

STUDENT APPLICATION

APPLICANTS NAME: __________________________________________________ ADDRESS: _____________________________________________________________ CITY, STATE, ZIP: __________________________________________________________ TELEPHONE #: ________________________________________________________ DATE OF BIRTH: _______________________________________________________ EDUCATION: __________________________________________________________ YOU ARE INTERESTED IN:

BRAIDING REGISTERD BARBER REFRESHER COURSE MASTER HAIRCARE COSMETOLOGY CROSSOVER SHAMPOOER/BARBER ASSISTANT

_________________________ APPLICANTS SIGNATURE

_________________________ DATE

HEALTH FORM Name: City: Phone: Address: State/ZIP: Emergency Phone:

Do you have any of the following diseases or disorders that we need to be aware of during your enrollment period? All information is CONFIDENTIAL. Check ALL that apply: Alcohol, drug, substance abuse current Alcohol, drug, substance abuse past Back condition Cancer Chronic lung condition Diabetes Emphysema Eye disorder (include contacts or glasses) Ear disorder Heart condition Tobacco use, smoking and/or chewing Epileptic HIV positive Physically or mentally challenged Allergies: skin, seasonal, etc. PLEASE LIST ALL ALLERGIES: Recent TB Test (DOCUMENTATION MUST BE PROVIDED) List medications or prescription for treatment (current only):

Check ALL that apply: Positive reaction to TB test Pregnant (if yes, Pregnancy Release Form must be completed) Other, please explain: Physician=s Name: Phone #:

List medications or prescription for treatment (current only):

I declare that the information reported on this form to be true, accurate and complete. I understand that if ANY of the above information changes during my enrollment period I am responsible for notifying the Administrator and updating this form:
Signature: Date:

TO FINALIZE YOUR APPLICATION, PLEASE SUBMIT THE FOLLOWING: 1. The complete application 2. A 100.00 non-refundable evaluation fee for admission processing 3. Two (2) head and shoulder pictures of yourself. (For stateboard purposes) 4. A photo copy of your high-school diploma or G.E.D certificate or proof of 9th grade completion. 5. A copy of your drivers license or birth certificate
Please return to: Profile Processing Center P.O. Box 50214 Summerville, SC 29485