BRYANT’S BARBER ACADEMY APPLICATIONPlease enable JavaScript in your browser to complete this form.Name *FirstMiddleLastPreferred NameEmail *Phone *Address *City *US State *AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingWashington DCARMED FORCES AFRICA CANADA EUROPE MIDDLE EASTARMED FORCES AMERICA (EXCEPT CANADA)ARMED FORCES PACIFICZip *GenderMaleFemalePrefer not to SayMarital StatusSingleMarriedDivorcedHave you ever been convicted of a felony? *Yes*NoIf yes, explain the nature of the crime(s), the county(ies) and state(s) in which the crime(s) occurred:Which best describes your application status *New ApplicantFormer BBA studentTransferIf transfer, from where? How many hours do you currently have?When would you like to begin classes? *JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberDesired Program Schedule *Full Time: Tues-Fri (9am-6pm) & Saturday (9am-2pm)Part Time: Tues-Fri (9am-2pm) & Saturday (9am-2pm)Do you have reliable transportation? *YesNoHave you ever been suspended or dismissed from any barber school or college for academic, attendance, or disciplinary reasons? *YesNoIf yes, please explain:To provide you with the best education, please let us know if you have an IEP or Special Education plan so we can make accommodations for your State Board Exams. *YesNoEmployerPlease Provide Employment/Miltary History for the past 12 months.Previous Job TitleDate Previous Job StartedDate Previous Job EndedPrevious Job DescriptionCityStateZipEmployerPrevious Job TitleDate Previous Job StartedDate Previous Job EndedPrevious Job DescriptionCityStateZip CodeEmployerPrevious Job TitleDate Last Job StartedDate Last Job EndedCityStateZip CodeHow did you hear about Bryant's Barber Academy? *First and Last InitialToday's DateSubmit