Form Bol-Bar-Bs-59 - Barber Student Registration Form (Page 2 of 2) in pdf

Form Bol-Bar-Bs-59 - Barber Student Registration Form Page 2

BARBER STUDENT REGISTRATION FORM

(continued)

SCHOOL AFFIDAVIT

I certify that I am an agent of the aforementioned school and that the named applicant is being registered prior to beginning training.

I further certify that I have attached documentation that the applicant is of good moral character; is not less than 16 ½ years of age,

and has met the 10

grade education requirement.

_______________________________________________

Signature of school agent

State of ______________, County of _________________, ss.

Subscribed and sworn before me this ______ day of _______________________, 20 _____.

(seal)

______________________________________________________

Notary Public official signature

residing at_____________________________________________

my commission expires___________________________________

CERTIFICATE OF MORAL CHARACTER

I CERTIFY THAT I AM AQUAINTED WITH THE ABOVE NAMED APPLICANT AND THAT I BELIEVE HIM/HER TO BE A

PERSON OF GOOD MORAL CHARACTER.

Signature _______________________________________________________

Print Name _____________________________________________________

Address ________________________________________________________

________________________________________________________

PHOTOGRAPH

Attach below an original 3”X 2” bust only photograph of yourself and bearing your signature.

HEIGHT

_____________

WEIGHT

_____________

ATTACH PHOTOGRAPH HERE

EYE COLOR

_____________

HAIR COLOR _____________

OTHER DISTINGUISHING FEATURES______________

__________________________________________________

BOL-BAR-BS-59-revised 06/99

Form Bol-Bar-Bs-59 - Barber Student Registration Form Page 2