Form Bah - Barber And Hairdresser Application - Alaska Department Of Community And Economic Development Page 5
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7State of Alaska
Board of Barbers and Hairdressers
VERIFICATION OF TRAINING, EXAMINATION, AND LICENSURE
Applicant: complete this section and mail to the state board in which you hold a current license. Some states require a fee for
completion of license verification; you may wish to check with the state board prior to submitting this form for completion. If
the state where you are currently licensed is not the state in which you received your training and/or examination, please send
a copy of this form to the state where you received your training and/or examination as well as the state where you are currently
licensed.
Applicant Signature:
Printed Name:
License No.:
Address:
PLEASE DO NOT DETACH.
The information below must be completed by the State Licensing Board; it may not be
completed by the applicant.
PLEASE MAIL DIRECTLY TO THE STATE OF ALASKA
State of
Name of Licensee:
Type of License Granted:
Total Hours:
License No.:
Issue Date:
Expiration Date:
By reciprocity/endorsement:
Yes
No
By Examination:
Yes
No Date:
WRITTEN EXAMINATION
PRACTICAL EXAMINATION
Written Examination Administered
Yes
No
State Practical Examination Administered (Hands-On
Practical)
Yes
No
Written Examination Score:
State Practical Examination Score:
Subjects covered on State Practical Examination:
Name of National Examination, if applicable:
Education:
School Attended
Dates
Hours
School Attended
Dates
Hours
08-4193d (Rev. 2/01)
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