Student Application Form

The first step on the road to 1528 is to complete a Winston Salem Barber School Application. You may use the form below. If you prefer to print the form, you may. If you prefer to fill it out on paper you can do so at the campuses.

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– Step 1 of 2

Applicant Information

Todays Date

Name *

First

Middle

Last

Street Address

City

State

Zip Code

Phone *

Email *

Date of Birth *

Month wanting to start program *JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

How are you planning to pay for school? (Choose All That Apply) *

• Private Pay
• VA Benefits
• Federal Financial Aid

Which campus would you like to attend? *

• Winston Salem
• Greensboro Satellite Campus

Do you have transportation available to and from campus? *

• Yes
• No

Are you able to attend school at least 120 hours per month? *

• Yes
• No

Are you Right-Handed or Left-Handed? *

• Right
• Left

Are a Military Veteran? *

• Yes
• No

Has a family member or friend previously attended the Winston Salem Barber school? *

• Yes
• No

Transfer Student Information

Are you a transfer student? *

• Yes
• No

How many transfer hours do you have from Barber School?

Education

Please list all prior school names and dates attended.

School Name

Dates Attended

Did You Graduate

Degree

High School / GED

High School / GED

Dates Attended (High School / GED)

Did you Graduate? (High School / GED)

• Yes
• No

Degree? (High School / GED)

College / Other #1

College / Other #1

Dates Attended (College / Other #1)

Did you Graduate? (College / Other #1)

• Yes
• No

Degree? (College / Other #1)

College / Other #2

College / Other #2

Dates Attended (College / Other #2)

Did you Graduate? (College / Other #2)

• Yes
• No

Degree? (College / Other #2)

College / Other #3

College / Other #3

Dates Attended (College / Other #3)

Did you Graduate? (College / Other #3)

• Yes
• No

Degree? (College / Other #3)

Additional Information

Additional Information

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. I understand that false or misleading information in my application or interview may result in my termination of enrollment.

Next

Student Essay

1. Please explain why you want to be a barber.

2. Please explain what you think it takes to become a barber professional?

3. How did you find out about the Winston Salem Barber School and its Program?

Submit