Enrollment Application

EDUCATION INFORMATION

PCI Academy and the state of Iowa require a high school diploma or G.E.D.

High School (Name, City and State)

Year Graduated

Grade Point Average

List Extracurricular Activities/Honors

List All Training/College Attended Since High School

School (Name, City and State)

Major/Coursework

Graduation Date

Grade Point Average

List Extracurricular Activities/Honors

EMPLOYMENT HISTORY

Employer (Name, City, State and Phone)

Position Title

Start Date and End Date

Salary

Employer (Name, City, State and Phone)

Position Title

Start Date and End Date

Salary

QUESTIONS

How Did You Hear About PCI Academy? *

Why Do You Want to Enter This Career? *

STARTING DATE

List the Year You'd Like to Begin

Night Cosmetology (List Month and Year)

Day Esthetics (List Month and Year)

Night Esthetics (List Month and Year)

Day Massage Therapy (List Month and Year)

Night Nail Tech (List Month and Year)

OTHER INFORMATION

Have You Ever Been Convicted of a Crime? *

Yes

Do You Need Any of the Following While You Attend School? (Check all that apply)

Financial Assistance

Transportation

Part-Time Work

Housing

Do You Have Any Health Issues That Could Impact Your Training? (Allergies, for example) *

By checking the box below, you are certifying that all statements made in this application are complete and true.

I AGREE

Enter the information below to submit your application.

Enrollment Application

GENERAL INFORMATION

EDUCATION INFORMATION

List All Training/College Attended Since High School

EMPLOYMENT HISTORY

QUESTIONS

STARTING DATE

OTHER INFORMATION

Consider This…

More About PCI!

Experience PCI!

PCI is YOUR Beauty School

Ames Location

New Hope Location

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Enrollment Application

GENERAL INFORMATION

EDUCATION INFORMATION

List All Training/College Attended Since High School

EMPLOYMENT HISTORY

QUESTIONS

STARTING DATE

OTHER INFORMATION

Consider This…

More About PCI!

Experience PCI!

Follow Us!

PCI is YOUR Beauty School

Ames Location

New Hope Location

Sign Up for Our Email Blast!