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TBPU Enrollment Application
For Licensing Applicants Only

Personal Information:

Present address

Present address

Permanent address

Permanent address
Birthday
Month
Day
Year
Gender
Male
Female
Non-binary
Marital Status
Married
Single
Physical Limitation?
No
Yes
Do you have any problems that may interfere with your pursuit of this career?
Yes
No
Have you been convicted of a felony?
Yes
No

Previous Education Information:

Date Graduated
Month
Day
Year
Date Dropped
Month
Day
Year
Licensing Program of Interest
Cosmetology Operator
Hair Weaving Speciality
Eyelash Extension Speciality
Barber to Cosmetology Operator
Select One
Part Time
Full Time
Select One
Day: Tuesday - Saturday 9am-3:30pm
Evening: Monday 6pm - 8pm, Tuesday-Thursday 5pm-9pm, Saturday 9am-3:30pm

Reference Information:

#1

#2

#3

In case of emergency, Notify

Application Fee
$100

Submit you application fee

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