Anna Gay Program Support Specialist, Cosmetology 425 Fawell Blvd. BIC 1441 Glen Ellyn, IL (630) FAX: (630)

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Application for Spring 2018 Admission 2 nd 8-Week Session Please follow the instructions carefully. The materials shown below are necessary to process your application. Incomplete applications will not be accepted and will delay admittance into the program. PLEASE NOTE: If you should change your mind about attending the program, please notify the Program Support Specialist so the next person on the waitlist may enter. 1. Apply to College of DuPage https://admissions.cod.edu/datatel.erecruiting.web.external/pages/welcome.aspx 2. Testing Requirements: A reading category 2 on the Accuplacer Placement Test is required for admittance to this program. To determine if you meet the reading requirement go to: http://www.cod. edu/admission/testing/tests/reading_placement.aspx 3. Program Application and Statement of Goals: Complete the attached application in full. Type your statement of goals on a separate sheet of paper and include it with your application. 4. References: Three letters of reference that are dated within the last 6 months of the date of this application are required from someone who can address your potential for success in this program based on your performance in a work (paid or volunteer) or classroom setting. Provide a copy of the Reference Letter Form to each individual who is furnishing a reference letter. Acceptable references include employer, counselor, minister, coworker, etc. Completed Reference Letter forms and reference letters must be submitted directly to the Program Support Specialist in sealed envelopes. Reference letters may be emailed. Once you have assembled the items above (application, statement of goals and references), mail, scan or deliver the packet to: Program Support Specialist, Cosmetology Glen Ellyn, IL 60137 5. Transcripts: Please provide an official (unopened) copy of your high school and/or college transcripts. A GPA of 2.0 is required to enter the program. Send the official transcript to recordsoffice@ cod.edu. COD students do not need to file transcripts. Page 1 of 8 BT-18-26362(1/18)

APPLICATION INFORMATION (Please include a maiden name if you have been enrolled at COD under that name). Name: Last First Middle Maiden Mailing Address: City: State: ZIP: Home Phone: Cell Phone: COD Student Email (username@dupage.edu): Other Email: COD Student ID #: EDUCATION High School: Address: s enrolled: GPA: Which program are you interested in? Full-Time Day Program Part-Time Evening Program Are you a Technology Center of DuPage student? Yes No Are you right-handed? Left-handed? *If you change your mind regarding attending the COD Cosmetology Program, plase let us know. We order kits necessary for the program and need to return in a timely matter. Please contact. Page 2 of 8

Beginning with the most current date, list all universities, colleges or technical schools you attended prior to enrolling at College of DuPage. College or University: Address: s enrolled: Degree Earned (if any): Major: GPA: College or University: Address: s enrolled: Degree Earned (if any): Major: GPA: Please describe any academic honors or extracurricular activities in which you were involved: PROGRAM PREREQUISITE Accuplacer Reading Placement 2 or higher. Completed: Transcripts sent on: _ To determine if you meet the reading requirement go to: http://www.cod.edu/admission/testing/tests/reading_placement.aspx Page 3 of 8

STATEMENT OF GOALS: Describe your reasons for wanting to enroll in the Cosmetology Program at College of DuPage. You may include such information as your past work experience, your career aspirations, and other information that demonstrates your interest in pursuing the cosmetology profession. This Statement of Goals must be at least 300 words in length, and typed grammatically correct. Page 4 of 8

Attestation: I affirm that the information provided in this application is true and correct. I understand that College of DuPage has the right to withhold admission or revoke acceptance to the program to anyone who is found to have provided false information in this application. Signed: : Program Note: Completion of the program offers no guarantee of employment. Students are provided with resources and guidance for job-searching but the college cannot guarantee employment in the field. Before completing the program, students are expected to secure an internship in a salon. The salon must be approved by the Program Coordinator. College of DuPage Career Services may assist in finding a salon for your internship. Please initial to indicate your understanding of the above Program Note. Initials: _ Submit all information to: Program Support Specialist College of DuPage Glen Ellyn, IL 60137 For Office use only. Reviewed by College Representative: Representative s Signature: Check box if applicant approved. that Office of Student Records was advised of program admission: _ Page 5 of 8

To the Applicant for the Cosmetology Program: Please fill out the top portion of this form and give it to the individuals providing your letters of reference. Three (3) letters are required. Address: I request a Reference Letter from the individual identified below. To the Individual Providing the Reference Letter: Thank you for your willingness to write a reference letter for the applicant named above who is applying to the Cosmetology Program at College of DuPage. Please fill in the information requested. For your reference letter, please use letterhead stationery with the name, address and phone number of your institution, place of employment, or other identifying information, and sign and date your letter. Your reference letter should be based on your knowledge of the applicant gained through a shared work (either paid or unpaid) or classroom experience, or a similar experience involving responsibility, professionalism, and integrity on the part of the applicant. Relatives may not be used as a reference. Reference Address: _ Phone: Email: _ In your letter, please give your personal assessment of the applicant s ability to succeed in the Cosmetology Program at College of DuPage. Please attach this form to your letter. How long have you known the applicant? You may share my letter with applicant. (Check one) q Yes q No Please mail or email both your reference letter and this completed form to: College of DuPage Program Support Specialist Glen Ellyn, Illinois 60137 Page 6 of 8

To the Applicant for the Cosmetology Program: Please fill out the top portion of this form and give it to the individuals providing your letters of reference. Three (3) letters are required. Address: I request a Reference Letter from the individual identified below. To the Individual Providing the Reference Letter: Thank you for your willingness to write a reference letter for the applicant named above who is applying to the Cosmetology Program at the College of DuPage. Please fill in the information requested. For your reference letter, please use letterhead stationery with the name, address and phone number of your institution, place of employment, or other identifying information, and sign and date your letter. Your reference letter should be based on your knowledge of the applicant gained through a shared work (either paid or unpaid) or classroom experience, or a similar experience involving responsibility, professionalism, and integrity on the part of the applicant. Relatives may not be used as a reference. Reference Address: _ Phone: Email: _ In your letter, please give your personal assessment of the applicant s ability to succeed in the Cosmetology Program at College of DuPage. Please attach this form to your letter. How long have you known the applicant? You may share my letter with applicant. (Check one) q Yes q No Please mail or email both your reference letter and this completed form to: College of DuPage Program Support Specialist Glen Ellyn, Illinois 60137 Page 7 of 8

To the Applicant for the Cosmetology Program: Please fill out the top portion of this form and give it to the individuals providing your letters of reference. Three (3) letters are required. Address: I request a Reference Letter from the individual identified below. To the Individual Providing the Reference Letter: Thank you for your willingness to write a reference letter for the applicant named above who is applying to the Cosmetology Program at College of DuPage. Please fill in the information requested. For your reference letter, please use letterhead stationery with the name, address and phone number of your institution, place of employment, or other identifying information, and sign and date your letter. Your reference letter should be based on your knowledge of the applicant gained through a shared work (either paid or unpaid) or classroom experience, or a similar experience involving responsibility, professionalism, and integrity on the part of the applicant. Relatives may not be used as a reference. Reference Address: _ Phone: Email: _ In your letter, please give your personal assessment of the applicant s ability to succeed in the Cosmetology Program at College of DuPage. Please attach this form to your letter. How long have you known the applicant? You may share my letter with applicant. (Check one) q Yes q No Please mail or email both your reference letter and this completed form to: College of DuPage Program Support Specialist Glen Ellyn, Illinois 60137 Page 8 of 8