Master Esthetician Application

Master Esthetician Application
Please select cohort start date you are applying for:

July (Application Due May 1)October (Application Due August 1)January (Application Due November 1)April (Application Due Date February 1)

Master Esthetician Application
Name*

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.
High School Graduation Date

MonthDayYear
Date
UPLOAD ACADEMIC ASSESSMENT
Submit your Assessment & Learning Center score sheet, which was provided to you upon completing your Academic Assessment. If you have already taken the Academic Assessment and need a copy of your score sheet, please email testing@btech.edu to request a copy and upload it to this application BEFORE the deadline. (If you need to take the Academic Assessment, you can email or go to btech.edu/assessment to schedule it.)
Upload Assessment & Learning Center score sheet given or your ACT score.

We accept the following files: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif
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UPLOAD COLLEGE TRANSCRIPTS IF APPLICABLE
Have you completed any courses/programs in Cosmetology or Esthetician and plan to use these credits at BTECH?

YESNO

If you chose yes above, list the colleges you have attended beginning with most recent, if applicable.

	Name of School	Dates of Attendance (Start - End)	Completed Certificate/Degree (Yes or No)
1
2
3
4

Upload Official College Transcript(s) if applicable.

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UPLOAD INDUSTRY LICENSE IF APPLICABLE
Industry Training (Must have a current/previous license to be awarded points.)
Licensed Cosmetologist

YesNo
Date of Expiration
Licensed Basic Esthetician

YesNo
Date of Expiration
If “Yes,” please upload a copy of your current license here.

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The "Submit" button, located on the last page of this application (checklist page), will save your application and send you a link allowing you to edit and update your application until all parts of the application are complete.

IF YOU DO NOT GET A LINK TO EDIT YOUR APPLICATION, EMAIL ADVISING@BTECH.EDU

Cosmetology and/or Basic Esthetician Work Experience

List most recent employment first. If none, indicate by N/A.
Employer 1
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position
Supervisor
Job Description
Dates of Employment (From)
Dates of Employment (To)
Employer 2
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position
Supervisor
Job Description
Dates of Employment (From)
Dates of Employment (To)
IMPORTANT! Be Sure to Read the Following:

Applicants who have been convicted of a felony or any drug-related charges; have been involved as the abuser in any incident of verbal, physical, mental, or sexual abuse; or may pose a threat to themselves, clients, or the public health, safety, or welfare because of any circumstances or conditions, should determine their eligibility status with the Division of Occupational and Professional Licensing. Locate an Application for Criminal History Determination on https://dopl.utah.gov/cosmo/
The Division of Occupational and Professional Licensing makes the final decision on the issue of a license to practice in the State of Utah.
I CERTIFY THAT I HAVE READ THIS STATEMENT
The "Submit" button, located on the last page of this application (checklist page), will save your application and send you a link allowing you to edit and update your application until all parts of the application are complete.

IF YOU DO NOT GET A LINK TO EDIT YOUR APPLICATION, EMAIL ADVISING@BTECH.EDU

References

List the names of the two professional people who will be completing your Reference Evaluation forms. These must be people who are now or who have been your employer, supervisor, former instructor, or community leader. They must have known you for at least six months and cannot be related to you. Two reference forms are required for your application to be considered. Please make sure to inform references that they will be contacted by a representative at Bridgerland Technical College via email or text. Reference Evaluations must be submitted no later than SEVEN DAYS after cohort application deadline.
Please Note: The Family Educational Rights and Privacy Act of 1974 and its amendments guarantee student access to educational records concerning them. However, students are permitted to waive their rights to access recommendations.
REFERENCE 1
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company/Institution
Position
Phone Number
Please enter a valid phone number.
Email
example@example.com
REFERENCE 2
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company/Institution
Position
Phone Number
Please enter a valid phone number.
Email
example@example.com
The "Submit" button, located on the last page of this application (checklist page), will save your application and send you a link allowing you to edit and update your application until all parts of the application are complete.

IF YOU DO NOT GET A LINK TO EDIT YOUR APPLICATION, EMAIL ADVISING@BTECH.EDU

Professional Goal Statement

Using the space below, write a statement of your professional goals. The statement will be graded on spelling, punctuation, grammar, and sentence structure.
The statement must be a minimum of 150 words and a maximum of 200 words.

0/200
The "Submit" button, located on the last page of this application (checklist page), will save your application and send you a link allowing you to edit and update your application until all parts of the application are complete.

IF YOU DO NOT GET A LINK TO EDIT YOUR APPLICATION, EMAIL ADVISING@BTECH.EDU

Master Esthetician Application

Master Esthetician Application

UPLOAD ACADEMIC ASSESSMENT

UPLOAD COLLEGE TRANSCRIPTS IF APPLICABLE

UPLOAD INDUSTRY LICENSE IF APPLICABLE

Cosmetology and/or Basic Esthetician Work Experience

References

Professional Goal Statement