Cosmetology Application

Cosmetology 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)

Cosmetology Application
Applicant 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 Entrance 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 or your ACT score.

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 Nail Technician, 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.

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

Upload Official 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 Nail Tech

YesNo
Date of Expiration
Licensed Basic Esthetician

YesNo
Date of Expiration
Licensed Master Esthetician

YesNo
Date of Expiration
If “Yes,” please upload a copy of your current license(s) 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

Nail Tech, Basic Esthetician, Master Esthetician Experience

List your most recent experience 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. References 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 1

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 2

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

In 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

Complete the following checklist below before submitting your application. It is your responsibility to ensure that all items are completed. Please note that any missing information will render your file incomplete, and you will not be considered a possible candidate for this program.

I have complete the Bridgerland Technical College Certificate-Seeking application. If not, follow the link here.I have completed the Academic Assessment and have uploaded a copy of the Assessment & Learning Center score sheet OR I have a composite ACT score of 17 or a composite SAT score of 930 taken no more than four years prior to enrollment and have uploaded an official copy of the score.I have completed the Cosmetology Application form, Reference Evaluation form, and Goal Statement.If applicable, I have submitted an official transcript from where I originally completed Nail Technician or Basic Esthetics or a transcript of Cosmetology courses I completed in high school at Bridgerland Technical College. (Request an official Bridgerland transcript by visiting our website here. Allow 3-5 business days for processing transcripts once information/payment has been received. Official Bridgerland transcripts are $3 each.)I have included a copy of my current Nail Technician or Basic/Master Esthetics license, if applicable.I understand that applications are due by May 1st for the July cohortI understand that applications are due by August 1st for the October cohortI understand that applications are due by November 1st for the January cohortI understand that applications are due by February 1st for the April cohort
If you have questions concerning the application process, please contact the Student Success Advisor at 435-753-6780 or email advising@btech.edu.

After the application deadline has passed, an independent scoring committee will score applications using an objective rubric. All applicants will be notified about possible acceptance into the program. Responses are typically emailed out by the end of the month that applications are due.
To complete the signing process, please type your full name in the signature box and click 'submit'.
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
Should be Empty:

Cosmetology Application

Cosmetology Application

UPLOAD ACADEMIC ASSESSMENT

UPLOAD COLLEGE TRANSCRIPTS IF APPLICABLE

UPLOAD INDUSTRY LICENSE IF APPLICABLE

Nail Tech, Basic Esthetician, Master Esthetician Experience

References

Professional Goal Statement