Troutman's Application for Enrollment

Application for Enrollment

The following confidential information is provided for Troutman’s College of Manicuring as part of the enrollment process. This information will be used in case of emergency and to enroll the student with the NC State Board of Cosmetic Art Examiners.

Fill Out Form and then click here to
Name - First Middle Last
Nickname (for Name Badge)	Maiden (or previous) Name	Date of Birth
Current Address		County
City	State	Zip
Cell Phone Area Number	Home Phone Area Number	Work Phone Area Number
Email Address	Social Security or ID	Driver’s License State Number
Name of last school attended		Highest Grade Attended
Have you attended any other Cosmetic Arts School? Yes No If “yes” which one?
Do you have any physical or emotional problems that might interfere with your education?
If are you currently taking any medication(s), please list all generic names.
Who do we contact in case of emergency?	Relationship
	Day Phone Area Number	Night Phone Area Number
Please consider me for enrollment in the following class: Full-Time Days Full-Time Afternoons Part-Time Mornings Part-Time Evenings Please contact me so I can decide which Schedule works best!		Class Start Date
Applicant’s Signature		Date
Fill Out the Form and then To apply for a place in the class of your choice, send this application with the $50.00 registration fee to: Troutman’s College of Manicuring 4339 Falls of Neuse Road • Suite D Raleigh, NC 27609-6282

Troutman’s College of Manicuring
Quality Education and Client Service since 1992
4339 Falls of Neuse Road Suite D • Raleigh NC 27609-6282
email: NailTeach@TroutmansManicuring.com
Phones: English: (919) 875-0555 • Español: (919) 875-0560

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