Date & Time of this Application 1. Student Information Full Name Date of Birth Phone Number Email Address Home Address Program Information Program of InterestBarber ProgramInstructor ProgramCrossover Program Desired Start Date Attending ScheduleFull-TimePart-Time High School Diploma or GEDYesNo Are you currently employedYesNo If yes where 2. Enrollment Referral Questionnaire How did you hear about BORI BarberInstagramFacebookYouTubeTikTokNewspaper AdGoogle SearchYelpReferral from a friend/familyWalk-in / Saw the locationBarber Expo/EventHigh School Career Fair if Other (please specify): Name of referral
