Bilingual Platform Artist/Educator Application

All Information MUST Be Filled In COMPLETELY And Is Kept

STRICTLY CONFIDENTIAL

*Please Note Platform Artist Requires Some Travel, Local Educator Does Not

*Name:

*Salon/School Name:

*Salon/School Address:

*City:

*State:

*Zip:

*Salon/School Phone:

*Cell Phone:

*E Mail Address:

Please Answer the Following Questions

Are you currently a Platform Artist/Educator?

  Yes      No

If Yes, For Which Company:

What are your Specialties?:

Cosmetologist License Number:

States You Are Licensed In:

Languages/Dialects You Speak:

(Other than English)

Anything else you would like to share: