Cosmetology Natural Hair Care Program Application
Please fill out this form completely.
Your application will not be considered if it is incomplete.
Date:
Print Name:
Central Piedmont Student ID Number (not Social Security number):
Home Phone Number:
Cell Phone Number:
Home Mailing Address:
Central Piedmont email address (no other email will be accepted):
Did you recently attend cosmetology school?
If so, what was the last school you attended?
If you are accepted, you must attend a mandatory new student orientation
before you enroll. Failure to attend the orientation will forfeit your slot in the
program. If accepted, you will also be required to provide a copy of your social
security card and a government-issued identification card.
cpcc.edu/programs/cosmetology | 704.330.5455
