Cosmetology Program – CTE Application

Please complete the Cosmetology Program application. This program is located on the Senatobia Campus or Ashland Campus.

Admissions to the college does not guarantee admissions to the program of study.

Click the link below for additional enrollment qualifications.
Visit the Cosmetology Program Page!

Applicant Information

Student ID Number

First Name *

Middle Name

Last Name *

Birthdate *

Email Address *

Mobile/Cell Phone Number *

Alternate Phone Number

Permanent Address *

Country

Street

City

Region

Postal Code

Enrollment Information

Career-Technical Education Pathway *

Students are only accepted during the Fall semester on the Senatobia Campus. Students are accepted both Fall and Spring semesters at the Ashland Campus only.

Which Campus do you want to attend? *

Entry/Start Term *

Do you plan to be involved in any of the following programs?

Band

Choir

Athletics

None of the above

Previous Education Section

Have you previously attended any Cosmetology schools? *

Yes

No

If yes, please list any previous cosmetology school you have attended, including the date of enrollment. *

Were you terminated/suspended from this previous school(s)? *

Yes

No

If yes, please describe the reason(s) for termination/suspension. *

Application Information

Why do you want to be in the NWCC Cosmetology Program? *

Upon graduation from the Cosmetology program, do you plan on working in the state of Mississippi? *

Yes

No

If no, please indicate below the state or territory where you plan to seek employment. *

State Board Requirements

Have you ever been convicted of any felony? *

Yes

No

If yes, when was the conviction and for what offense? *

Are you on probation or parole? *

Yes

No

If yes, please explain *

Test Score Information

The student will need to have an Official ACT score on file with the Office of Admission to be considered for this program.

Note:Note: A minimum ACT Reading subscore of 15 and a minimum ACT Math sub score of 15. Super Scores not accepted.

Have you submitted ALL of your transcripts from all previously attended colleges and ACT scores to the Office of Admissions and Records? *

Yes

No

Students are responsible for ensuring that all required transcripts and ACT scores are submitted to the Office of Admissions and Records. Applications will not be reviewed until all required ACT scores have been received.

Additional documents are required for this application. They will appear on your application checklist status page.

Application Confirmation

By submitting my full name and date below I confirm that the statements and information furnished in the application are true and complete.

Enter your full name as your digital signature *

Click to Sign...

Today's Date *

Equality Statement

Northwest Mississippi Community College does not discriminate on the basis of race, color, national origin, sex, disability, religion, gender identity, age, or status as a veteran or disabled veteran in all its programs and activities. Northwest Mississippi Community College prohibits sexual harassment and all forms of sexual violence, regardless of sex, gender identity or sexual orientation. The following have been designated to handle inquiries regarding non-discrimination policies:

Americans with Disabilities Act of 1990/Section 504 of the Rehabilitation Act of 1973:
Disability Support Services Coordinator
Tate Hall, P.O. Box 5555
4975 Highway 51 North
Senatobia, MS 38668
Phone: 662-562-3309
Email: mkelsay@northwestms.edu

Title II of the Age Discrimination Act:
Vice President for Finance and Administration
James P. McCormick Administration Building, P.O. Box 7017
4975 Highway 51 North
Senatobia, MS 38668
Phone: 662-562-3216
Email: jhorton@northwestms.edu

Title IX of the Educational Amendments of 1972/Title VII of the Civil Rights Act of 1964:
Vice President for Student Services and Enrollment Management
Tate Hall, P.O. Box 7010
4975 Highway 51 North
Senatobia, MS 38668
Phone: 662-562-3409
Email: trush@northwestms.edu

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Yes

No