Cosmetology Instructor Trainee Program

Please complete the Cosmetology Instructor Trainee Program application. The Cosmetology Instructor program is non-degree seeing and does NOT qualify for financial aid. 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 Instructor Trainee 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 *

Entry/Start Term *

Which Campus do you want to attend? *

Application Information

Do you hold a current Mississippi license to practice in the field of cosmetology? *

Yes

No

By selecting “No,” you indicate that you understand that you are not eligible for this program.

Have you graduated from a licensed cosmetology school in Mississippi or another state? *

Yes

No

By selecting “No,” you indicate that you understand that you are not eligible for this program.

Students must have completed one Mississippi Cosmetology Board “methods of teaching” seminar and have completed 6 semester hours in college courses approved by the Mississippi Cosmetology Board.

Have you completed one Mississippi Cosmetology Board “methods of teaching” seminar and completed 6 semester hours in college courses approved by the Mississippi Cosmetology Board? *

Yes

No

By selecting “No,” you indicate that you understand that you are not eligible for this program.

Required Documents

Please upload a copy of your current Mississippi cosmetology license. *

Please submit your resume. *

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 *

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

Cosmetology Instructor Trainee Program – CTE Application