PRE-ENROLLMENT INQUIRYThis form is the first step in the application process. Visit the Admissions Page for more information about the next steps. First Name* Last Name* Email* Phone* Which location are you interested in?*Please choose one:BendCorvallisGrants PassMedfordSalem Which program are you interested in?*Please choose one:Hair DesignBarberingNail TechnologyEstheticsHair Design, Esthetics, Nail TechnologyEsthetics, Nail Technology Date of Birth*01020304050607080910111213141516171819202122232425262728293031day / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth / 20222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901year Address* Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCongo (Brazzaville)Costa RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesYemenZambiaZimbabwe Country Do you have a high school diploma or GED? (If you have an online, homeschool, or modified diploma, please speak with our admissions team)*YesNo Have you ever attended any other school after high school? (College, Beauty School, Other Trade School?)*YesNo How did you hear about us? Please choose all that apply:My Stylist/Barber/Esthetician/Nail TechFamily/friend/current student/Phagans' team memberGraduate of Phagans'InstagramFacebookOnline SearchOther Is there anything else you'd like to tell us? How long have you been thinking about this career? When do you plan to enroll? (Please select one)*November 6, 2023November 27, 2023January 2, 2024January 22, 2024February 20, 2024March 11, 2024April 15, 2024May 6, 2024Later in 2024 Do you think you will need Title IV Financial Assistance?*YesNo After you click “Submit” below, please visit the Admissions Page of this website to download the admissions packet and learn about the next steps. I wish to apply to Phagans' Cosmetology Colleges for enrollment; I understand that final acceptance is contingent upon completion of admissions requirements, as outlined in the Student Catalog and Handbook, and an established financial plan.**By clicking ‘Submit,’ this constitutes your written consent to be emailed, called and/or texted by Phagans' Cosmetology Colleges at the number(s) you provided, regarding your interest in cosmetology school.Phagans' Cosmetology Colleges offers financial aid for those who qualify.SubmitReset
