This application is for the PROFESSIONAL PET GROOMING COURSE ONLY PERSONAL DATA First Name Last Name Birth Date / /   (MM/DD/YYYY) Street Address City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code Daytime Phone: ext: Evening Phone: ext: Do you have any medical, physical, emotional hadicaps or learning disabilities that would affect your ability to succeed in the Professional Pet Grooming Course?  If so, please explain the nature and extent. How did you learn about the School? EDUCATIONAL BACKGROUND    List any schools attended and any in which you are currently enrolled: Current or Most Recent School Location City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Dates Attended Start /  (mm/yyyy) End /  (mm/yyyy) Field of Study Last Grade Completed   Current or Second Most Recent School Location City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Dates Attended Start / (mm/yyyy) End /  (mm/yyyy) Field of Study Last Grade Completed Current ot Third Most Recent School Location City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Dates Attended Start / (mm/yyyy) End / (mm/yyyy) Field of Study Last Grade Completed   Personal Interests or Goals   Do you have any pets of your own?  If so, why and how many? Discribe any animal-related hobbies interests or employment positions you have been involved with: Describe your career goals: 2011 School Calendar Curriculum Description The Professional Pet Grooming Curriculum - Full Time Day Students Classes: 8:00 a.m. to 4:30 p.m. (Monday - Friday) Professional Stylist (600 Hours) 16 Weeks / 16 Units CLASS BEGINS ENROLLMENT DEADLINE GRADUATION DATE January 17, 2011 December 6, 20011 May 6, 2011 March 14, 2011 February 28, 2011 July 1, 2011 May 9, 2011 April 25, 2011 August 26, 2011 July 5, 2011 June 20, 2011 October 21, 2011 August 29, 2011 August 15, 2011 December 16, 2011 October 24, 2011 October 10, 2011 March 9, 2012 School Holiday Break: December 17, 2011 through January 15, 2012 WSPPG, INC, LIMITS ENROLLMENT TO TWELVE (12) STUDENTS PER CLASS.  PLEASE INDICATE THE STARTING DATE IN WHICH YOU WISH TO ENROLL. First Choice Start Date: / (mm/yyyy)                     Second Choice Start Date: / (mm/yyyy)