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: Will you require Student Housing? (Additional $100.00 security deposit required.) YesNo 2009 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 19, 2009 December 1, 2008 May 8, 2009 March 16, 2009 March 2, 2009 July 3, 2009 May 11, 2009 April 27, 2009 August 28, 2009 July 6, 2009 June 22, 2009 October 23, 2009 August 31, 2009 August 17, 2009 December 18, 2009 October 26, 2009 October 12, 2009 March 12, 2010 School Holiday Break: December 19, 2009 through January 17, 2010 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)