WINDY CITY SCHOOL OF PET GROOMING

120 TURNER AVENUE

ELK GROVE VILLAGE, ILLINOIS 60007

GENERAL APPLICATION

(Registration fee to accompany application)

NAME__________________________________________________________________
(Last)(First)(Middle)

ADDRESS ______________________________________________________________


CITY/STATE/ZIP ________________________________________________________

HOME PHONE________________________________

CELL PHONE ________________________________

WORK PHONE _______________________________

Education Completed - ____________________________________________________

(Please submit a copy of your High School Diploma of GED Certificate)

List your last three (3) places of employment and job responsibilities:
(attach additional paper if necessary)

Name _________________________________________________________________

Address _______________________________________________________________

Phone ____________________________________________

Responsibilities _________________________________________________________

_______________________________________________________________________

Name _________________________________________________________________

Address _______________________________________________________________

Phone ____________________________________________

Responsibilities _________________________________________________________

________________________________________________________________________

________________________________________________________________________

Name _________________________________________________________________

Address _______________________________________________________________

Phone ____________________________________________

Responsibilities _________________________________________________________

________________________________________________________________________

List three 3 hobbies or special interests:

Are you left handed or right handed?

Do you have any physical or mental handicaps which could prevent you from

successfully completing your intended course of instruction?

If yes, please explain

Are you taking any kind of medication?

If yes, please explain:

List any personal pets:

List any experiences in handling of animals and responsibilities:

Please explain why you want to train in the field of Professional Pet Grooming. Use a separate piece of paper of more space is needed










Signature

Date