WINDY CITY SCHOOL OF PET GROOMING
120 TURNER AVENUE
ELK GROVE VILLAGE, ILLINOIS 60007

ADVANCED GROOMING TECHNIQUES APPLICATION

NAME 
                                                    (Last)   (First)   (Middle)

ADDRESS  

CITY/STATE/ZIP      

HOME PHONE  

WORK PHONE  

How long was the program you were in?  

Are there breeds that you wish to focus on?  Please list breeds 

 

Are there breeds you definitely do not wish to work with?  Why? 

Please list all your grooming equipment: 

  
Have you furthered your education?  List any seminars, lectures, dog shows, or information received with dog grooming interest:

Are you certified?  With whom?   

Are you taking any kind of medication?
Yes No 

If yes, please explain  

List any personal pets 

Signature         

Date