WINDY CITY SCHOOL OF PET GROOMING 120 TURNER AVENUE ELK GROVE VILLAGE, ILLINOIS 60007
GENERAL APPLICATION
NAME (Last) (First) (Middle)
ADDRESS
CITY/STATE/ZIP
HOME PHONE
WORK PHONE
Education Completed
Please submit a copy of your High School Diploma of GED Certificate. This can be mailed with your deposit to the above address.
List your last three (3) places of employment and job responsibilities:
Name of Most Recent Employer Address Phone Responsibilities
Name of 2nd Most Recent Employer Address Phone Responsibilities
Name of 3rd Most Recent Employer 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? Yes No If yes, please explain
Are you taking any kind of medication? Yes No 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.
Signature Date