Enrollment Application

APC Enrollment Application
Desired Program
Please select the program you are interested in.

Contact Information

Full Legal Name
Full Legal Name
First
Middle
Last
Address
Address
City
State/Province
Zip/Postal

Your Social Media

Do you opt in for text messages from APC?

Demographics

The ADH Cosmetology Section and the US Dept of Education collect statistics for the following areas.
The information does not leave your file by name, only quantities. None of this information will affect your registration in any way.

Race/Ethnicity

Race/Ethnicity
Please select one.

Dependency & Income

Dependency Status
Same as FAFSA
Income by Category

Marital Status & Housing

Marital Status
Housing

Travel