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Get Cosmetology Application Check List Form

Do not fold pages of the application. Revision Date July 2012 Application Fee 30. 00 non-refundable License Type MASTER COSMETOLOGY HAIR DESIGNER ESTHETICIAN NAIL TECHNICIAN INSTRUCTOR List type of Instructor Additional License Types currently or previously issued by the Georgia Professional Licensing Boards Name PLEASE PRINT First Middle Last Name as desired on License Name as shown on exam records or transcripts if different please print PLEAS.

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