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Get AL ABOC Shampoo Assistant Application 2013-2024

Aboc.alabama.gov SHAMPOO ASSISTANT APPLICATION REQUIREMENTS 1. FEE 40. 00 Money Order Cashier s/Salon Check Only. ALABAMA BOARD OF COSMETOLOGY 100 North Union Street Suite 320 Montgomery AL 36130-1750 Phone 334-242-1918 Toll Free 1-800-815-7453 Fax 334-242-1926 www. No Personal Checks. 2. This License must be received by Applicant before beginning work. 3. This License is ONLY for shampooing cleansing or applying temporary rinse. 4. Proof that applicant is at least Sixteen 16 years old 5. One 2 x 2 current passport photo head-and-shoulders full frontal view. No snapshots glamour shots or varied sizes. 6. Copy of current Driver s license. 7. Copy of Social Security card. PLEASE PRINT Applicant s Last Name First Name Initial Date of Birth Social Security Phone Area Code E-Mail Address Street City State Zip A STUDENT ENROLLED IN SCHOOL MAY NOT APPLY FOR THIS APPLICATION* No License shall be issued for a period of more than two 2 years All Personal Licenses must be renewed by the last date of birth month in odd-numbered years to avoid a late charge of 50 BY MY SIGNATURE I CERTIFY THAT I AM EITHER A CITIZEN OF THE UNITED STATES OR LEGALLY PRESENT IN THE UNITED STATES AND AUTHORIZED TO WORK. Signature of Applicant Date OFFICE USE Amt Ac Date Revised 1/13. Replaces all Previous Forms Notes. No Personal Checks. 2. This License must be received by Applicant before beginning work. 3. This License is ONLY for shampooing cleansing or applying temporary rinse. 4. Proof that applicant is at least Sixteen 16 years old 5. One 2 x 2 current passport photo head-and-shoulders full frontal view. 4. Proof that applicant is at least Sixteen 16 years old 5. One 2 x 2 current passport photo head-and-shoulders full frontal view. No snapshots glamour shots or varied sizes. 6. Copy of current Driver s license. 7. Copy of Social Security card. No snapshots glamour shots or varied sizes. 6. Copy of current Driver s license. 7. Copy of Social Security card. PLEASE PRINT Applicant s Last Name First Name Initial Date of Birth Social Security Phone Area Code E-Mail Address Street City State Zip A STUDENT ENROLLED IN SCHOOL MAY NOT APPLY FOR THIS APPLICATION* No License shall be issued for a period of more than two 2 years All Personal Licenses must be renewed by the last date of birth month in odd-numbered years to avoid a late charge of 50 BY MY SIGNATURE I CERTIFY THAT I AM EITHER A CITIZEN OF THE UNITED STATES OR LEGALLY PRESENT IN THE UNITED STATES AND AUTHORIZED TO WORK. PLEASE PRINT Applicant s Last Name First Name Initial Date of Birth Social Security Phone Area Code E-Mail Address Street City State Zip A STUDENT ENROLLED IN SCHOOL MAY NOT APPLY FOR THIS APPLICATION* No License shall be issued for a period of more than two 2 years All Personal Licenses must be renewed by the last date of birth month in odd-numbered years to avoid a late charge of 50 BY MY SIGNATURE I CERTIFY THAT I AM EITHER A CITIZEN OF THE UNITED STATES OR LEGALLY PRESENT IN THE UNITED STATES AND AUTHORIZED TO WORK. Signature of Applicant Date OFFICE USE Amt Ac Date Revised 1/13. Replaces all Previous Forms Notes. .

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