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West TN College of Cosmetology

1186 HWY 45 Bypass Jackson, TN. 38301

Office/Fax : 731-554-7500 Owner Cell- 731-879-2340

Application Fee $100.00 (Non-Refundable)

Application Form 2022-2023


Home Address: __________________________________________________________________________________


City, State & Zip Code


Phone# /Alternate #Email


Date of Birth and Social Security #


Driver’s License #


Name of person in case of and emergency and contact info.

High School Diploma ________________ GED__________________High School Transcript ______________

Do You have any experience in the hair industry?__________________________________________________

Do you have any license? ____________________If yes what kind?_____________________________________

How did you hear about our school? _________________________________________________________________

Enrollment Agreement 

Enrollment Agreement 

Student Name ___________________________________________________________________________________________________________________________________________

Age _____________________________________________________________________________________ Birth Date _____________________________________________________

Address __________________________________________________________________________________________________________________________________________________

Phone ______________________________________________Email: ______________________________________________________________________________________________

Drivers License # ___________________________________________________ Soc. Security #____________________________________________________________________

U. S. Citizen _________Yes __________ No

This agreement is entered in between West TN College of Cosmetology and the applicant, that for and in consideration of the enrollment fee and tuition cost as stated below, the school agrees to instruct said student in the following course of study:

Contract Begins: __________________________Contract Ends:_____________________________

  Program              Initial   Clock Hours    Full-Time           Part-Time      App/ Enrol. Fee      Tuition               Books/Supplies       Total Tuition 

 Cosmetology     _________         1500           53wks.                   105wks.          $150.00               $7,900.00          $1950.00              $10,000

 Esthetics             _________         750              26wks.                  52wks.            $150.00              $5,900.00          $1550.00               $7,600.0

Manicure Tech     _________        600             20wks.                   40 wks.           $150.00              $3,900.00          $1550.00              $5,600.00

 Instructor Trainee ________       300            12 wks                   24wks              $150.00              $1,900.00            $950.00              $3,000.00

*This charge includes the cost of books, supplies, lab coats, kits, and instructional materials necessary for this course of training. All Books and supplies become the property of the student in the event of cancellation or termination of enrollment.

____________________ Transfer/Re-Entry Student – Hours Accepted: ________________________________

Hours Contracted with the Institution: ___________________________________________________________

Number of Weeks to Complete Hours Contracted: _______________________________________________


 Student is scheduled to attend a total of__________ weekly. Student’s personal schedule__________________________________________________

Student Signature ______________________________Date ________________

Owner Signature: ______________________________ Date _______________

Contract Costs and Payment Terms

Student and sponsor (if applicable) agree to pay West TN College of Cosmetology (herein referred to “The School” or WTCC”) the tuition and fees for the program selected according to the approved payment plan stated below. The school may, at its option and without notice, prevent student from attending class until any applicable unpaid balance or payments are satisfied. School will charge additional tuition for hours remaining after the contract ending date at the rate of $250 per week, or any part thereof, payable in advance until graduation. The school may charge a $10.00 transcript fee for transcript requests. The school will charge a registration fee of for students enrolling or transferring to the school of $50.00 (Non-Refundable) and Application Fee of $100.00 (Non-Refundable). The school will charge a re entry fee to students who have withdrawn and wish to re enter more than 30 days after termination, of $150.00 (Non-Refundable). The tuition rates current at the time of re entry will apply to the balance of training hours needed for students who re enroll more than 30 days after the formal withdrawal date unless mitigating circumstances apply. Methods of payment include full payment at time of signing the Enrollment Agreement, registration fee paid at time of signing agreement with balance paid prior to start date or through an approved payment plan as stated herein. Payments may be made by cash, check, money order, credit card or through non-federal agency or loan programs. Students are responsible for paying the total tuition and fees and for repaying applicable loans plus interest.

Application Fee: $ 100.00 (Nonrefundable)

Registration Fee: $ 50.00 (Nonrefundable)

                         Books/Kit:$_______________Payment Plan for

                    Tuition:$_______________Balance Due

                                                       Miscellaneous:$_______________Monthly Payment: $_____________________

                                                          Total Tuition & Fees:$_______________Payments Due On: _________Day of each month

Less Deposit:$_______________________

Balance Due: $________________________

If using monthly payment plan, the student will receive a copy of monthly payment plan and due date schedule.

This 3rd page Agreement constitutes a binding contract between the student and the school when signed by all applicable parties and upon acceptance by the school. By signing below, you certify that you have read both pages. You will receive an exact copy of the signed contract. Keep it to protect your rights. The school reserves the right to change start dates based on class enrollment, staff availability and other considerations.

ACKNOWLEDGEMENT: My signature below certifies that I have read, understand, and agree to comply with its contents, and that the institution’s cancellation and refund policies have been clearly explained to me. I have received a copy of this fully executed agreement.


Student SignatureDateGuardian/Sponsor (if applicable)Date

Accepted by School Official ________________________________ Date____________________________


School :   

Shall provide programs of study that meets minimum curriculum requirements as prescribed by the state regulatory agency.

May change kit contents, textbooks, dress code, curriculum format, teaching materials or educational methods at its discretion.

Will grant a diploma of graduation and Official Transcript of Hours for the applicable course when the student has successfully completed                  all phases of study, required tests, practical assignments; passed a final comprehensive written and practical examination; completed the          program of study according to State requirements; completed all exit paperwork; attended an exit interview and made satisfactory arrangements for payment of all debts owed to the school.

 Will issue an Official Transcript of Hours to students who withdraw prior to program completion when the student has successfully completed the required exit paperwork, attended an exit interview and made satisfactory arrangements for debts owed the school as approved by the school.

Will assist graduates in finding suitable employment by posting area employment opportunities and teaching Job Readiness classes, but placement is not guaranteed.

May terminate a student's enrollment for noncompliance with General Policies, this contract, or State Laws and Regulations; Improper conduct or any action which causes or could cause bodily harm to a client, a student, or employee of the school; willful destruction of school property; and theft or any illegal act.


•Agrees to pay applicable school and state fees and provide all required registration paperwork in a timely manner.

•Agrees to comply with all Standards of Conduct, General Policies, State Laws and Regulations, and educational requirements including clinic assignments.

•Agrees not to refuse to perform client services or other program requirements.

•Agrees to provide all financial aid documents, if applicable, in the designated time frame.

•Agrees to always comply with the school’s dress code and project a professional image representative of the cosmetology and image industry.

•Agrees to comply with the assigned schedule for the applicable program of study which may change from time to time at the discretion of the school.

•Agrees to attend theory class as scheduled for the duration of the course of study regardless of whether all required tests have been taken and passed.

•Understands that if he/she is a Title IV financial aid recipient, * minimum attendance and grade requirements must be maintained for satisfactory academic progress; failure to comply will result in loss of eligibility for financial aid according to the policy found in the catalog.

•Understands that he/she is responsible for the state licensing exam fee and other examination or licensing related expenses.


For applicants who cancel enrollment or students who withdraw from enrollment a fair and equitable settlement will apply. The following policy will apply to all terminations for any reason, by either party, including student decision, course or program cancellation, or school closure.

Any monies due the applicant or students shall be refunded within 45 days of official cancellation or withdrawal. Official cancellation or withdrawal shall occur on the earlier of the dates that:

1.An applicant is not accepted by the school. The applicant shall be entitled to a refund of all monies paid.

2.A student (or legal guardian) cancels his/her enrollment in writing within three business days of signing the enrollment agreement. In this case all monies collected by the school shall be refunded, regardless of whether or not the student has actually started classes.

3.A student cancels his/her enrollment after three business days of signing the contract but prior to starting classes. In these cases, he/she shall be entitled to a refund of all monies paid to the school less the registration and application fee in the amount of $150.00.

4.A student notifies the institution of his/her withdrawal in writing.

5.A student on an approved leave of absence notifies the school that he/she will not be returning. The date of withdrawal shall be the earlier of the date of expiration of the leave of absence or the date the student notifies the institution that the student will not be returning.

6.A student is expelled by the school. (Unofficial withdrawals will be determined by the institution by monitoring attendance at least every 30 days.)

7.In type 2, 3, 4 or 5, official cancellations or withdrawals, the cancellation date will be determined by the postmark on the written notification, or the date said notification is delivered to the school administrator or owner in person.

A.Application Fee- of $100 (non-refundable)

B.Registration Fees – $50.00 (non-refundable)

C.Supply Fees- Student Supplies Fee will not be cancelled or adjusted unless Student returns the supplies

unused and in their original condition within twenty (20) calendar days from receipt of the student supplies issued by the school on day one. If the Student cancels within 7 days of enrollment, Student Supplies Fee will be fully refunded

D.For students who enroll and begin classes but withdraw prior to course completion (after three business days of signing the contract), the following schedule of tuition earned by the school applies. All refunds are based on scheduled hours:



0.01% to 04.9% 20%

5% to 09.9% 30%

10% to 14.9% 40%

15% to 24.9% 45%

25% to 49.9% 70%

50% and over100%

All refunds will be calculated based on the students last date of attendance. Any monies due a student who withdraws shall be refunded within 45 days of a determination that a student has withdrawn, whether officially of unofficially. In the case of disabling illness or injury, death in the student's immediate family or other documented mitigating circumstances, a reasonable and fair refund settlement will be made. If permanently closed or no longer offering instruction after a student has enrolled, the school will provide a pro rata refund of tuition to the student OR provide course completion through a pre-arranged teach out agreement with another institution. If the course is canceled subsequent to a student's enrollment, the school will either provide a full refund of all monies paid or completion of the course at a later time. If the course is cancelled after students have enrolled and instruction has begun, the school shall provide a pro rata refund for all students transferring to another school based on the hours accepted by the receiving school OR provide completion of the course OR participate in a Teach-Out Agreement OR provide a full refund of all monies paid.

•Students who withdraw or terminate prior to course completion are charged a cancellation or administrative fee of $150.00. This refund policy applies to tuition and fees charged in the enrollment agreement. Other miscellaneous charges the student may have incurred at the institution (EG: extra kit materials, books, products, unreturned school property, etc.) will be calculated separately at the time of withdrawal. All fees are identified in the catalog and in this enrollment agreement.

***The school is not currently eligible to participate in federal Title IV Financial Aid Programs***

***Students acknowledges that they have read the entire enrollment agreement as well as the WTCC Handbook prior to signing below. ***

Students Signature: _____________________________________________________________________________________________________________Date _______________________

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