Delaware Cosmetology Pre-Evaluation Form

First Name

Last Name

Email

State of Residence

Gender

MALEFEMALE

Describe your hair length.

0 TO 1 INCHES1 TO 2 INCHES
2 TO 4 INCHES4 OR MORE INCHES

Describe your hair density.

SPARSESPARSE IN SOME AREAS
FINEMEDIUMTHICK
DENSE

Describe your hair texture.

SILKY/SOFTCOURSE/ROUGH
WIREYMULTI-TEXTURED
NOT SURE

Is your hair chemically treated?

YESNO

Describe treatment.

SINGLE PROCESS COLOR
HIGHLIGHTS
CHEMICALLY STRAIGHTENED
COLOR TREATED & CHEMICALLY STRAIGHTENED
NOT APPLICABLE

YES, I AGREE TO RECEIVE E-MAILS FROM DELAWARE LEARNING INSTITUTE OF COSMETOLOGY. (We PROMISE that you won't be bombarded with spam.)

Pre-Evaluation Form