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First Name
*
Last Name
*
Street Address
*
Address Line 2
City
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State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Email Address
*
How long have you been a licensed stylist?
*
Are you certified in any extension method(s)? If yes, please list below.
*
Which do you value you more, quality or quantity?
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Quality
Quantity
How often do you invest in continuing education? What was the last investment you have made to help grow as a stylist?
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Would you consider yourself to be open to coaching?
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Yes
No
What is the salon name and address where you are currently employed?
*
*
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