Certification of Student Hours

Certification of student hours is for individuals who were never licensed in Arizona but earned hours in a school and need those student hours. Please note: if your student hours are over 10 years ago, we may not have the information on file. Please contact [email protected] to determine if we have hours to certify for you.

Certification of Student Hours $30.00

A $3.00 Convenience Fee will automatically be added to your total.

First Name

Last Name

Middle Initial

Email

You will need to confirm your request using this email

Phone Number

Full name while enrolled in school

Address

City/Town

State/Province

ZIP/Postal Code

Date of Birth

Last 4 of SSN

School Name

Address

City/Town

State/Province

ZIP/Postal Code

Start Date

End Date

Curriculum Study

Cosmetology

Aesthetician

Nail Tech

Hairstyling

Barbering

Please provide your personal email address or school email address that your certification needs to be sent to:

I agree - I understand that by signing electronically, my electronic signature is the legal equivalent of my handwritten signature and I consent to be legally bound to this agreement. I further agree my signature on this document is as valid as if I signed the document in writing. Under penalty of perjury, I herewith affirm that my electronic signature was signed by myself with my full knowledge and consent.

Signature

Sign above

Date 04/22/2024