ࡱ> z|y#` Dbjbj Sy^;8888   , TTTTl, q9PD 'Q) ]*8888888$o;h=8Q D-&l'D-D-888 +9X/X/X/D-8  8X/D-8X/X/:l4@ 5 D pdTT-(5 64A90q925Re>d-e>5e> 5*hM+JX/+<+q***88H/***q9D-D-D-D-, , , $P, , , P, , , 888888 OREGON HEALTH LICENSING AGENCY Susan K. Wilson, Director 700 Summer St NE ( Suite 320 Salem, Oregon 97301-1287 Phone (503) 378-8667 TTY (503) 373-2114 Fax (503) 370-9004 Web site  HYPERLINK "http://www.oregon.gov/OHLA" www.oregon.gov/OHLA E-mail  HYPERLINK "mailto:ohla.info@state.or.us" ohla.info@state.or.us  FORMTEXT        FORMTEXT        FORMTEXT       Student Name Social Security Number Date Of Birth  FORMTEXT        FORMTEXT       Name of School School License Number  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Address City State Zip Code Check left-hand column to specify categories of additional training student received and indicate number of hours for each. ( BoxCategory of Additional Training: Hours: FORMCHECKBOX Infection Control FORMTEXT       FORMCHECKBOX Hair and Scalp FORMTEXT       FORMCHECKBOX Skin FORMTEXT       FORMCHECKBOX Condition of the Hair FORMTEXT       FORMCHECKBOX Shampoo and Rinse FORMTEXT       FORMCHECKBOX Preparation FORMTEXT       FORMCHECKBOX Scalp Massage and Scalp Treatments FORMTEXT       FORMCHECKBOX Facials FORMTEXT       FORMCHECKBOX Safety Procedures FORMTEXT       FORMCHECKBOX Shape and Style Hair  :KLWXw}ʼ}}}}p}bXDb'jhw?h5CJOJQJUh5CJOJQJjh5CJOJQJUhY"B5CJOJQJ\hi5CJOJQJ\,jh395CJOJQJU\mHnHu jhiCJOJQJhiCJOJQJhijhiUmHnHu"hXhi6CJOJQJ]aJ"hXh56CJOJQJ]aJ"hXh:B6CJOJQJ]aJ:WwH J K ^  t v  b d b gdu% P!gd\ Pgd\ :!gd\gdX `<^ `<< @D   - / 0 1 F G H J K L V W µٛه}sk_WE_#jh}h}OJQJUh}OJQJjh}OJQJUheOJQJhiCJOJQJhiCJOJQJ'jhw?h5CJOJQJUh5h5CJOJQJhi5CJOJQJ\hY"B5CJOJQJ\h:25CJOJQJ\h:2CJOJQJh5CJOJQJjh5CJOJQJUhw?h50JCJOJQJ   $ & 4 6 8 L N P Z \ ^ ` b z | ڴڢڂnaWMC9hu%OJQJ^JheOJQJ^JhB[OJQJ^Jh\OJQJ^Jh@)hXOJQJ^J&jhXOJQJU^JmHnHujhiUmHnHu"jh\OJQJUmHnHu#jh\hHi]OJQJUjh\OJQJU#j"h}h}OJQJUh}OJQJh\OJQJjh}OJQJU"jh}OJQJUmHnHu      F H t v 񵧵uaWMW?heCJOJQJ^JaJhu%OJQJ^JheOJQJ^J&jheOJQJU^JmHnHuhB[OJQJ^J&jh\OJQJU^JmHnHu'jh\hHi]OJQJU^Jjh\OJQJU^Jh\OJQJ^J&jh}OJQJU^JmHnHu'jh}h}OJQJU^Jh}OJQJ^Jjh}OJQJU^Jv x  w_G_/jh\hHi]CJOJQJU^JaJ.jh\CJOJQJU^JaJmHnHu/jvh\hHi]CJOJQJU^JaJ#jh\CJOJQJU^JaJh\CJOJQJ^JaJ.jh}CJOJQJU^JaJmHnHu/jh}h}CJOJQJU^JaJh}CJOJQJ^JaJ#jh}CJOJQJU^JaJ       d j v  , L V ^ ` b d սկzzzzzl[M@h 8h 8OJQJ^Jh 8h 85OJQJ^J! jh 8h 85OJQJ^Jh|CJOJQJ^JaJhh|OJQJ^Jh|OJQJ^Jhu%OJQJ^J&jhu%OJQJU^JmHnHuhu%CJOJQJ^JaJ.jh\CJOJQJU^JaJmHnHu#jh\CJOJQJU^JaJ/j^h\hHi]CJOJQJU^JaJb n 2@kd$$IflF#*.  t00*6    44 la pyt 8 $Ifgd9   "$.046RTVvxvb'j h\hHi]OJQJU^J'jh\hHi]OJQJU^J'jOh\hHi]OJQJU^J&jh\OJQJU^JmHnHu'jKh\hHi]OJQJU^Jh 8h 8OJQJ^J'jh\hHi]OJQJU^Jh\OJQJ^Jjh\OJQJU^J24Xvneee $Ifgd9kd$$IflF#*. t00*6    44 la yt 8neee $Ifgd9kd9 $$IflF#*. t00*6    44 la yt 8HJ^`blnrtݼݲݼݲݼݲvݼݲbݼݲ'j h\hHi]OJQJU^J'j h\hHi]OJQJU^J'j h\hHi]OJQJU^J'j# h\hHi]OJQJU^Jh\OJQJ^Jh 8h 8OJQJ^J&jh\OJQJU^JmHnHujh\OJQJU^J'j- h\hHi]OJQJU^JHpneee $Ifgd9kd $$IflF#*. t00*6    44 la yt 8prneee $Ifgd9kd $$IflF#*. t00*6    44 la yt 8 Hneee $Ifgd9kdw $$IflF#*. t00*6    44 la yt 8 "68:DFJLhjl(*ƲݞƊvݞbN'j?h\hHi]OJQJU^J'jh\hHi]OJQJU^J'jh\hHi]OJQJU^J'jah\hHi]OJQJU^J&jh\OJQJU^JmHnHu'jkh\hHi]OJQJU^Jh\OJQJ^Jh 8h 8OJQJ^Jjh\OJQJU^J'j h\hHi]OJQJU^JHJnneee $Ifgd9kd$$IflF#*. t00*6    44 la yt 8:neee $Ifgd9kdK$$IflF#*. t00*6    44 la yt 8*,68<>Z\^>>>> >">&>(>D>F>H>>>>ƲƞƊƈt`'j h\hHi]OJQJU^J'jh\hHi]OJQJU^JU'jh\hHi]OJQJU^J'jh\hHi]OJQJU^J'j5h\hHi]OJQJU^Jh\OJQJ^Jh 8h 8OJQJ^J&jh\OJQJU^JmHnHujh\OJQJU^J%:<`neee $Ifgd9kd$$IflF#*. t00*6    44 la yt 8$>neee $Ifgd9kd$$IflF#*. t00*6    44 la yt 8FORMTEXT       FORMCHECKBOX Shave and Style Beards and Mustaches FORMTEXT       FORMCHECKBOX Hairpiece FORMTEXT          FILENAME \p H:\Forms\FINAL\COS\OTHER\Certificate_of_Additional_Training_Barbering.doc I certify that the above-mentioned career school provided additional training in the areas indicated above. Student s Signature Date I attest that the above-named student has received additional training and the information listed above is true and accurate. 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