ࡱ> xzw#` Bbjbj Sw@8888   , l@|, 7& '()X7 7 7 7 7 7 7$9h+<.7Q `,w&l'`,`,.788 7---`,8  7-`,7--:2@ 3  ڍcp,3 47073R<,<<3< 3*hi*J-*<*q***.7.7-***7`,`,`,`,, , , , , , , , , 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 Procedures FORMTEXT       FORMCHECKBOX Basic Human Anatomy and Physiology FORMTEXT       FORMCHECKBOX Nail Composition FORMTEXT       FORMCHECKBOX Basic Chemistry FORMTEXT       FORMCHECKBOX General Nail Technology Procedures FORMTEXT       FORMCHECKBOX Nail Service Tools FORMTEXT       FORMCHECKBOX Natural Nail Service Procedures (Manicure and Pedicure) FORMTEXT       FORMCHECKBOX Basic Massage Movement  FORMTEXT       :;LMw}ʼ}}}}p}bXDb'jhw?h5CJOJQJUh5CJOJQJjh5CJOJQJUhY"B5CJOJQJ\hi5CJOJQJ\ jhiCJOJQJhiCJOJQJ,jhf 5CJOJQJU\mHnHuhijhiUmHnHu"hXhi6CJOJQJ]aJ"hXh56CJOJQJ]aJ"hXh:B6CJOJQJ]aJ:XwH J K ^  t v  b d b gdX P!gdC PgdC !gdCgd) `<^ `<<|>B   - / 0 1 F G H J K L V W µٛه}sk]S?]'jh6Yh6YOJQJU^Jh6YOJQJ^Jjh6YOJQJU^Jh)OJQJhiCJOJQJhiCJOJQJ'jhw?h5CJOJQJUh5h5CJOJQJhi5CJOJQJ\hY"B5CJOJQJ\h:25CJOJQJ\h:2CJOJQJh5CJOJQJjh5CJOJQJUhw?h50JCJOJQJ   $ & ( 2 4 6 8 L N P Z \ ^ ` b z | dzѢюwiUH>hCOJQJ^Jh@)h)OJQJ^J&jh)OJQJU^JmHnHujh)UmHnHu,jhChCOJQJU^JmHnHu'jhChqOJQJU^J!jhChCOJQJU^J'j"h6Yh6YOJQJU^Jh6YOJQJ^JhChCOJQJ^Jjh6YOJQJU^J&jh6YOJQJU^JmHnHu|      t v ެޟzcVB4h)CJOJQJ^JaJ&jh)OJQJU^JmHnHuhCh)OJQJ^J,jhChCOJQJU^JmHnHu'jhChqOJQJU^J!jhChCOJQJU^JhChCOJQJ^J&jh6YOJQJU^JmHnHu'jh6Yh6YOJQJU^Jh6YOJQJ^Jjh6YOJQJU^JhCOJQJ^Jh)OJQJ^Jv x  񮝐|eQe'jhChqOJQJU^J,jhChCOJQJU^JmHnHu'jvhChqOJQJU^JhChCOJQJ^J!jhChCOJQJU^J hChCCJOJQJ^JaJ&jh6YOJQJU^JmHnHu'jh6Yh6YOJQJU^Jh6YOJQJ^Jjh6YOJQJU^J       d j v  , L V ^ ` b d ڲ}}}}}o^PBhf CJOJQJ^JaJhf hf 5OJQJ^J! jhf hf 5OJQJ^Jhf CJOJQJ^JaJhh8POJQJ^Jh8POJQJ^Jh)OJQJ^J&jh)OJQJU^JmHnHu hCh)CJOJQJ^JaJ,jhChCOJQJU^JmHnHu!jhChCOJQJU^J'j^hChqOJQJU^Jb n H@kd$$IflF#*8  t00*6    44 la pytf $Ifgdw "68:DFHJLhjlƐ|k^Jk'jhChqOJQJU^JhChCOJQJ^J!jhChCOJQJU^J'jMhChCOJQJU^Jhf CJOJQJ^JaJ&jhCOJQJU^JmHnHu'jIhChqOJQJU^Jhf hf OJQJ^J'jhChqOJQJU^JhCOJQJ^JjhCOJQJU^JHJnneee $Ifgdwkd$$IflF#*8 t00*6    44 la ytf $&:<>HJLNPlnp˽p\H'j! hChCOJQJU^J&jhCOJQJU^JmHnHu'j+ hChqOJQJU^Jhf hf OJQJ^J'j hChCOJQJU^JhCOJQJ^JjhCOJQJU^Jhf CJOJQJ^JaJhChCOJQJ^J!jhChCOJQJU^J,jhChCOJQJU^JmHnHu$Lneee $Ifgdwkd7 $$IflF#*8 t00*6    44 la ytf LNrneee $Ifgdwkd $$IflF#*8 t00*6    44 la ytf &(<>@JLNPRnprݼݤݼݤ|ݼݤhݼݤTݼ'jihChqOJQJU^J'j hChCOJQJU^J'j hChqOJQJU^J'j hChCOJQJU^JhCOJQJ^Jhf CJOJQJ^JaJhf hf OJQJ^J&jhCOJQJU^JmHnHujhCOJQJU^J'j hChqOJQJU^J &Nneee $Ifgdwkd $$IflF#*8 t00*6    44 la ytf NPtneee $Ifgdwkdu $$IflF#*8 t00*6    44 la ytf Xneee $Ifgdwkd$$IflF#*8 t00*6    44 la ytf XZnpr|~<<< <"<f<Ɛ|hƐfR'j3hChCOJQJU^JU'j=hChqOJQJU^J'jhChCOJQJU^Jhf CJOJQJ^JaJ&jhCOJQJU^JmHnHu'jhChqOJQJU^Jhf hf OJQJ^J'j_hChCOJQJU^JhCOJQJ^JjhCOJQJU^J neee $IfgdwkdI$$IflF#*8 t00*6    44 la ytf $<f<<neee $Ifgdwkd$$IflF#*8 t00*6    44 la ytf  FORMCHECKBOX Apply, Repair and Maintain Nails FORMTEXT       FORMCHECKBOX Electric Filing FORMTEXT       FORMCHECKBOX Specialty Services FORMTEXT        FILENAME \p H:\Forms\FINAL\COS\OTHER\Certificate_of_Additional_Training_for_Nail_Technology.doc I certify that the above-mentioned career school provided additional training in the areas indicated above. Student s Signature Date I attest that the above-named student has received additional training and the information listed above is true and accurate. If the career school does not have an official seal or stamp this transcript must be notarized Signature of Authorized School Official Date School Seal or Stamp Notary Signature Date Notary Stamp Board of Cosmetology Certificate of Additional Training  Nail Technology f<h<|<~<<<<<<<<<<<<<<<<<<<=== =H=J=^=`=b=l=n=|hT'j{hChqOJQJU^J'jhChCOJQJU^J'jhChqOJQJU^J'jhChCOJQJU^Jhf CJOJQJ^JaJhf hf OJQJ^J&jhCOJQJU^JmHnHu'jhChqOJQJU^JhCOJQJ^JjhCOJQJU^J <<<<<neee $Ifgdwkd$$IflF#*8 t00*6    44 la ytf <<"=H=p=neee $Ifgdwkd$$IflF#*8 t00*6    44 la ytf n=p=r=~========x>z>|>>>R?f?h?j????ķĩm`V`LVL?`;hih@)hZ OJQJ^JhZ OJQJ^Jh8POJQJ^JhZ hZ OJQJ^J+h h CJ OJQJ^JaJ mHnHu h h CJ OJQJ^JaJ )jh h CJ OJQJU^JaJ h CJ OJQJ^JaJ hu92hu92OJQJ^Jhu92OJQJ^J,jh+Ph+POJQJU^JmHnHuhf CJOJQJ^JaJhf hf OJQJ^Jp=r===========nidddddddddgdu92gdXkd$$IflF#*8 t00*6    44 la ytf ==============|>T?V?X???PARATAVAXAAAAAgdaV3gdu92???J@d@j@|@@NAVAXAAAAAAAAA(BXBZB\BBBBBBBBBBƼƟyrn] h h CJ OJQJ^JaJ hDh hXhXhXhXCJaJhf CJOJQJaJhXhXCJOJQJaJh39CJOJQJaJhZ h@)hZ OJQJ^JhZ OJQJ^JhihaV3haV3CJaJh+POJQJ^JhaV3OJQJ^Jh8POJQJ^Jh@)haV3OJQJ^JAAAZB\B^BBBBBBBBBgdu92 $^a$gdX$a$gdX$a$gdf $x^a$gd39 .:pX/ =!"#$% n#1ǝ@yc?"s(DPNG  IHDR?gAMAPLTEٟ pHYs\T\X IDATx]v:^"')zAJEP }mooe7f\GD| ٩@,/ Wji|M2oe.Nf7$X^H@^˻8y'ByU,h(q-t8[byi89H.03^Ew$ϧh+NтLNEGXjr[c֭y<72ƴ? 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PP^P`hH.zBwF SNF S`1U0S`1U0                  98Cs0" L }s Z L ZP!{h'6(:2u92aV3 8:Y"BV:H#N{~N3Qk\Ryo;+Pq>n~qFe:Be'8P liw6YQeC*hDh6v(lj)5GX393f WwJ; 189Kh|}!56Hk+CWXjPl9]09]09]039]09]09]09]09]09]09]0@X]vF XXLXXXXXP@P P PPP<UnknownGz Times New Roman5Symbol3& z Arial?& Arial BlackA& Arial Narrow5& zaTahoma;WingdingsS&Arial Rounded MT Bold"h3Ad  ̺!r4d2QKP(?:2*HEALTH LICENSING OFFICEspatnodeState of Oregon DAS  Oh+'0( DP p |  HEALTH LICENSING OFFICE spatnode<Certificate_of_Additional_Training_for_Nail_Technology.dotState of Oregon DAS3Microsoft Office Word@G@.#, @@^c՜.+,D՜.+,P  hp  State of Oregon  HEALTH LICENSING OFFICE Title( 8@ _PID_HLINKSA % mailto:ohla.info@state.or.us 9)http://www.oregon.gov/OHLA   !"#$%&'()*+,-./0123456789:;=>?@ABCDEFGIJKLMNOPQRSTUVWXYZ[\]^_`abcdefhijklmnpqrstuvyRoot Entry Fc{Data <q1TableH<WordDocumentSwSummaryInformation(gDocumentSummaryInformation8oCompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q