VIRGINIA BOARD FOR BARBERS AND COSMETOLOGY

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VIRGINIA BOARD FOR BARBERS AND COSMETOLOGY
ERGOMETRICS & APPLIED PERSONNEL RESEARCH, INC.
NATIONAL TESTING NETWORK
P.O. BOX 4766
GLEN ALLEN, VA 23059
AND
VIRGINIA BOARD FOR BARBERS AND COSMETOLOGY
TEMPORARY PERMIT SPONSORSHIP
Candidate Name: ____________________________________________________
Candidate Date of Birth: _______________________________________________
Candidate NTN Account (if known): ______________________________________
To be completed by Sponsor:
I, the undersigned, agree to supervise all activities related to the practice of:
____ Barbering
____ Waxing *
____ Cosmetology
____ Esthetics
____Nail Care *
____ Master Esthetics
for the above-named individual, and shall be responsible for the actions of the applicant
during the time the temporary permit is in force.
* Nail Care and Waxing temporary permit holders may be supervised by a currently licensed practitioner in the
occupation OR a currently licensed Cosmetologist.
Sponsor Information:
__________________________________
Printed Name of Sponsor
_______________________________
Signature of Sponsor
________________________________
Date of Signature
__________________________________
Sponsor Virginia License Number
Please return this completed form to:
Ergometrics / National Testing Network
P.O. Box 4766
Glen Allen, VA 23059
Your temporary permit will not be issued unless you are approved by National Testing
Network to sit for your exam, and you are scheduled to take your exam.
COSMETOLOGYVIRGINIA.COM

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