Man Barbershop Academy — Exit Interview

Student Information

First Name *Required

Last Name *Required

TDLR Permit Number

Program Type

Phone *Required

Email

Date of Interview

Exit Type

Reason for Exit * Required

Last Date of Attendance

Hours Completed at Exit

Emergency Contact (Next of Kin)

Required for institutional records. This information is kept confidential and used only for emergency notification purposes.

Name of Closest Relative Not Living With You

Relationship

Phone

Email (if available)

Address

Graduation & Licensing Checklist

The school representative and student should review each item below. The student initials to confirm each item was discussed. Items that do not apply should be marked N/A.

Graduation Requirements Confirmed

Student has completed 1,000 clock hours, met the minimum 75% theory grade, passed all required practical evaluations, and satisfied all documentation requirements.

Certificate of Completion Provided

Student has received or will receive the Man Barbershop Academy Certificate of Completion upon graduation clearance.

Official Transcript of Hours Provided

Official transcript of clock hours attended has been issued or is being processed for the student's records and TDLR application.

Financial Obligations Satisfied

All tuition, fees, and institutional charges have been paid in full, or a satisfactory payment arrangement has been documented.

TDLR State License Application

Student has been advised on the TDLR Class A Barber license application process, including required documentation, fees, and how to submit through the TDLR portal.

State Board / Licensing Exam Preparation

Student has been reminded of state board examination requirements. Mock state board or final practical review has been completed or scheduled.

Notice of Potential Ineligibility for License

Student has been informed that criminal history or other background factors may affect TDLR licensure eligibility, and has received or reviewed Form BAC-EE-13-E if applicable.

Employment & Career Preparation

Employment Assistance Reviewed

Student has been informed of available employment assistance — career guidance, resume support, local industry leads, and networking opportunities. No employment guarantee is made.

Employment / Placement Status

Student's current employment or placement status has been documented (employed, seeking employment, self-employment / booth rental plans, or not seeking at this time).

Professional Conduct & Employability

Student has been counseled on professional image, client relations, sanitation compliance, and job-readiness expectations for the barbering industry.

Current Employment Status at Exit

Employer or Placement Name (if applicable)

Financial Obligations

Document the student's financial standing with the institution at the time of exit. All outstanding balances must be settled or a written payment arrangement confirmed before official records, transcripts, or graduation clearance are issued.

All Institutional Charges Reviewed

Student's account has been reviewed. All tuition, fees, kit/supply charges, and any extra instructional charges have been confirmed and communicated to the student.

Balance Confirmed / Payment Arrangement in Place

Outstanding balance is $0 (paid in full) OR a written payment arrangement has been documented and agreed upon by both parties prior to exit.

Student Informed of Record / Transcript Hold

Student has been advised that official transcripts, the Certificate of Completion, and other records will not be released until all financial obligations are satisfied or a satisfactory arrangement is on file.

Outstanding Balance at Exit ($) Enter 0 if paid in full.

Balance Status

Payment Arrangement Details (if applicable)

Notes on Financial Settlement

Per MBA Catalog — graduation clearance, Certificate of Completion, and official transcripts will not be issued until all financial obligations are satisfied or a written arrangement is on file and approved by school administration.

If Withdrawing Before Completion

Complete this section if the student is exiting without completing the program. Skip if graduating.

Refund Policy Reviewed

Student has been informed of the applicable refund calculation per MBA Catalog §13 and Tex. Occ. Code §1603.3602–1603.3603, based on scheduled hours completed at withdrawal.

TDLR Refund Worksheet Completed

Form BAC-EE-140-E has been completed or is in process. Refund due (if any) will be paid within 30 days of the effective date of termination.

Re-Entry Policy Explained

Student has been informed of the re-entry policy. Re-entry after withdrawal is subject to school approval and institutional policy in effect at the time of re-entry.

Partial Transcript of Hours Issued

Official transcript of hours attended has been or will be issued to the withdrawing student after exit paperwork is completed and financial arrangements are settled.

Program Quality — Your Feedback

Your honest feedback helps Man Barbershop Academy improve the program for future students. All responses are voluntary and confidential. Rate each item 1–5 (1 = Poor, 5 = Excellent).

Overall quality of instruction at Man Barbershop Academy

1

2

3

4

5

PoorExcellent

Preparation for the TDLR Class A Barber state board exam

1

2

3

4

5

PoorExcellent

Practical / hands-on training (cutting, styling, shaving techniques)

1

2

3

4

5

PoorExcellent

Theory instruction (Milady CIMA coursework, classroom sessions)

1

2

3

4

5

PoorExcellent

School facility, equipment, and supplies

1

2

3

4

5

PoorExcellent

Administrative and student support services

1

2

3

4

5

PoorExcellent

How well the program prepared you for a career in barbering

1

2

3

4

5

PoorExcellent

Open Feedback

What did you find most valuable about your training at Man Barbershop Academy?

What could the school improve to better serve students?

Would you recommend Man Barbershop Academy to others? Why or why not?

Additional comments or concerns

Student Certification & Signature

By signing below, I certify that the information I have provided is accurate and complete to the best of my knowledge. I acknowledge that all items marked on the Exit Interview Checklist have been reviewed and discussed with a school representative. I understand that this Exit Interview is a required part of the separation process from Man Barbershop Academy.

Student Printed Name

—

Student Electronic Signature — Type Your Full Legal Name *

Date

Permit / License Number

—

For Institution Use Only

School Representative Signature & Title

To be signed by school official

Date

To be completed by school official

ℹ A signed copy of this Exit Interview must be retained in the student's permanent file. This form documents institutional compliance with NACCAS Policy Standards and applicable Texas state requirements.