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