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Name ______________________________________________________
Social Security #__________________
Address ____________________________________________________
Date of Birth ____________________
___________________________________________________________
Telephone ______________________
Employer _________________________________ Position
___________________ Telephone ______________
In Case of Emergency call
_______________________________________________ Telephone ______________
Highest Level of Education: GED _____ HS _____ BA _____ MA/MS _____
PhD _____ Other _________________
- Program/Course Data
FRA 213 Track Safety or
Locomotive Engineer 101
Total Hours
40 Start Date
_______________Ending Date_____________
Tuition and Fees check
one
______FRA
213 _____On Line
Tuition:
$2,800.00 $1,500.00
Fees:
$ 00.00
$ 00.00
Books/Supplies/Equipment $ 00.00 $ 00.00
Discount $ 00.00 $1,000.00
Total Cost of
Program $2,800.00
$ 500.00
(subject to cost change)
Disclosure
Statement
THE COST OF CREDIT
IS INCLUDED IN THE PRICE QUOTED FOR THE GOODS AND SERVICES.
By signing below, the
student agrees to pay ARC-Tech, hereinafter referred to as ARC, the total stated
tuition and fees. ARC agrees to provide the occupational training. Payment of all monies due shall be a condition of continuing
enrollment. Upon
Satisfactory completion of all skill requirements and
when all financial obligations to ARC have been met, ARC will award the following Certificate
to
the student. The
student and ARC understand that this enrollment agreement, WHICH
INCLUDES THE REFUND POLICY may not be amended except in writing and signed by both parties.
Refund
Policy
Students not accepted by ARC and students who cancel this contract by notifying
ARC within three business days are entitled to a full refund of
all tuition and fees paid. Students
who withdraw after three business days, but before commencement of
classes, are entitled to a full refund of all tuition and fees paid
except the cancellation fee of twenty-five percent of the contract
price.
In the case of students withdrawing after commencement of
classes, ARC will retain a cancellation fee plus a percentage
of tuition and fees, which is based on the percentage of contact
hours attended, as described in the table below.
The refund is based on the last date of recorded attendance.
REFUND TABLE
Student
is entitled to upon withdrawal/termination
|
Refund
|
|
Within first 10%
of program
|
90%
|
|
After 10% but
within first 25% of program
|
75%
|
|
After 25% but
within first 50% of program
|
50%
|
|
After 50% but
within first 75% of program
|
25%
|
|
After 75%
|
No
refund
|
-
plus cancellation fee
- 1
The
student may cancel this contract at any time prior to midnight
of the third business day after signing this contract.
- 2 The official date of
termination for refund purposes is the last date of recorded
attendance. All
refunds will be made within 30 days from the date of
termination.
- 3 The student
will receive a full refund of tuition and fees paid if ARC discontinues a course/program within a period of time a
student could have reasonably completed it, except that this
provision shall not apply in the event ARC ceases
operation.
- 4 The policy for
granting credit shall not impact the refund policy.
I
HAVE RECEIVED A COPY OF THIS ENROLLMENT AGREEMENT
______________________________________ _____________________
Student Signature Date
______________________________________ _____________________
Trainer
Date How did you hear about this
school?______________________________________________________________
What do you plan to accomplish/experience by taking our
training?_______________________________________
__________________________________________________________________________________________
Registration Fee of $150.00 must accompany registration
form.
(Non-refundable after registration accepted, unless classes
canceled)
- Registration Accepted:
- Yes _____ Date of Acceptance _____________________________
- No _____ Reason (s)
_______________________________________________________________
- Signature of Trainer ________________________________________________________________________________
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