Student Information. Name: First Middle Initial Last Social Security Number: - - Address: Number Street City St Zip Phone # Birthdate: / / MM/DD/YYYY Email: Do you have a High School Diploma or its equivalent (GED)? Yes No In the event we are unable to contact you at the phone number listed above, please provide two (2) additional contacts: Name Relationship Phone number (include area code) Program PROGRAM INFORMATION (INSTITUTION ONLY) Title: Home Health Aide Clock Hours: 80 Start Date: / / Anticipated Completion Date: / / Class Time: am/pm Tuition $ 399 Registration Fee (non-refundable) $ 100 Books $ 40*** Materials (included in tuition cost) $ 0 Other costs $ 0 Total Program Cost $ 539 ***-Book prices are for new books. Students are responsible for obtaining books, and used books may be considerably cheaper. Goods or Services not included in the tuition $ _ METHODS OF PAYMENT [ ] Full payment at time of signing enrollment agreement. [ ] Registration fee at the time of signing enrollment agreement with balance paid prior to program start date NOTE: For Schools offering a payment plan with four or more payments the federal boxes or vertical listing must be included on the contract. (ENTER N/A or LINE THROUGH if not applicable) ANNUAL PERCENTAGE RATE % FINANCE CHARGE $ AMOUNT FINANCED The dollar amount the credit provided to you or on your behalf. $ TOTAL OF PAYMENT The amount you will have paid after you have made all payments as scheduled. $ TOTAL SALES PRICE The total cost of your purchase on credit including your down payment of $ YOUR PAYMENT SCHEDULE WILL BE: NUMBER OF PAYMENTS AMOUNT OF EACH PAYMENT WHEN PAYMENTS ARE DUE $ Beginning on / / and on the same day each (check one) weekly or bi-weekly thereafter (Any late fee payments and conditions thereof must be disclosed on the enrollment agreement and in the catalog) All prices for program are printed herein. Contracts are not sold to a third party at any time. There are no carrying charges, interest charges, or service charges connected or charged with any of these programs unless stated.
Appears in 2 contracts
Samples: www.expresstrainingservices.com, www.expresstrainingservices.com
Student Information. Please clearly print the name and birthdate of each individual student attending class. A separate Liability Waiver Form must also be completed by each person participating in the program. Name: First Middle Initial Last Social Security Date of Birth: Name: Date of Birth: Name: Date of Birth: Name: Date of Birth: Do any of the students list above have current or past injuries or illnesses that the instructors should know? MONTHLY MEMBERSHIP OPTIONS Single Martial Art *: $125 Martial Arts Bundle (unlimited access): $150 Family Pack A: $175 (Includes 2 Students) Family Pack B: $225 (Includes 3 Students) Family Pack C: $300 (Includes 4 Students) * Allows access to any single martial art of your choice. OPTIONAL GEAR COSTS Gi: $150 Hand Wraps & Boxing Gloves: $55 Hand Wraps, Boxing Gloves, Shin Guards & Head Gear $155 Please be sure to check your information thoroughly before submitting this application. Payment Method: Visa MasterCard Discover American Express Check** **Cash/check payment must be for 6-months in advance. Payments are due on the exact renewal date & will be prorated accordingly. Late payments may incur a $25 late penalty fee. If you pay by check, your cancelled check is your receipt. Name on Credit Card: Card Number: - - Address_ Expiration: Number Street City St Zip Phone # BirthdateCVV: / / MM/DD/YYYY EmailBilling address is the same as noted above: Do you have a High School Diploma or its equivalent (GED)? Yes No In the event we are unable to contact you at the phone number listed aboveIf no, please provide two your credit card billing address: Address: City: State: Zip: Email Address (2where receipts get emailed): By signing this document, you are agreeing to Membership Terms & Conditions. Print Student Name (Parent/Guardian if under 18yrs of age) additional contactsSignature of Student (Parent/Guardian if under 18yrs of age) FOR OFFICE USE ONLY Entered in System: Name Relationship Phone number (include area code) Program PROGRAM INFORMATION (INSTITUTION ONLY) Title: Home Health Aide Clock Hours: 80 Start Date: / / Anticipated Completion DateBack Date Payment On: / / Class TimeSet for Recurring On: am1st 15th Notes/pm Tuition $ 399 Registration Fee Comments: MEMBERSHIP TERMS & CONDITIONS MEMBERSHIP PERIOD A membership period is defined as one (non-refundable1) $ 100 Books $ 40*** Materials month. Memberships are automatically renewed every month unless cancellation is provided within thirty (included in tuition cost30) $ 0 Other costs $ 0 Total Program Cost $ 539 ***-Book prices are for new books. Students are responsible for obtaining books, and used books may be considerably cheaper. Goods or Services not included in the tuition $ _ METHODS OF PAYMENT [ ] Full payment at time of signing enrollment agreement. [ ] Registration fee at the time of signing enrollment agreement with balance paid prior to program start date NOTE: For Schools offering a payment plan with four or more payments the federal boxes or vertical listing must be included on the contract. (ENTER N/A or LINE THROUGH if not applicable) ANNUAL PERCENTAGE RATE % FINANCE CHARGE $ AMOUNT FINANCED The dollar amount the credit provided to you or on your behalf. $ TOTAL OF PAYMENT The amount you will have paid after you have made all payments as scheduled. $ TOTAL SALES PRICE The total cost days of your purchase on credit including your down payment of $ YOUR PAYMENT SCHEDULE WILL BE: NUMBER OF PAYMENTS AMOUNT OF EACH PAYMENT WHEN PAYMENTS ARE DUE $ Beginning on / / and on membership renewal period. Open Guard BJJ LLC and/or Apex Martial Arts Center LLC reserves the same day each (check one) weekly or bi-weekly thereafter (Any late right to change membership fee payments and conditions thereof must be disclosed on the enrollment agreement and in the catalog) All prices for program are printed herein. Contracts are not sold to a third party schedules at any time. There are no carrying charges, interest charges, or service charges connected or charged with any of these programs unless stated.
Appears in 2 contracts
Samples: Membership Agreement, Membership Agreement
Student Information. Name: First Middle Initial Last Social Security Number: - - Address: Number Street City St Zip Phone # Birthdate: / / MM/DD/YYYY Email: Do you have a High School Diploma or its equivalent (GED)? Yes No In the event we are unable to contact you at the phone number listed above, please provide two (2) additional contacts: Name Relationship Phone number (include area code) Program PROGRAM INFORMATION (INSTITUTION ONLY) Title: Home Health Aide Pharmacy Technician Training Clock Hours: 80 300 Start Date: / / Anticipated Completion Date: / / Class Time: am/pm Tuition $ 399 1766 Registration Fee (non-refundable) $ 100 Books $ 40100*** Materials (included in tuition cost) $ 0 Other costs $ 0 129 (national exam fee) Total Program Cost $ 539 2095 ***-Book prices are for new books. Students are responsible for obtaining books, and used books may be considerably cheaper. Goods or Services not included in the tuition $ _ METHODS OF PAYMENT [ ] Full payment at time of signing enrollment agreement. [ ] Registration fee at the time of signing enrollment agreement with balance paid prior to program start date NOTE: For Schools offering a payment plan with four or more payments the federal boxes or vertical listing must be included on the contract. (ENTER N/A or LINE THROUGH if not applicable) ANNUAL PERCENTAGE RATE % FINANCE CHARGE $ AMOUNT FINANCED The dollar amount the credit provided to you or on your behalf. $ TOTAL OF PAYMENT The amount you will have paid after you have made all payments as scheduled. $ TOTAL SALES PRICE The total cost of your purchase on credit including your down payment of $ YOUR PAYMENT SCHEDULE WILL BE: NUMBER OF PAYMENTS AMOUNT OF EACH PAYMENT WHEN PAYMENTS ARE DUE $ Beginning on / / and on the same day each (check one) weekly or bi-weekly thereafter (Any late fee payments and conditions thereof must be disclosed on the enrollment agreement and in the catalog) All prices for program are printed herein. Contracts are not sold to a third party at any time. There are no carrying charges, interest charges, or service charges connected or charged with any of these programs unless stated.
Appears in 1 contract
Samples: www.expresstrainingservices.com
Student Information. Ms. Mrs. Mr. Student Surname: Student First Name and Middle or Given Names: Usual first Name: First Middle Initial Previous Last Social Security NumberName: - - Local Mailing Address: Number Street City St Zip Phone # BirthdatePostal Code: / / MM/DD/YYYY Email: Do you have a High School Diploma or its equivalent (GED)International Student? Yes No In the event we are unable to contact you at the phone number listed above, please provide two Telephone Number Alternate Telephone Number Email Address Alternate Email Address Permanent Mailing Address (2if different from local mailing address) additional contactsBRITISH COLUMBIA PERSONAL EDUCATION NUMBER (PEN) INFORMATION Date of birth (YYYY / MM / DD) Gender: Name Relationship Phone number (include area code) Program Female Male Postal code of last known permanent residence: PEN # PROGRAM INFORMATION (INSTITUTION ONLY) Program Title: Home Health Aide Clock Hours: 80 Education Assistant Training Program 2018 Start Date: / / Anticipated Completion January 16th, 2018 End Date: / / Class TimeDecember 15, 2018 Program Duration: am9 months 36 Weeks 300 hours ■Practicum 17 hours – 3 day exploratory - Spring 112 hours – 4 weeks practicum - Fall Schedule (select only one): Program Credential (select only one): Full Time Distance/pm Tuition $ 399 Home Study ■ Certificate Letter/Citation ■ Part Time Combination of these Diploma No Credential Given Admission Requirements: (The student has met the following admission requirements for this program) English 12 or equivalent (Grade of C or higher) Good computer and word processing skills TUITION AND FEES All fees are in Canadian dollars ($CAN) Registration Fee Fee: (non-refundable) $ 100 Books $ 40*** Materials (included in tuition costAddress cheque to School District #62) $ 0 Other costs 100.00 Course Fee $ 0 Total Program Cost 3400.00 TOTAL AMOUNT PAYABLE UNDER THIS CONTRACT $ 539 ***-Book prices 3500.00 The institution must not accept pre-payment from a student for more than 12 months tuition at any one time. Payment Schedule? No Yes (if yes, set out terms below. If space is insufficient, attach the schedule as an addendum) Payment Due Date: Amount Due on Payment Date: • The student acknowledges and agrees to pay the fees indicated above within the terms of this enrolment contract. • Fees payable are for new books. Students are responsible for obtaining books, subject to the terms and used books may be considerably cheaper. Goods or Services not included in provisions of the tuition $ _ METHODS OF PAYMENT [ ] Full payment at time refund policy. PREREQUISTITE DOCUMENTATION • Evidence of signing enrollment agreementcompletion of grade 12 or equivalent (transcript) • Successful intake interview • Completion of a Criminal Record Consent Form • Proof of 50 hours of volunteer or paid experience working with children (preference given to applicants who have demonstrated work with children with special needs) • 2 Reference letters stating suitability to work with children • Letter of intent - letter of interest describing why you would like to work as an EA and why you would be an excellent candidate for admission. [ ] Registration fee at • Updated resume – with two references • Evidence of Computer literacy and able to perform basic computer operations. This could be met by providing documentation of course work/program completion or through a letter of reference from an employer or community organization that documents your computer skills. • Applicants for this program must have excellent communication skills (verbal and written) as determined through the time intake interview and letter of signing enrollment agreement with balance paid prior intent TUITION REFUND POLICY The following refund policy applies to program start date NOTEthe terms of this enrolment contract: For Schools offering a payment plan with four Refunds in Cases of Withdrawal or more payments the federal boxes or vertical listing must be included on the contract. (ENTER N/A or LINE THROUGH if not applicable) ANNUAL PERCENTAGE RATE % FINANCE CHARGE $ AMOUNT FINANCED The dollar amount the credit provided to you or on your behalf. $ TOTAL OF PAYMENT The amount you will have paid after you have made all payments as scheduled. $ TOTAL SALES PRICE The total cost of your purchase on credit including your down payment of $ YOUR PAYMENT SCHEDULE WILL BE: NUMBER OF PAYMENTS AMOUNT OF EACH PAYMENT WHEN PAYMENTS ARE DUE $ Beginning on / / and on the same day each (check one) weekly or bi-weekly thereafter (Any late fee payments and conditions thereof must be disclosed on the enrollment agreement and in the catalog) All prices for program are printed herein. Contracts are not sold to a third party at any time. There are no carrying charges, interest charges, or service charges connected or charged with any of these programs unless stated.Dismissal
Appears in 1 contract
Samples: colwood.sd62.bc.ca
Student Information. Ms. Mrs. Mr. Student Surname: Student First Name and Middle or Given Names: Usual first Name: First Middle Initial Previous Last Social Security NumberName: - - Local Mailing Address: Number Street City St Zip Phone # BirthdatePostal Code: / / MM/DD/YYYY Email: Do you have a High School Diploma or its equivalent (GED)International Student? Yes No In the event we are unable to contact you at the phone number listed above, please provide two Telephone Number Alternate Telephone Number Email Address Alternate Email Address Permanent Mailing Address (2if different from local mailing address) additional contactsBRITISH COLUMBIA PERSONAL EDUCATION NUMBER (PEN) INFORMATION Date of birth (YYYY / MM / DD) Gender: Name Relationship Phone number (include area code) Program Female Male Postal code of last known permanent residence: PEN # PROGRAM INFORMATION (INSTITUTION ONLY) Program Title: Home Health Aide Clock Hours: 80 Education Assistant Training Program 2018 Start Date: / / Anticipated Completion January 16th, 2018 End Date: / / Class TimeDecember 15, 2018 Program Duration: am9 months 36 Weeks 300 hours ■Practicum 17 hours – 3 day exploratory - Spring 112 hours – 4 weeks practicum - Fall Schedule (select only one): Program Credential (select only one): Full Time Distance/pm Tuition $ 399 Home Study ■ Certificate Letter/Citation ■ Part Time Combination of these Diploma No Credential Given Admission Requirements: (The student has met the following admission requirements for this program) English 12 or equivalent (Grade of C or higher) Good computer and word processing skills TUITION AND FEES All fees are in Canadian dollars ($CAN) Registration Fee Fee: (non-refundable) $ 100 Books $ 40*** Materials (included in tuition costAddress cheque to School District #62) $ 0 Other costs $ 0 Total Program Cost $ 539 ***-Book prices 100.00 Course Fee 3400.00 TOTAL AMOUNT PAYABLE UNDER THIS CONTRACT 3500.00 The institution must not accept pre-payment from a student for more than 12 months tuition at any one time. Payment Schedule? No Yes (if yes, set out terms below. If space is insufficient, attach the schedule as an addendum) Payment Due Date: Amount Due on Payment Date: • The student acknowledges and agrees to pay the fees indicated above within the terms of this enrolment contract. • Fees payable are for new books. Students are responsible for obtaining books, subject to the terms and used books may be considerably cheaper. Goods or Services not included in provisions of the tuition $ _ METHODS OF PAYMENT [ ] Full payment at time refund policy. PREREQUISTITE DOCUMENTATION • Evidence of signing enrollment agreementcompletion of grade 12 or equivalent (transcript) • Successful intake interview • Completion of a Criminal Record Consent Form • Proof of 50 hours of volunteer or paid experience working with children (preference given to applicants who have demonstrated work with children with special needs) • 2 Reference letters stating suitability to work with children • Letter of intent - letter of interest describing why you would like to work as an EA and why you would be an excellent candidate for admission. [ ] Registration fee at • Updated resume – with two references • Evidence of Computer literacy and able to perform basic computer operations. This could be met by providing documentation of course work/program completion or through a letter of reference from an employer or community organization that documents your computer skills. • Applicants for this program must have excellent communication skills (verbal and written) as determined through the time intake interview and letter of signing enrollment agreement with balance paid prior intent TUITION REFUND POLICY The following refund policy applies to program start date NOTEthe terms of this enrolment contract: For Schools offering a payment plan with four Refunds in Cases of Withdrawal or more payments the federal boxes or vertical listing must be included on the contract. (ENTER N/A or LINE THROUGH if not applicable) ANNUAL PERCENTAGE RATE % FINANCE CHARGE $ AMOUNT FINANCED The dollar amount the credit provided to you or on your behalf. $ TOTAL OF PAYMENT The amount you will have paid after you have made all payments as scheduled. $ TOTAL SALES PRICE The total cost of your purchase on credit including your down payment of $ YOUR PAYMENT SCHEDULE WILL BE: NUMBER OF PAYMENTS AMOUNT OF EACH PAYMENT WHEN PAYMENTS ARE DUE $ Beginning on / / and on the same day each (check one) weekly or bi-weekly thereafter (Any late fee payments and conditions thereof must be disclosed on the enrollment agreement and in the catalog) All prices for program are printed herein. Contracts are not sold to a third party at any time. There are no carrying charges, interest charges, or service charges connected or charged with any of these programs unless stated.Dismissal
Appears in 1 contract
Samples: dunsmuir.web.sd62.bc.ca
Student Information. NameMr. Ms. Mrs. Student Surname Student First Name and Middle or Given Names: First Middle Initial Last Social Security Number: - - Local Mailing Address: Number Street City St Zip Phone # Birthdate: / / MM/DD/YYYY Email: Do you have a High School Diploma or its equivalent (GED)Postal Code International Student? Yes No In the event we are unable to contact you at the phone number listed above, please provide two Telephone Number Alternate Telephone Number Email Address Alternate Email Address Permanent Mailing Address (2if different from local mailing address): BRITISH COLUMBIA PERSONAL EDUCATION NUMBER (PEN) additional contacts: Name Relationship Phone number INFORMATION Date of birth (include area codeYYYY / MM / DD) Program Gender Male Female Postal code of last known permanent residence PROGRAM INFORMATION (INSTITUTION ONLY) TitleProgram Title and Course name: Home Health Aide Clock HoursBASIC EARLY CHILDHOOD EDUCATION PROGRAM CPL – Final Course: 80 Practicum III Start Date: (YYYY / MM / Anticipated Completion DD) End Date: (YYYY / MM / Class TimeDD) Program Duration: am5 weeks Program Schedule and Credential: Part Time Distance/pm Tuition $ 399 Home Study Certificate Admission Requirements: Two letters of reference from someone who is familiar with your work with children 3-5 of age and a 200-500 word letter of intent to commence education in the field of early childhood education. TUITION AND FEES All fees are in Canadian dollars ($CAN) Registration Fee (non-refundable$250 domestic or $350 international) $ 100 Books 250.00-350.00 Total Tuition Fee for the Basic ECE Program $ 40*** Materials (included in tuition cost) 6,845.00 Textbook Fee TO BE ORDERED AND PAID SEPARATELY BY THE STUDENT $ 0 Other costs $ 0 Total Program Cost $ 539 ***-Book prices are for new books. Students are responsible for obtaining books, and used books may be considerably cheaper. Goods or Services not included in the tuition $ _ METHODS OF PAYMENT [ ] Full payment at time of signing enrollment agreement. [ ] Registration fee at the time of signing enrollment agreement with balance paid prior to program start date NOTE: For Schools offering a payment plan with four or more payments the federal boxes or vertical listing must be included on the contract. (ENTER N/A TOTAL AMOUNT PAYABLE UNDER THIS CONTRACT – Practicum III $ 695.00 Payment Schedule, see addendum Payment Due Date: Amount Due on Payment Date: • The student acknowledges and agrees to pay the fees that may change without notice and are indicated above within the terms of this enrolment contract. • A tuition refund policy, subject to the provisions of the PCTIA Bylaws, forms a part of this agreement. • Fees payable are subject to the terms and provisions of the tuition refund policy. TUITION REFUND POLICY The following refund policy applies to the terms of this enrolment contract: Refunds in Cases of Withdrawal or LINE THROUGH if not applicable) ANNUAL PERCENTAGE RATE % FINANCE CHARGE $ AMOUNT FINANCED The dollar amount the credit provided to you or on your behalf. $ TOTAL OF PAYMENT The amount you will have paid after you have made all payments as scheduled. $ TOTAL SALES PRICE The total cost of your purchase on credit including your down payment of $ YOUR PAYMENT SCHEDULE WILL BE: NUMBER OF PAYMENTS AMOUNT OF EACH PAYMENT WHEN PAYMENTS ARE DUE $ Beginning on / / and on the same day each (check one) weekly or bi-weekly thereafter (Any late fee payments and conditions thereof must be disclosed on the enrollment agreement and in the catalog) All prices for program are printed herein. Contracts are not sold to a third party at any time. There are no carrying charges, interest charges, or service charges connected or charged with any of these programs unless stated.Dismissal
Appears in 1 contract
Samples: www.earlychildhoodeducator.com
Student Information. NameMr. Ms. Mrs. Student Surname Student First Name and Middle or Given Names: First Middle Initial Last Social Security Number: - - Local Mailing Address: City Postal Code International Student?Yes No Telephone Number Street City St Zip Phone # Birthdate: Alternate Telephone Number Email Address Alternate Email Address Permanent Mailing Address (if different from local mailing address): BRITISH COLUMBIA PERSONAL EDUCATION NUMBER (PEN) INFORMATION Date of birth (YYYY / MM / MM/DD/YYYY Email: Do you have a High School Diploma or its equivalent (GED)? Yes No In the event we are unable to contact you at the phone number listed above, please provide two (2) additional contacts: Name Relationship Phone number (include area code) Program Gender Male Female Postal code of last known permanent residence PROGRAM INFORMATION (INSTITUTION ONLY) TitleProgram Title and Course name: Home Health Aide Clock Hours: 80 BASIC EARLY CHILDHOOD EDUCATION PROGRAM 8 Academic courses, 3 practicums – Full ECE Certificate Start Date: (YYYY / MM / Anticipated Completion DD) End Date: (YYYY / MM / Class TimeDD) Program Duration: am41 weeks Program Schedule and Credential: Full Time 100% Distance/pm Tuition $ 399 Home Study Certificate Admission Requirements: Two letters of reference from someone who is familiar with your work with children 3-5 of age and a 200-500 word letter of intent to commence education in the field of early childhood education. TUITION AND FEES All fees are in Canadian dollars ($CAN) Registration Fee (non-refundable$250 domestic or $350 international) $ 100 Books 250.00.00 Total Tuition Fee for the Basic ECE Program $ 40*** Materials (included in tuition cost) 6,845.00 Textbook Fee TO BE ORDERED AND PAID SEPARATELY BY THE STUDENT $ 0 Other costs $ 0 Total Program Cost $ 539 ***-Book prices are for new books. Students are responsible for obtaining books, and used books may be considerably cheaper. Goods or Services not included in the tuition $ _ METHODS OF PAYMENT [ ] Full payment at time of signing enrollment agreement. [ ] Registration fee at the time of signing enrollment agreement with balance paid prior to program start date NOTE: For Schools offering a payment plan with four or more payments the federal boxes or vertical listing must be included on the contract. (ENTER N/A TOTAL AMOUNT PAYABLE UNDER THIS CONTRACT – Full ECE program $ 7095.00 Payment Schedule, see addendum Payment Due Date: Amount Due on Payment Date: The student acknowledges and agrees to pay the fees that may change without notice and are indicated above within the terms of this enrolment contract. A tuition refund policy, subject to the provisions of the PCTIA Bylaws, forms a part of this agreement. Fees payable are subject to the terms and provisions of the tuition refund policy. TUITION REFUND POLICY The following refund policy applies to the terms of this enrolment contract: Refunds in Cases of Withdrawal or LINE THROUGH if not applicable) ANNUAL PERCENTAGE RATE % FINANCE CHARGE $ AMOUNT FINANCED The dollar amount the credit provided to you or on your behalf. $ TOTAL OF PAYMENT The amount you will have paid after you have made all payments as scheduled. $ TOTAL SALES PRICE The total cost of your purchase on credit including your down payment of $ YOUR PAYMENT SCHEDULE WILL BE: NUMBER OF PAYMENTS AMOUNT OF EACH PAYMENT WHEN PAYMENTS ARE DUE $ Beginning on / / and on the same day each (check one) weekly or bi-weekly thereafter (Any late fee payments and conditions thereof must be disclosed on the enrollment agreement and in the catalog) All prices for program are printed herein. Contracts are not sold to a third party at any time. There are no carrying charges, interest charges, or service charges connected or charged with any of these programs unless stated.Dismissal
Appears in 1 contract
Samples: www.earlychildhoodeducator.com
Student Information. NameMr. Ms. Mrs. Student Surname Student First Name and Middle or Given Names: First Middle Initial Last Social Security Number: - - Local Mailing Address: Number Street City St Zip Phone # Birthdate: / / MM/DD/YYYY Email: Do you have a High School Diploma or its equivalent (GED)Postal Code International Student? Yes No In the event we are unable to contact you at the phone number listed above, please provide two Telephone Number Alternate Telephone Number Email Address Alternate Email Address Permanent Mailing Address (2if different from local mailing address): BRITISH COLUMBIA PERSONAL EDUCATION NUMBER (PEN) additional contacts: Name Relationship Phone number INFORMATION Date of birth (include area codeYYYY / MM / DD) Program Gender Male Female Postal code of last known permanent residence PROGRAM INFORMATION (INSTITUTION ONLY) TitleProgram Title and Course name: Home Health Aide Clock HoursPOST-BASIC EARLY CHILDHOOD EDUCATION PROGRAM CPL – Final Course: 80 Final Practicum Start Date: (YYYY / MM / Anticipated Completion DD) End Date: (YYYY / MM / Class TimeDD) Program Duration: am5 weeks Program Schedule and Credential: Part Time Distance/pm Tuition $ 399 Home Study Certificate Admission Requirements: Two letters of reference from someone who is familiar with your work with infants/toddlers or special needs children and a 200-500 word letter of intent to commence education in the field of early childhood education. TUITION AND FEES All fees are in Canadian dollars ($CAN) Registration Fee (non-refundable$250 domestic or $350 international) $ 100 Books 250.00-350.00 Total Tuition Fee for Post-Basic Program $ 40*** Materials (included in tuition cost) 3870.00 Textbook Fee TO BE ORDERED AND PAID SEPARATELY BY THE STUDENT $ 0 Other costs $ 0 Total Program Cost $ 539 ***-Book prices are for new books. Students are responsible for obtaining books, and used books may be considerably cheaper. Goods or Services not included in the tuition $ _ METHODS OF PAYMENT [ ] Full payment at time of signing enrollment agreement. [ ] Registration fee at the time of signing enrollment agreement with balance paid prior to program start date NOTE: For Schools offering a payment plan with four or more payments the federal boxes or vertical listing must be included on the contract. (ENTER N/A TOTAL AMOUNT PAYABLE UNDER THIS CONTRACT – Final Practicum $ 895.00 Payment Schedule, see addendum Payment Due Date: Amount Due on Payment Date: • The student acknowledges and agrees to pay the fees that may change without notice and are indicated above within the terms of this enrolment contract. • A tuition refund policy, subject to the provisions of the PCTIA Bylaws, forms a part of this agreement. • Fees payable are subject to the terms and provisions of the tuition refund policy. TUITION REFUND POLICY The following refund policy applies to the terms of this enrolment contract: Refunds in Cases of Withdrawal or LINE THROUGH if not applicable) ANNUAL PERCENTAGE RATE % FINANCE CHARGE $ AMOUNT FINANCED The dollar amount the credit provided to you or on your behalf. $ TOTAL OF PAYMENT The amount you will have paid after you have made all payments as scheduled. $ TOTAL SALES PRICE The total cost of your purchase on credit including your down payment of $ YOUR PAYMENT SCHEDULE WILL BE: NUMBER OF PAYMENTS AMOUNT OF EACH PAYMENT WHEN PAYMENTS ARE DUE $ Beginning on / / and on the same day each (check one) weekly or bi-weekly thereafter (Any late fee payments and conditions thereof must be disclosed on the enrollment agreement and in the catalog) All prices for program are printed herein. Contracts are not sold to a third party at any time. There are no carrying charges, interest charges, or service charges connected or charged with any of these programs unless stated.Dismissal
Appears in 1 contract
Samples: www.earlychildhoodeducator.com