Common Contracts

Enrollment Agreement

Indiana • December 31st, 2023

• Jurisdiction
  Indiana
• Filed
  December 31st, 2023

STUDENT INFORMATION Student ID Number: First Name MI Last Name Home Address City State Zip Home Phone Cell Phone Date of Birth EMERGENCY CONTACT INFORMATION PERSON TO CONTACT Name IN THE EVENT Relationship Phone OF AN EMERGENCY Address City, State, Zip EMPLOYMENT INFORMATION Employment Status [F] Full Time [P] Part Time [N] Not Employed Employer Job Title Employer Address City, State, Zip Phone COURSE/PROGRAM TUITION & FEES Courses Only🞎 Tuition/Course - $250.00 ☐ EPA Technician Certification - $200.00 ☐ Tuition/Workshop - $75.00Technical Certificate Programs Sem Credits Tuition Books Tools/Supplies Uniforms Total Cost🞎 HVAC Maintenance 12.0 $1,500.00 $163.75 $439.07 $160.00 $2,262.82🞎 Plumbing Maintenance 4.0 $500.00 $254.83 $603.55 $160.00 $1,518.38🞎 Electrical Wiring Maintenance 4.2 $575.00 $198.95 $293.95 $160.00 $1,227.90🞎 Interior/Exterior Maintenance 8.2 $1,075.00 $69.90 $1,114.95 $160.00 $2,419.85🞎 Appliance Repair 10.0 $1,250.00 $174.75 $682.14 $160.00 $2,266.89🞎 Swimming