Common Contracts
1 similar Enrollment Agreement contracts
ENROLLMENT AGREEMENT CALIFORNIA DENTAL CERTIFICATIONS, LLCEnrollment Agreement • September 9th, 2021
Last First M Student’s Soc. Sec. # Student’s Address City State Zip Home Phone Cell Phone Date of Birth Driver License # Admin Rep PROGRAM TITLE Start Date Scheduled Completion Date Total Clock Hours Date / / Date / / Registration Fee $ Fee for registration. This fee is non-refundable.(shall not exceed $250) STRF Assessment Fee $ Student Tuition Recovery Fund. This fee is non-refundable. See explanation below. Book Fee $ Paid with tuition This is the cost for the books used during the program. This fee is refundable. Scrubs Fee (est.$30.00) $ This is the cost for the uniform used during the program. This fee is refundable Tuition Fee $ Total tuition charged for the program. This fee is refundable. * Total Charges $ Total cost you will be charged for your course of study. Period covered by this enrollment agreement Date / / Date / / The student must exercise his or her right to cancel or withdraw by Date / /
