5055 Chaparral Court, Suite 103, Boulder, CO ADMISSIONS GUIDELINES AND APPLICATION PACKET. Revised 9/15

Transcription

1 5055 Chaparral Court, Suite 103, Boulder, CO ADMISSIONS GUIDELINES AND APPLICATION PACKET Revised 9/15

2 Contents For current class schedules, please visit Guidelines for Admissions 2 Admissions Requirements 3 Application Checklist 7 Application Form 8 Enrollment Agreement 10 Intent to Apply for Financial Aid 20 Ten-Series Completion Verification Form Hours of Massage Verification Form 22 (for students applying to Accelerated Foundations only) RISI Membership Information 25 US Massage Licensing Laws 27 1

3 Guidelines for Admission to the Rolf Institute Certification Program Foundations of Rolfing Structural Integration (FORSI) or Accelerated Foundations of Rolfing Structural Integration (AFORSI) We hope that you will find the application process simple and easy to follow. If you need help or have questions about the requirements, or any aspect of the admissions process, please feel free to contact the Admissions Department. Starting the Admissions Process To start the process of admission into Foundations (FORSI) or Accelerated Foundations (AFORSI), please submit your application, a signed copy of the enrollment agreement, the $50 application fee and the $300 deposit. Only the deposit is deducted from your tuition once you enroll. This begins the process, but you must submit all required components of your application to be fully accepted and to reserve your seat in the class. Dropping or Changing Classes Students may drop or change classes up to 90 days prior to a class without consequence or fees. The Rolf Institute bills any drops or changes made later than 90 days prior to the class start day by retaining $150 of the $300 deposit. First Come, First Served Enrollment All students applying for Foundations (FORSI) or Accelerated Foundations (AFORSI) are accepted on a first come, first served basis. Payment The Rolf Institute accepts checks, credit cards (Visa, Master Card, Discover and American Express), money orders, or cash (in person only). Make checks and money orders payable to The Rolf Institute. To pay by credit card, please contact the Admissions Department. Processing your application Once Admissions receives your complete application, including all required written documentation, fees and $300 deposit, your application is reviewed. An interview may be required to complete some applications. You will receive a formal letter of acceptance and a packet of information about the class. Applications are reviewed in the order they are received. Processing your application usually takes about two weeks. To confirm that the Rolf Institute has received your application and/or to check on your status, you may contact the Admissions Department. Send the completed application to: The Rolf Institute Admissions Department 5055 Chaparral Ct., Suite 103, Boulder, CO admissions@rolf.org Phone / Fax

4 Admissions Requirements The following is a description of the required components of your application. If you have any questions, please contact: Admissions Department Phone Fax admissions@rolf.org Foundations of Rolfing Structural Integration (FORSI) and Accelerated Foundations of Rolfing Structural Integration (AFORSI) Please read the following instructions carefully and use the attached checklist for either FORSI or AFORSI. (Please note: Students applying for Accelerated Phase I (AFORSI) have additional entry requirements.) APPLICATION FORMS AND PAYMENT 1. Application Form Please fill out the application completely and sign it. 2. Application Fee A $50 application fee is required from every applicant. This fee will be refunded if the applicant is either not admitted or has not signed an enrollment agreement. 3. Enrollment Agreements The Enrollment Agreement form for Foundations or Accelerated Foundations is included in this packet. Please read and provide the required signatures, and initial the bottom-right corner of every page of the enrollment agreement form, and send it with your application, application fee and deposit. The Enrollment Agreement is required by the State of Colorado Department of Higher Education and is to protect your rights as a consumer of education. The Enrollment Agreement form for the second phase, Embodiment of Rolfing SI and Rolf Movement Integration is also included in this packet to allow you to pre-register for your second class. Please read and provide the required signatures, and initial the bottom-right corner of every page of the enrollment agreement form and submit it, and the additional deposit, with the rest of your application materials. 3

5 4. Deposit A $300 deposit is required to confirm your space in each class. The $300 deposit is deducted from your tuition once you enroll. Please submit $300 for Phase I and $300 for Phase II. TRANSCRIPTS, LIFE EXPERIENCE ESSAY, and OTHER DOCUMENTATION 5. Documentation of Postsecondary Education or Equivalent Note: Students are not required to have an undergraduate degree to attend The Rolf Institute. All students must submit ONE of the following: a) An official academic transcript* showing at least 60 credit hours (about four semesters) at an institution of higher education. OR b) A High School Diploma, GED or state certificate received by a student after the student has passed a state-authorized examination that the state recognizes as the equivalent of a high school diploma. OR AND Official documentation verifying equivalent coursework and success in an adult education program. Please note: AFORSI students may use their massage school transcript to satisfy the requirement for equivalent adult education coursework and to document required massage training. c) A High School Diploma, GED or state certificate received by a student after the student has passed a state-authorized examination that the state recognizes as the equivalent of a high school diploma. AND Documentation of equivalent life experience and accomplishment. * An official transcript clearly displays a school seal, red stamp or other obviously official marking Secure, official e-transcripts sent from universities are acceptable Faxed transcripts are not acceptable A transcript without an official marking will need to arrive in an unopened school envelope This can be sent from the school to our office. This can be sent from the applicant as long as the applicant has not opened the envelope. 4

6 6. Life Experience Essay Because students at RISI have a variety of educational backgrounds, personal interests and experience, we require prospective students to write a 2-3 page personal life experience essay. The essay should be double-spaced in an11-12 point font. Please send a Microsoft Word file or a PDF. Please submit a 2-3 page personal essay addressing each of the following items: 1. Describe your reasons for pursuing a career in Rolfing Structural Integration. 2. Describe your greatest success in life and how it has influenced your career choice. 3. Describe one of your greatest challenges in life and what you learned from the experience. 7. Resume Briefly outline your educational and employment history. You may include massage training from other trainings, workshops, avocations. Please note: Foundations of Rolfing Structural Integration (FORSI) Students are not expected to have had any prior experience with bodywork, massage or Rolfing Structural Integration, but if you do, you may include it in your resume. Accelerated (AFORSI) students are required to have prior training in massage or bodywork (see item 11) and to list all clinical experience. An optional form is available in this packet. 8. Photograph Submit a photograph of yourself for our file. The photo must be a current solo headshot that clearly shows your face. Do not use group shots or busy backgrounds. Color photocopies may also be used. The photographs are for identification purposes and to prevent identity fraud. 9. Rolfing Structural Integration Sessions Prior to starting training at The Rolf Institute, students must have completed at least three sessions of the Rolfing Ten-Series with a Certified Rolfer. Please use the included form to document the sessions and the name of your Rolfer. The remaining sessions of the Ten-Series progression are required six months prior to the start of Phase II of the training. 10. Accelerated (AFORSI) applicants only To be eligible for Accelerated Foundations, students must: a. Submit an official transcript showing completion of a minimum of 250 Hours of professional training or course work in massage and bodywork. The transcript must show: 47 hours of Anatomy, 21 hours of Physiology 45 hours of massage or other approved touch training 15 hours of therapeutic relationship or ethics b. Document 50 Hours of Clinical Practice Experience Accelerated Phase I must verify 50 documented hours of postgraduate massage practice experience or comparable clinical practice hours. Please reference your postgraduate or clinical practice hours on your resume. An optional verification form to list and document your hours is also provided for you within this application packet. 5

7 11. International Students who need an I-20/M-1 Visa Students must submit their completed Application Packet no later than 60 days prior to the class start date. Visas will not be processed prior to the receipt of the completed application. If you are required to show proof that you have met the English language requirement as per the Language Policy, available on the website and in the catalog, submission of your test scores must accompany your completed application packet. Congratulations! You ve completed the first step. Thank you very much for selecting The Rolf Institute! We look forward to working with you to accomplish your educational and professional goals. FURTHER INFORMATION 12. Information about Membership at the Rolf Institute of Structural Integration The application packet includes information about The Rolf Institute Membership Services. This information is included to ensure that you are informed and provided with all the details regarding the use of The Rolf Institute s service marks. 13. Massage Licensing Laws Since the license to practice structural integration still falls under massage license in many states, we have provided a list of where to find more information about massage licensing in your state. 6

8 Application Checklist Please submit this checklist with your application. I. APPLICATION FORMS AND PAYMENT Completed Application Form $50 Application Fee Phase I Enrollment Agreement SIGNED & ALL 5 PAGES INITIALED BOTTOM-RIGHT Phase II Enrollment Agreement SIGNED & ALL 5 PAGES INITIALED BOTTOM-RIGHT $300 Deposit for Phase I $300 Deposit for Phase II Intent to Apply for Financial Aid Form Verification of at least 3 sessions of the Ten-Series from a Certified Rolfer I-20/M-1 Form Requested (International Students: Please indicate the need for an I-20/M-1 Visa and submit completed packet no later than 60 days prior to class start date.) II. TRANSCRIPTS, LIFE EXPERIENCE ESSAY, RESUME AND PHOTOGRAPHS See page 4 for a description of requirements for an acceptable Official Transcript Official transcript showing minimum 60 credit hours or documentation of equivalent adult education or life experience OR Transcript or documentation of High School or equivalent AND Equivalent coursework and success in adult education OR Transcript or documentation of High School or equivalent AND Documentation of equivalent life experience and accomplishment Life Experience Essay Resume A Current Solo Headshot Photograph for identification purposes III. ACCELERATED STUDENTS ONLY (AFORSI) Please provide the following additional information with your application packet. Official Bodywork/Massage Transcript of: 47 hours of Anatomy, 21 hours of Physiology 45 hours of massage or other approved touch training 15 hours of therapeutic relationship or ethics Documentation of 50 hours of clinical practice experience 7

9 APPLICATION FORM 731-Hour Program - Foundations of Rolfing Structural Integration Class 1 Foundations of Rolfing Structural Integration 218 hours - $4,266+ fees Class 2 Embodiment of Rolfing Structural Integration and Rolf Movement Integration 244 hours - $7,057+ fees Class 3 Clinical Application of Rolfing Theory 269 hours - $7,387+ fees or 600-Hour Program - Accelerated Foundations of Rolfing Structural Integration Class 1 Accelerated Foundations of Rolfing Structural Integration 87 hours - $1,839+ fees Class 2 Embodiment of Rolfing Structural Integration and Rolf Movement Integration 244 hours - $7,057+ fees Class 3 Clinical Application of Rolfing Theory 269 hours - $7,387+ fees I am applying for: (identify course, code & date) NAME AND CURRENT MAILING ADDRESS Name FIRST NAME MIDDLE INITIAL LAST NAME Street Address City, State, Zip Code Country _ Telephone (home) (work) Address (required): Date of Birth _ Height Weight _ Month / Day / Year Social Security Number Sex: Male Female RACE & ETHNICITY INFORMATION (This data is used for statistical purposes only) Ethnicity: Are you of Hispanic/Latino decent? Yes No Race: (Please indicate ALL that apply) American Indian or Alaska Native: Asian: _ Black or African American: _ Native Hawaiian or Other Pacific Islander: _ White: CITIZENSHIP U.S. Citizen/Resident Alien: Non-U.S. Citizen/Non-Resident Alien: Non U.S. Citizens: Will you need an I-20 form* (for Student Visa)? Country of Birth Country of Citizenship 8

10 Important: Foreign Students (a/k/a alien ) desiring to enroll in a course of study at the Rolf Institute must obtain an M-1 visa from a consular office abroad before being eligible to enter the United States. Enrollment in a course of study is prohibited on a B-1 or B-2 (tourist) visa. It is the responsibility of the student to contact their consulate to determine how to go about obtaining an M-1 visa. The Rolf Institute is an approved school by SEVIS and able to issue I-20 forms once a student is enrolled and accepted into the training. (The following categories of visas are also permitted: L-2, V, K, A and Resident Alien) *You will have to provide proof of sufficient funds to cover tuition and cost of living to submit the I-20 form to your embassy. I-20 forms are sent via regular mail after acceptance into program. Requests for expedited forms will require payment for postage. Please contact jjones@rolf.org to arrange expedited mailing. EMERGENCY CONTACT Name Street Address City, State, Zip Code Country _ Telephone (home) (work) Fax and/or _ Relationship RISI Non Discrimination Policy The Rolf Institute does not discriminate on the basis of race, color, creed, national origin, religion, sex, sexual orientation, age, disability, or veteran status in admissions. Membership in the Rolf Institute Your signature below indicates that you understand the following: Upon certification as a Rolfer you will have the option to become a member of the Rolf Institute. Only members are entitled to use the service mark ROLFING, ROLFER and its derivatives, which are protected by the Rolf Institute. The Rolf Institute is governed by a Board of Directors, democratically elected by its membership. Members of the Rolf Institute pay annual dues to be determined by the Board of Directors in order to retain membership in the organization. Additional rights and obligations of membership in the Rolf Institute are stated in the Rolfing Training class agreements. Your signature below indicates the information on this application is true and accurate to the best of your knowledge. You understand that the Rolf Institute reserves the right to verify the above statements. You understand that perjury may result in the termination of my training. Applicant's Signature Date 9

11 Phase I Enrollment Agreement Form 731-Hour Program - Foundations of Rolfing Structural Integration Class 1 Foundations of Rolfing Structural Integration 218 hours - $4,266+ fees Class 2 Embodiment of Rolfing Structural Integration and Rolf Movement Integration 244 hours - $7,057+ fees Class 3 Clinical Application of Rolfing Theory 269 hours - $7,387+ fees or 600-Hour Program - Accelerated Foundations of Rolfing Structural Integration Class 1 Accelerated Foundations of Rolfing Structural Integration 87 hours - $1,839+ fees Class 2 Embodiment of Rolfing Structural Integration and Rolf Movement Integration 244 hours - $7,057+ fees Class 3 Clinical Application of Rolfing Theory 269 hours - $7,387+ fees Name Street Address _ City, State, Zip Code Country Telephone _ (home) _ (work) Address (required): S.S.# COURSE Title and # _ Start date of course _ Completion date _ Expected Graduation and Certification Date (estimated) 1. Program Description (CIRCLE ONE) a. Foundations of Rolfing Structural Integration Hours and length of class: 218 clock hours, six weeks Tuition: $4,266 + $90 fees b. Accelerated Foundations of Rolfing Structural Integration Hours and length of class: 87 clock hours, two weeks Tuition: $1,839 + $60 fees The Rolf Institute, 5055 Chaparral Ct. Boulder, CO (303) Phase I Enrollment Agreement Pg. 1 of 5 $ _ $4,266 or $1,839 Tuition $ _ $90 or $60 Fees Deposit (enclosed) $ _ Balance Due Student s Initials

12 c. Mandatory Fees associated with the training Note: Mandatory fees are paid when tuition is paid. Includes some or all of the following: handouts/course materials, field trips, exams, classroom supplies, kitchen supplies. Life Sciences Exams (Anatomy & Kinesiology exam and Physiology exam): Retesting fee is $50 for one exam; $75.00 for both exams. d. Costs associated with the training, but NOT paid to The Rolf Institute Books and Supplies: Approximately $300 - $500 (for entire program) Expenses: cost of living (rent, food, transportation) 2. Verification that student has received, read and understood The Rolf Institute Catalog I certify by signing this enrollment agreement form that I have received, read and understand The Rolf Institute Catalog, current version:_. I understand that student information and policies may change subsequent to this version of the catalog and that The Rolf Institute will inform students in a reasonable timeframe of policies and changes that effect students including timetables, payment regulations tuition and fees, program requirements, faculty members, program additions, deletions, or other general information for students. 3. Payment a. To begin the enrollment process you must pay a deposit of $300; this deposit will be applied toward your tuition. b. Tuition for Foundations of Rolfing Structural Integration or Accelerated Foundations of Rolfing Structural Integration is due in two installments. Fifty percent of the remaining tuition (after subtracting the deposits) must be paid two week before the start date of the class. The second payment is due mid-way through the class. A specific payment date will be provided to you during the first week of class. c. Payment Processing Students are responsible for all currency rates and banking fees. The Rolf Institute process payments in a timely fashion, but students should be aware that currency rates can change without notice so that a payment may be processed at a rate other than expected. The Rolf Institute is not responsible for any changes in the rate of currency that can occur between the time the student calls, s or faxes credit card and payment processing. 4. Forms of Payment The Rolf Institute accepts MasterCard, Visa, Discover, and American Express, personal and traveler s checks, money orders, and cash (in person). Payment is remitted to the Boulder, CO office for U.S. Students may use wire transfer to make payments but must contact the Admissions Department to get the current transfer information. 5. Late fee A late fee of $100 will be assessed for tuition received after the first two-week deadline prior to the class start date and the second payment deadline at the mid-point of the training. The Rolf Institute, 5055 Chaparral Ct. Boulder, CO (303) Phase I Enrollment Agreement Pg. 2 of 5 Student s Initials

13 6. Delinquent Tuition The Rolf Institute reserves the right to utilize collection services in the event of unpaid student balances. The Rolf Institute will contact students by phone and mail to inform them of unpaid balances. The Rolf Institute abides by the State of Colorado Department of Education, Division of Private Occupational Schools. There is no interest charged on delinquent tuition. 7. Buyer s Right to Cancel The student obligated for any part of the tuition for a class may cancel their enrollment at anytime, but will remain responsible for tuition and fees for the period in which they were enrolled. Refund will be based on the RISI refund policy. a. Cancellation occurs when a voice mail or the student informs the Enrollment Manager/ Financial Aid Officer of their intent to withdraw. Date of withdrawal will be date of voic , or date student informs the Enrollment Manager/Financial Aid Officer. b. Notice of withdrawal, if given by , is considered given when received by the Enrollment Manager/Financial Aid Officer of their intent to withdraw. Date of withdrawal will be sent date on the unless a later date is stated in the . c. Notice of withdrawal, if given by mail, is considered given when deposited in a mailbox properly addressed, date stamped, and postage prepaid. 8. Refund Policy The Rolf Institute of Structural Integration will retain 1/2 of a student's deposit or $150, whichever is less, for any class dropped within 90 days of its start date. A student shall be refunded tuition in the following manner in the event (and within 30 days of the date) that a student fails to enter a class, withdraws, or has been terminated at any time prior to completion: 1) Refund full tuition and fees paid, including the Application Fee, if the applicant is not accepted by the school or does not sign an enrollment agreement. Note: The Application fee is not refundable for items ) Refund full tuition and fees paid if the applicant withdraws within three days after signing the enrollment agreement or making an initial payment, provided the applicant has not commenced the course. 3) Refund full tuition and fees paid in the event that the school discontinues a class or program of education during the period of time within which a student could have reasonably completed same. 4) If the school ceases to operate, the student will be entitled to a full refund of any prepaid unearned tuition and fees at the time of closure unless another instructional option is available and accepted by the student. 5) Retention of a cancellation charge not to exceed $150 or 25% of the program price, whichever is less, if the applicant withdraws after three days of signing the enrollment agreement but before commencement of the program. 6) Except for retention of a cancellation charge not to exceed $150 or 25% of the contract price, whichever is less, the policy for cancellation, settlement, and refund of tuition and fees provides for at least the following: The Rolf Institute, 5055 Chaparral Ct. Boulder, CO (303) Phase I Enrollment Agreement Pg. 3 of 5 Student s Initials

14 a) A student terminating his/her enrollment within the first 10% (ten percent) of the class, the student shall be entitled to a refund of 90% (ninety percent) the tuition of the class, exclusive of books and fees that cover tools and supplies.. b) A student terminating his/her enrollment after 10% (ten percent), but within the first 25% (twenty-five percent) of his/her class, the student shall be entitled to a refund of 75% (seventy-five percent) of the tuition of the class, exclusive of books and fees that cover tools and supplies. c) A student terminating his/her enrollment after 25% (twenty-five percent), but within the first 50% (fifty percent) of his/her class, the student shall be entitled to a refund of 50% (fifty percent) of the tuition of the class, exclusive of books and fees that cover tools and supplies. d) A student terminating his/her enrollment after 50% (fifty percent), but within the first 75% (seventy-five percent) of his/her class, the student shall be entitled to a refund of 25% (twenty-five percent) of the tuition of the class, exclusive of books and fees that cover tools and supplies. e) A student who has completed 75% (seventy-five percent) of his/her class and has entered the final 25% (twenty-five percent) of his/her program shall not be entitled to any refund and shall be obligated for the full price of the class, which constitutes the maximum obligation. 7) Refunds will be calculated from the official date of dismissal, termination or withdrawal and calculated on the period of time designated on the current agreement executed with the student. 8) The official date of dismissal, termination or withdrawal of a student shall be determined in the following manner and be referred to as the Last Date of Attendance (LDA): a) The date on which the school is noticed to be the student s last date of actual attendance. b) The date on which the student violates published school policy which provides for termination. c) Should a student fail to return from any leave of absence, excused or unexcused, the effective date of termination is the earlier of either the date the school determines the student is not returning, or the day following the expected return date. 9) The granting of credit for previous training shall not impact the refund policy. 9. Postponement of Starting Date Postponement of a starting date, whether at the request of the school or the student, requires a written agreement signed by the student and the school. The agreement must set forth: a) Whether the postponement is for the convenience of the school or the student, and: b) A deadline for the new start date, beyond which the start date will not be postponed. If the course is not commenced, or the student fails to attend by the new start date set forth in the agreement, the student will be entitled to an appropriate refund of the prepaid tuition and fees within 30 days of the deadline of the new start date set forth in the agreement, determined in accordance with the school s refund policy and all applicable laws and rules concerning the Private Occupational Act of The Rolf Institute, 5055 Chaparral Ct. Boulder, CO (303) Phase I Enrollment Agreement Pg. 4 of 5 Student s Initials

15 Placement Guarantee Disclaimer I understand that Certified Rolfers are typically self-employed in private practice and typically not in need of placement assistance. I understand that participation and completion of this class does not guarantee or result in employment in a job. I understand that signing this Agreement does not in any way guarantee final certification of completion of the program. I understand that completing Foundations of Rolfing Structural Integration in no way guarantees entrance into Phase II of the Rolfing Training, Embodiment of Rolfing Structural Integration & Rolf Movement Integration. I understand that the Foundations, Embodiment, and Clinical Application classes are the three required courses leading to Certification as a Rolfer. 11. Final Acknowledgements I understand class format, dates, and all tuition fees are subject to change. Students are given as much advance notice of these changes as possible. I verify that I have read all the pages of the Enrollment Agreement, and that I understand all terms of the Enrollment Agreement. I understand that the signed Enrollment Agreement is a legal and binding document and that I am entitled to an exact copy of the executed agreement form. I understand that the Rolf Institute is approved and regulated by the Colorado Division of Private Occupational School Board, Department of Higher Education. I understand that I can file complaints with the Division, and that there is a two year limitation on the Division taking action on student complaints. The Division of Private Occupational School Board shall not consider any claim that is filed more than two years after the date the student discontinues his or her training at the school. Contac the Division at 1560 Broadway Street, Ste. 1600, Denver, C , phone: or website: I understand that if I have a complaint concerning deceptive trade, I must go follow the student grievance procedure prior to filing a complaint with Colorado Division of Private Occupational School Board. Applicant's Signature Date Print Name Rolf Institute Agent Date Print Name The Rolf Institute, 5055 Chaparral Ct. Boulder, CO (303) Phase I Enrollment Agreement Pg. 5 of 5 Student s Initials

16 Phase II Enrollment Agreement Form 731-Hour Program - Foundations of Rolfing Structural Integration Class 1 Foundations of Rolfing Structural Integration 218 hours - $4,266+ fees Class 2 Embodiment of Rolfing Structural Integration and Rolf Movement Integration 244 hours - $7,057+ fees Class 3 Clinical Application of Rolfing Theory 269 hours - $7,387+ fees or 600-Hour Program - Accelerated Foundations of Rolfing Structural Integration Class 1 Accelerated Foundations of Rolfing Structural Integration 87 hours - $1,839+ fees Class 2 Embodiment of Rolfing Structural Integration and Rolf Movement Integration 244 hours - $7,057+ fees Class 3 Clinical Application of Rolfing Theory 269 hours - $7,387+ fees Name Street Address _ City, State, Zip Code Country Telephone _ (home) _ (work) Address (required): S.S.# COURSE Title and # _ Start date of course _ Completion date _ Expected Graduation and Certification Date (estimated) 1. Program Description a. Embodiment of Rolfing and Rolf Movement Integration Hours and length of class: 244 clock hours, 8 weeks Tuition: $ 7,057+ $65 fees b. Mandatory Fees associated with the training Note: Mandatory fees are paid when tuition is paid. Includes some or all of the following: handouts/course materials, field trips, exams, classroom supplies, kitchen supplies. The Rolf Institute, 5055 Chaparral Ct. Boulder, CO (303) Phase II Enrollment Agreement Pg. 1 of 5 $ _ $7,057 Tuition $ _ $65 Fees Deposit (enclosed) $ _ Balance Due Student s Initials

17 c. Costs associated with the training, but NOT paid to The Rolf Institute Books and Supplies: Approximately $300 - $500 (for entire program) Expenses: cost of living (rent, food, transportation) 2. Verification that student has received, read and understood The Rolf Institute Catalog I certify by signing this enrollment agreement form that I have received, read and understand The Rolf Institute Catalog, current version:_. I understand that student information and policies may change subsequent to this version of the catalog and that The Rolf Institute will inform students in a reasonable timeframe of policies and changes that effect students including timetables, payment regulations tuition and fees, program requirements, faculty members, program additions, deletions, or other general information for students. 3. Payment a. To begin the enrollment process you must pay a deposit of $300; this deposit will be applied toward your tuition. b. Tuition for Embodiment of Rolfing SI and Rolf Movement Integration is due in two installments. Fifty percent of the remaining tuition (after subtracting the deposits) must be paid two week before the start date of the class. The second payment is due mid-way through the class. A specific payment date will be provided to you during the first week of class. c. Payment Processing Students are responsible for all currency rates and banking fees. The Rolf Institute process payments in a timely fashion, but students should be aware that currency rates can change without notice so that a payment may be processed at a rate other than expected. The Rolf Institute is not responsible for any changes in the rate of currency that can occur between the time the student calls, s or faxes credit card and payment processing. 4. Forms of Payment The Rolf Institute accepts MasterCard, Visa, Discover, and American Express, personal and traveler s checks, money orders, and cash (in person). Payment is remitted to the Boulder, CO office for U.S. Students may use wire transfer to make payments but must contact the Admissions Department to get the current transfer information. 5. Late fee A late fee of $100 will be assessed for tuition received after the first two-week deadline prior to the class start date and the second payment deadline at the mid-point of the training. 6. Delinquent Tuition The Rolf Institute reserves the right to utilize collection services in the event of unpaid student balances. The Rolf Institute will contact students by phone and mail to inform them of unpaid balances. The Rolf Institute abides by the State of Colorado Department of Education, Division of Private Occupational Schools. There is no interest charged on delinquent tuition. The Rolf Institute, 5055 Chaparral Ct. Boulder, CO (303) Phase II Enrollment Agreement Pg. 2 of 5 Student s Initials

18 7. Buyer s Right to Cancel The student obligated for any part of the tuition for a class may cancel their enrollment at anytime, but will remain responsible for tuition and fees for the period in which they were enrolled. Refund will be based on the RISI refund policy. a. Cancellation occurs when a voice mail or the student informs the Enrollment Manager/ Financial Aid Officer of their intent to withdraw. Date of withdrawal will be date of voic , or date student informs the Enrollment Manager/Financial Aid Officer. b. Notice of withdrawal, if given by , is considered given when received by the Enrollment Manager/Financial Aid Officer of their intent to withdraw. Date of withdrawal will be sent date on the unless a later date is stated in the . c. Notice of withdrawal, if given by mail, is considered given when deposited in a mailbox properly addressed, date stamped, and postage prepaid. 8. Refund Policy The Rolf Institute of Structural Integration will retain 1/2 of a student's deposit or $150, whichever is less, for any class dropped within 90 days of its start date. A student shall be refunded tuition in the following manner in the event (and within 30 days of the date) that a student fails to enter a class, withdraws, or has been terminated at any time prior to completion: 1) Refund full tuition and fees paid, including the Application Fee, if the applicant is not accepted by the school or does not sign an enrollment agreement. Note: The Application fee is not refundable for items ) Refund full tuition and fees paid if the applicant withdraws within three days after signing the enrollment agreement or making an initial payment, provided the applicant has not commenced the course. 3) Refund full tuition and fees paid in the event that the school discontinues a class or program of education during the period of time within which a student could have reasonably completed same. 4) If the school ceases to operate, the student will be entitled to a full refund of any prepaid unearned tuition and fees at the time of closure unless another instructional option is available and accepted by the student. 5) Retention of a cancellation charge not to exceed $150 or 25% of the program price, whichever is less, if the applicant withdraws after three days of signing the enrollment agreement but before commencement of the program. 6) Except for retention of a cancellation charge not to exceed $150 or 25% of the contract price, whichever is less, the policy for cancellation, settlement, and refund of tuition and fees provides for at least the following: a) A student terminating his/her enrollment within the first 10% (ten percent) of the class, the student shall be entitled to a refund of 90% (ninety percent) the tuition of the class, exclusive of books and fees that cover tools and supplies.. b) A student terminating his/her enrollment after 10% (ten percent), but within the first 25% (twenty-five percent) of his/her class, the student shall be entitled to a refund of 75% (seventy-five percent) of the tuition of the class, exclusive of books and fees that cover tools and supplies. The Rolf Institute, 5055 Chaparral Ct. Boulder, CO (303) Phase II Enrollment Agreement Pg. 3 of 5 Student s Initials

19 c) A student terminating his/her enrollment after 25% (twenty-five percent), but within the first 50% (fifty percent) of his/her class, the student shall be entitled to a refund of 50% (fifty percent) of the tuition of the class, exclusive of books and fees that cover tools and supplies. d) A student terminating his/her enrollment after 50% (fifty percent), but within the first 75% (seventy-five percent) of his/her class, the student shall be entitled to a refund of 25% (twenty-five percent) of the tuition of the class, exclusive of books and fees that cover tools and supplies. e) A student who has completed 75% (seventy-five percent) of his/her class and has entered the final 25% (twenty-five percent) of his/her program shall not be entitled to any refund and shall be obligated for the full price of the class, which constitutes the maximum obligation. 7) Refunds will be calculated from the official date of dismissal, termination or withdrawal and calculated on the period of time designated on the current agreement executed with the student. 8) The official date of dismissal, termination or withdrawal of a student shall be determined in the following manner and be referred to as the Last Date of Attendance (LDA): a) The date on which the school is noticed to be the student s last date of actual attendance. b) The date on which the student violates published school policy which provides for termination. c) Should a student fail to return from any leave of absence, excused or unexcused, the effective date of termination is the earlier of either the date the school determines the student is not returning, or the day following the expected return date. 9) The granting of credit for previous training shall not impact the refund policy. 9. Postponement of Starting Date Postponement of a starting date, whether at the request of the school or the student, requires a written agreement signed by the student and the school. The agreement must set forth: a) Whether the postponement is for the convenience of the school or the student, and: b) A deadline for the new start date, beyond which the start date will not be postponed. If the course is not commenced, or the student fails to attend by the new start date set forth in the agreement, the student will be entitled to an appropriate refund of the prepaid tuition and fees within 30 days of the deadline of the new start date set forth in the agreement, determined in accordance with the school s refund policy and all applicable laws and rules concerning the Private Occupational Act of Placement Guarantee Disclaimer I understand that Certified Rolfers are typically self-employed in private practice and typically not in need of placement assistance. I understand that participation and completion of this class does not guarantee or result in employment in a job. The Rolf Institute, 5055 Chaparral Ct. Boulder, CO (303) Phase II Enrollment Agreement Pg. 4 of 5 Student s Initials

20 I understand that signing this Agreement does not in any way guarantee final certification of completion of the program. I understand that the Foundations, Embodiment, and Clinical Application classes are the three required courses leading to Certification as a Rolfer. 11. Final Acknowledgements I understand class format, dates, and all tuition fees are subject to change. Students are given as much advance notice of these changes as possible. I verify that I have read all the pages of the Enrollment Agreement, and that I understand all terms of the Enrollment Agreement. I understand that the signed Enrollment Agreement is a legal and binding document and that I am entitled to an exact copy of the executed agreement form. I understand that the Rolf Institute is approved and regulated by the Colorado Division of Private Occupational School Board, Department of Higher Education. I understand that I can file complaints with the Division, and that there is a two year limitation on the Division taking action on student complaints. The Division of Private Occupational School Board shall not consider any claim that is filed more than two years after the date the student discontinues his or her training at the school. Contact the Division at 1560 Broadway Street, Ste. 1600, Denver, C , phone: or website: I understand that if I have a complaint concerning deceptive trade, I must go follow the student grievance procedure prior to filing a complaint with Colorado Division of Private Occupational School Board. Applicant's Signature Date Print Name Rolf Institute Agent Date Print Name The Rolf Institute, 5055 Chaparral Ct. Boulder, CO (303) Phase II Enrollment Agreement Pg. 5 of 5 Student s Initials

21 Intent to Apply for Financial Aid Within the world of financial assistance, there are many different forms available to students. Scholarships are financial awards given to eligible students and do not need be repaid. Grants can be federal, state or privately issued and also do not require repayment. Loans are a form of low-interest debt that must eventually be repaid and are a good option for those who do not qualify for a grant. The Rolf Institute administers two financial aid programs to help cover tuition (fees are not included) for students who qualify Federal Pell Grants and Federal Direct Student Loans. Students receiving Title IV Financial Aid must maintain attendance and academic standards in order to remain eligible for continued participation. By checking this box, I am indicating my intent to apply for Federal Financial Aid. I understand that my application does not guarantee the award of any monies. I understand that any money awarded will only cover partial tuition costs, and will not cover any other student fees or expenses, including but not limited to books, housing and other living expenses. I understand that the money will be distributed through The Rolf Institute and not be given directly to me. I understand that I may change my mind and will inform the Enrollment Manager/Financial Aid Officer if I do. Applicant's Signature Date Print Name Note: Only students attending the school in Boulder for the entire training are eligible for Title IV financial aid. I am not interested in Financial Aid at this time, although I can change my mind. Applicant's Signature Date Print Name 20

22 Ten-Series Completion Verification Form At least Three (3) sessions of the Rolfing Ten-Series must be completed prior to beginning the first phase of the Rolfing Training Programs. (The remaining sessions of the Ten-Series progression must be completed six months prior to the start of Phase II of the training.) Please document that you have completed at least three sessions of the Rolfing Ten-Series from a Certified Rolfer. Your Name City, State, Zip Code Country Telephone _ (home) _ (work) Address (required): Name of Certified Rolfer who performed the Ten-Series sessions: Date of sessions: Session 1 Session 2 Session 3 Any other sessions (please describe): Note: RISI reserves the right to verify completion with the above named Rolfer. 21

23 50-Hours of Clinical Practice Verification Form for students applying to Accelerated Foundations only In accordance with RISI policy regarding entrance requirements for Accelerated Foundations of Rolfing Structural Integration, I am required to verify that I have completed 50 hours of documented post-graduate massage practice experience or comparable clinical experience. My signature below verifies this to be true. This is to verify that I,, have completed 50 documented hours of post-graduate massage practice experience or comparable clinical experience. Applicant's Signature Date Instructions: 1. This form is provided as a convenience. You may also document hours by submitting a signed statement on letterhead from an employer detailing hours worked. Other methods of documentation are possible with pre-approval. 2. Post-graduate practice refers to independent clinical practice following graduation from massage school. School clinic hours, internship hours, practicum hours, or any other type of clinical hours associated with your massage school or any other type of training program/workshop are not acceptable. 3. The hours may be paid or unpaid. 4. It does not matter if you are licensed when the sessions are performed. 5. Sessions must be a minimum of thirty minutes each. 6. To protect client confidentiality, you may use the client s first or last initial. 7. RISI reserves the right to verify hours. 8. Feel free to submit additional pages as needed. 9. Please total the number of hours at the bottom of each page. 10. There are 27 lines on each page. You only need to fill the form out for 50 hours. 22

24 Client Name Date Hours TOTAL FOR PAGE: 23

25 Client Name Date Hours TOTAL FOR PAGE: 24

26 Rolf Institute Membership Established in 1971, The Rolf Institute is a nonprofit corporation, organized and existing under the laws of California and Colorado. Recognized by the US Government as a tax-exempt, educational and scientific research organization, the Institute is headquartered in Boulder, Colorado, and periodically sponsors programs in other locations. The Mission Statement of The Rolf Institute of Structural Integration: - To select, train, and certify qualified and competent practitioners of the Rolfing Structural Integration. - To provide continuing education for practitioners of the Rolfing Structural Integration. - To promote programs of research in the Rolfing Structural Integration. - To educate the general public concerning the principles of structural integration and the useful and beneficial nature of the Rolfing Structural Integration. The Rolf Institute currently has 5 regional international offices (RIOs) that independently offer programs compatible with those offered by the RISI. These are the Associacao Brasileira de Rolfistas (ABR), the European Rolfing Association (ERA), the Australian Rolfing Association Group (ARA-Group), the Japanese Rolfing Association (JRA) and the Canadian Rolfing Association (CRA). Member Benefits The principal benefit is the license to use the service marks to distinguish your work in the professional marketplace. The membership also includes a variety of additional services. Membership cost per year - $450. Membership Benefits in detail: - Licensed use of service marks - Annual subscription to Structural Integration: The Journal of the Rolf Institute - Fascial Flashes, the quarterly e-newsletter exclusively for Rolfers - For Rolfers Only: An expanded website with improved services exclusively for Rolfers - Continuing education programs designed especially for Rolfers - Voting rights for Board of Directors, By-laws and other corporate decisions - Invitation to attend our Membership Conference, an educational and social gathering open to all Rolfers and current students - Annual Membership seal when dues are paid and annual license agreement signed - Strategic marketing programs and public education about Rolfing SI that distinguishes this form of bodywork from other modalities and Certified Rolfers from other practitioners - Underwriting, publishing and promotion of research on Rolfing SI - Staff services, including service mark protection, Rolfing community communications, licensing, transcripts, and other administrative support. 25

27 Optional Services - Listing in the Find a Rolfer section of our website. Find a Rolfer is the most popular page on our website. This service is updated continually throughout the year. - Complete listing in our printed directory, when available. Listing service for both the Find A Rolfer website listing and printed directory has a $75 fee. Services provided by outside companies or individuals: - Group Liability Insurance (US members) available through HPSO - Many blogs and social networks created by members of our Rolfing community; although these are not affiliated with the Rolf Institute in any way. 26

28 United States Massage Licensing Laws Licensing and State Regulation If you are a massage therapist in the State of Colorado, to practice Rolfing SI you are required to apply for licensure through the Colorado Department of Regulator Agencies (DORA) 1560 Broadway, Suite 1550 Denver, CO (303) Phone (800) Toll Free (303) Fax, If you are not a massage therapist, Rolfing SI is presently exempt from massage licensure in Colorado. Requirements for other states may vary so please check with the State Agency in which you are going to practice. The following resources maybe used to assist you: ABMP Association of Bodywork and Massage Professionals - (also included on the following two pages) AMTA American Massage Therapy Association - Please note that local municipal ordinances may apply in the absence of State Regulation so please check with the local agency in which you choose to practice. 27