Enrollment Agreement Allied Health, Mechanical Trades, and Cosmetology. Student Information. Student Name SSN. Address of student

Size: px
Start display at page:

Download "Enrollment Agreement Allied Health, Mechanical Trades, and Cosmetology. Student Information. Student Name SSN. Address of student"

Transcription

1 Enrollment Agreement Allied Health, Mechanical Trades, and Cosmetology Student Information Student Name SSN Address of student City/State Zip Code Phone Address Emergency Contact/Relationship Phone I, the undersigned, am enrolling in Start Date End Date Student Status (please check a box) Full time Part time Class time Notice to Student 1. Do not sign this agreement before you have read it or if it contains any blank spaces. 2. This agreement is a legally binding instrument and is only binding when the agreement is accepted, signed, and dated by the authorized official of the school or the admissions officer at the school s principle place of business. Read all pages of this contract before signing. 3. You are entitled to an exact copy of the agreement and any disclosure pages you sign. 4. This agreement and the school catalog constitute the entire agreement between the student and the school. 5. Any changes in this agreement must be made in writing and shall not be binding on either the student or the school unless such changes have been approved in writing by the authorized official of the school and by the student or the student s parent or guardian. All terms and conditions of the agreement are not subject to amendment or modification by oral agreement. 6. The school does not guarantee the transferability of credits to another school, college, or university. Credits or coursework are not likely to transfer; any decision on the comparability, appropriateness and applicability of credit and whether credit should be accepted is the decision of the receiving institution. Notice of Offered Programs Horn Lake, MS Ridgeland, MS COSMETOLOGY DENTAL ASSISTING HVAC/R MAR TECHNICIAN INDUSTRIAL, COMMERCIAL, RESIDENTIAL ELECTRICIAN JOURNEYMAN WELDER JOURNEYMAN WELDER II MEDICAL ASSISTING MEDICAL CODING SPECIALIST 1 of 13

2 CLASS TIMES MAY VARY FOR ALL PROGRAMS DEPENDING ON CAMPUS. COSMETOLOGY 13 Months AM or 16 Months AM & PM/1500 Clock Hours which includes 300 theory clock hours and 1200 practical clock hours 13 Month 16 Month AM 16 Month PM Tuesday through Friday Tuesday through Saturday Monday through Friday 8:30 a.m. - 4:00 p.m. 8:30 a.m. - 1:30 p.m. 5:00 p.m. 10:00 p.m. & Saturday 8:30 a.m. - 1:30 p.m. Tuition* $15,085 Registration Fee** $100 Books $449 Lab Fee $660 Kit $513 Testing/License/Student Permit $93 Total Cost $16,900 **The registration fee will be waived for any MTI/DTC graduate returning that does not have a balance owed to the school. *OTHER INSTRUCTIONAL CHARGES FOR COSMETOLOGY: During the enrollment contract period, an applicant must remain in compliance with the attendance and academic policy and complete the program by the contracted ending date. Applicants are required to schedule time to make up hours. Cosmetology students who are internal transfer students (students transferring from one of MTI s or DTC s campuses to another) will receive full credit for all hours.* For students transferring from another school or approved high school program, MTI or DTC may recognize up to 900. For cosmetology students who transfer hours from a school that has been closed within one year of proposed transfer, may transfer up to 75% of the total required hours, based on their transcript and proof of obtaining these hours. Transferred hours will be applied to the end of the student s contracted hours and will only be awarded based on completion of the program. The cosmetology transfer student will be charged $12.00 an hour, however, the student will not be charged an amount that exceeds the cost of the Cosmetology program. The student will be charged for a kit and license fees. The student s lab fee will be determined by the hours needed for program completion and by the director. *Internal transfer students who go from MTI s or DTC s 1500 hour program to MTI s 2100 program without a gap in attendance will be charged $3,000. For the program entitled Cosmetology, I have been informed that the current withdrawal rate was N/A%, or in the past 12 months N/A students enrolled in this program and N/A completed this program. I have been informed that for the students who graduated, the job placement rate was N/A%, or in the past 12 months N/A were placed in their field of study out of N/A students who graduated from this program. Detailed statistical data for this program may be viewed by going to 2 of 13

3 DENTAL ASSISTING 36 Weeks/765 Clock Hours which includes 225 Externship Hours/135 Outside Additional Clock Hours/26 Semester Credits Monday through Friday 8:00 a.m. - 12:00 p.m. or 10:00 a.m. 2:00 p.m. (time is not offered at Ridgeland, MS campus) or 1:00 p.m. 5:00 p.m. (time is not offered at Horn Lake, MS campus) Tuition $13,936 Registration Fee* $100 Books $200 Lab Fee $660 ADAA membership $30 Background Check $24 Testing Fee $250 Total Cost $15,200 *The registration fee will be waived for any MTI/DTC graduate returning that does not have a balance owed to the school. For the program entitled Dental Assisting, I have been informed that the current withdrawal rate was 14.7%, or in the past 12 months 34 students enrolled in this program and 16 completed this program. I have been informed that for the students who graduated, the job placement rate was 43.8%, or in the past 12 months 7 were placed in their field of study out of 16 students who graduated from this program. Detailed statistical data for this program may be viewed by going to HVAC/R-MAR TECHNICIAN 36 Weeks/720 Clock Hours/180 Additional Outside Clock Hours/28 Semester Credits Monday through Friday 8:00 a.m. - 12:00 p.m. or 6:00 p.m. - 10:00 p.m. Tuition $13,963 Registration Fee* $100 Books $197 Lab Fee $550 Tools $330 Testing Fee $60 Total Cost $15,200 *The registration fee will be waived for any MTI/DTC graduate returning that does not have a balance owed to the school. Individual module will be $3,725 (9 weeks/180 Clock Hours/45 Outside Additional Hours/7 semester Credits) 3 of 13

4 Program information HVAC/R-MAR continued The NATE (North American Technician Excellence) certification is available at an additional cost of $125 for each part of the exam. NATE exams are optional for students. This is the most widely recognized certification. It is designed for the employee with at least 5 years field experience. For more information about NATE, please visit: If the student fails the EPA and/or ICE exam and must retake the cost per exam(s): EPA: $20, ICE: $20. If the student wishes to retake the MARC exam the fee is $20. The retake fee for the EPA is $20. For the program entitled HVAC/R-MAR Technician, I have been informed that the current withdrawal rate was 7%, or in the past 12 months 57 students enrolled in this program and 38 completed this program. I have been informed that for the students who graduated, the job placement rate was 78.4%, or in the past 12 months 29 were placed in their field of study out of 38 students who graduated from this program. Detailed statistical data for this program may be viewed by going to INDUSTRIAL, COMMERICAL AND RESIDENTIAL ELECTRICIAN 48 Weeks/1200 Clock Hours/300 additional outside hours/ 48 Semester Credits Monday through Friday 8:00 a.m. 1:00 p.m. or 5:30 p.m.-10:30 p.m. Tuition $17,590 Registration Fee* $100 Books $285 Lab Fee $375 Tools $250 Total Cost $18,600 *The registration fee will be waived for any MTI/DTC graduate returning that does not have a balance owed to the school. 4 of 13

5 Program information Industrial, Commercial & Residential Electrician continued For the program entitled Industrial, Commercial & Residential Electrician, I have been informed that the current withdrawal rate was 19.2%, or in the past 12 months 26 students enrolled in this program and 14 completed this program. I have been informed that for the students who graduated, the job placement rate was 38.5%, or in the past 12 months 5 were placed in their field of study out of 14 students who graduated from this program. Detailed statistical data for this program may be viewed by going to JOURNEYMAN WELDER 30 Weeks/750 Clock Hours/ Additional Outside Clock Hours/27 Semester Credits Monday through Friday 8:00 a.m.-1:00 p.m. or 5:30 p.m.-10:30 p.m. Tuition $13,200 Registration Fee* $100 Books $161 Metals $1,568 Gear $171 Total Cost $15,200 *The registration fee will be waived for any MTI/DTC graduate returning that does not have a balance owed to the school. For the program entitled Journeyman Welder, I have been informed that the current withdrawal rate was 19%, or in the past 12 months 21 students enrolled in this program and 9 completed this program. I have been informed that for the students who graduated, the job placement rate was 100%, or in the past 12 months 9 were placed in their field of study out of 9 students who graduated from this program. Detailed statistical data for this program may be viewed by going to JOURNEYMAN WELDER II 40 Weeks/1,000 Clock Hours/250 Additional Outside Clock Hours/36 Semester Credits Monday through Friday 8:00 a.m.-1:00 p.m. Tuition $14,728 Registration Fee* $100 Books $161 Metals $3,240 Gear $171 Total Cost $18,400 *The registration fee will be waived for any MTI/DTC graduate returning that does not have a balance owed to the school. 5 of 13

6 Program information Journeyman Welder II continued The following information will be provided to the student per the Mississippi Proprietary School and College Registration for For the program entitled Journeyman Welder II, I have been informed that the current withdrawal rate was 0%, or in the past 12 months 12 students enrolled in this program and 5 completed this program. I have been informed that for the students who graduated, the job placement rate was 60%, or in the past 12 months 3 were placed in their field of study out of 5 students who graduated from this program. Detailed statistical data for this program may be viewed by going to MEDICAL ASSISTING 36 Weeks/765 Clock Hours which includes 225 Externship Hours/135 Additional Outside Clock Hours/26 Semester Credits Monday through Friday 8:00 a.m. - 12:00 p.m. 10:00 a.m. 2:00 p.m. 6:00 p.m. - 10:00 p.m.* *Module 4, the externship module, which is the last 9 weeks of the program, may require attendance during day time hours. Tuition $14,672 Registration Fee** $100 Books $193 Lab Fee $110 Certification $125 Total Cost $15,200 **The registration fee will be waived for any MTI/DTC graduate returning that does not have a balance owed to the school. For the program entitled Medical Assisting, I have been informed that the current withdrawal rate was 10.8%, or in the past 12 months 37 students enrolled in this program and 23 completed this program. I have been informed that for the students who graduated, the job placement rate was 34.8%, or in the past 12 months 8 were placed in their field of study out of 23 students who graduated from this program. Detailed statistical data for this program may be viewed by going to 6 of 13

7 MEDICAL CODING SPECIALIST 36 Weeks/765 Clock Hours which includes 225 Externship Hours/135 Additional Outside Clock Hours/26.5 Semester Credits Monday through Friday 8:00 a.m. - 12:00 p.m. 6:00 p.m. - 10:00 p.m.* *Module 4, the externship module, which is the last 9 weeks of the program, may require attendance during day time hours. Tuition $14,191 Registration Fee** $100 Books $539 Certification/Dues $370 Total Cost $15,200 **The registration fee will be waived for any MTI/DTC graduate returning that does not have a balance owed to the school. For the program entitled Medical Coding Specialist, I have been informed that the current withdrawal rate was 28.6%, or in the past 12 months 14 students enrolled in this program and 7 completed this program. I have been informed that for the students who graduated, the job placement rate was 71.4%, or in the past 12 months 5 were placed in their field of study out of 7 students who graduated from this program. Detailed statistical data for this program may be viewed by going to Policies for all programs STUDENT LIABILITY/TUITION AND FEES: Payment of the registration fee must be paid by the first day of class unless otherwise authorized. Payment of the registration fee secures a student s seat in a class. All tuition and fees must be paid on the first day of class unless otherwise authorized. There is a fee of $25 for checks returned for insufficient funds. Payment methods will require an Installment Judgment Note be completed. Payment of program costs and additional fees is the responsibility of the student, regardless of payment methods and whether or not financial aid is available. Under the law you have the right, among others, to pay the full amount due and to obtain under certain conditions a partial refund of the finance charge. If government regulations or early termination require the return of scheduled financial aid, the student must pay Delta Technical College the returned amount, together with any unpaid program cost and additional fees, upon demand. The student hereby agrees to pay collection fees of at least 20% along with attorney and court costs to enforce this liability. GROUNDS FOR TERMINATION: If this agreement is accepted, the student agrees to abide by the rules, regulations and academic requirements of this institution, as detailed in the catalog. If a student persistently fails to stay within those rules, regulations and academic requirements or does not meet his/her tuition payment obligations, that student may be terminated from this institution. SCHEDULE CHANGES: The institution reserves the right to: 1) Reschedule a start date and/or combine classes for any term by reason of institutional needs. Rescheduled classes will convene within a six-month period. 2) Reschedule class breaks, classrooms or instructors. 3) Change dates and/or hours of attendance. 4) Change contents, programs, procedures, or fees which may be contained in the school catalog or this agreement. All terms and conditions of the enrollment agreement are not subject to amendment or modification by oral agreement. For program changes and/or procedure changes, accommodations may be made for currently enrolled students. Any such changes will be communicated to the student in writing and the student will have to sign off before they have any effect on a currently enrolled student. 7 of 13

8 GRADUATION REQUIREMENTS: Students are required to have successfully completed all program requirements and to have paid all tuition and fees, at which time a diploma or certificate will be issued. PLACEMENT ASSISTANCE: Placement assistance service is available to those interested in employment while attending and after graduation. Delta Technical College does not guarantee placement of its graduates, but does recognize a responsibility to serve, to the fullest extent possible, all who request assistance. GRIEVANCE PROCEDURES: A student of Delta Technical College seeking redress through grievance regarding attendance, academics, or conduct, must first attempt to resolve the matter informally by following the chain of command. The student must first speak with their instructor. If the matter is not resolved at that point, the student can request to meet with the program director. If the issue is still unresolved, the student can request to meet with the Director of Education. Should the issue remain unresolved, the student must submit a written request for a meeting of the Grievance Review Board. Any grievances not resolved on the institutional level may be forwarded to one of the State Boards of Education (address is on page thirteen). THIS AGREEMENT IS A LEGALLY BINDING INSTRUMENT WHEN SIGNED BY THE STUDENT AND ACCEPTED BY THE SCHOOL. This agreement is made on the following date:. The terms and conditions of this agreement are not subject to amendment or modification unless in writing and signed or initialed by the official of the school and by the student or the student s parent/guardian if the student is a minor. The terms and conditions of this agreement are not subject to amendment or modification by oral agreement. This agreement represents the entire agreement between both parties. The date the student signed this agreement is. The date of the student s admission to the school is the date at which the student was accepted by Delta Technical College by the School Director or Director of Education. STUDENT RIGHT TO CANCEL: The student has the right to cancel this Enrollment Agreement until midnight of the fifth business day after the student has been accepted: and if the right to cancel is not given to any prospective student at the time the Enrollment Agreement is signed, then the student has the right to cancel the agreement at any time and receive a refund of all monies paid to date within 10 days of cancellation. Any cancellation by a student should be in writing and given to the managing employee of the school. REINSTATEMENT POLICY: Reentry If a student returns to the same program within 180 days of their Last Day of Attendance they may be eligible to pick up where they left off and would be considered to be in the same enrollment for all academic and financial aid purposes. These students would be evaluated on an individual basis as it would depend on the reason they were originally dropped or dismissed and if they were able to return at the point they left off within the allotted time frame. If not eligible for reentry the student may apply under the re-enroll policy. Re-enroll - Any student who withdraws from the Journeyman Welder and Journeyman Welder II Program must pay off any remaining balance owed to the school prior to any further re-enrollment. For any other program a student may re-enroll without paying off their prior balance due to MTI/DTC with approval from the School Director or Director of Education. Every student that applies for re-enrollment in the same program will be evaluated individually and have to pay all applicable costs that would be incurred by the second enrollment pertaining to books, tools, fees, certification and licensing. These costs will be determined on an individual basis by the School Director or Director of Education. The amount determined during this process will have to be paid up-front prior to re-enrolling. Students may re-enroll in any program of their choice, once admission requirements have been met and any balance owed is paid in full. If a student re-enrolls in the same program from which they have withdrawn or have been dismissed, they must re-start at the beginning of the program and they will be given a credit for all tuition and fees paid during their prior enrollment minus all applicable costs that would be incurred by the second enrollment pertaining to books, tools, fees, certification and licensing. Definition of Student Withdrawal: A student ceases to be enrolled prior to completion of their program of study. STATE REFUND POLICY: THE FOLLOWING IS A DIRECT QUOTE FROM THE MISSISSIPPI CODE OF 1972 SECTION REGARDING STUDENT TUITION AND FEE REFUND POLICIES. Schools shall, when a student gives written or oral notice of cancellation, provide a refund within 30 days of said cancellation in the amount of at least the following: a) When notice of cancellation is given before midnight of the fifth business day after the date of enrollment, all registration fees, tuition and any other charges shall be refunded to the student. b) When notice of cancellation is given before midnight of the fifth business day following acceptance but prior to the close of business on the student s first day of class attendance, the school may retain no more than the registration fee which may not exceed $150 or 50% of the cost of tuition, whichever is less. 8 of 13

9 c) When notice of cancellation is given after midnight of the fifth business day following acceptance and after the student s completion of the first day of class attendance, but prior to the student s completion of 5% of the program of instruction, the school may retain the registration fee and the cost of any books or materials which have been provided by the school, an amount not to exceed 10% of tuition and other instructional charges or $300, whichever is less. d) When a student has completed in excess of 5% of the program instruction, the school may retain the registration fee but shall refund part of the tuition and other instructional charges in accordance with whichever of the following applies: 1. After 5% of the program of instruction up to 10% of the program of instruction, the school shall refund at least 90% of the tuition and fees. 2. After 10% of the program of instruction up to 15% of the program of instruction, the school shall refund at least 80% of the tuition and fees. 3. After 15% of the program of instruction up to 25% of the program of instruction, the school shall refund at least 55% of the tuition and fees. 4. After 25% of the program of instruction up to 50% of the program of instruction, the school shall refund at least 30% of the tuition and fees. 5. In cases of the withdrawal after 50% of the program, the school shall retain 100% of the tuition & fees. FROM TO % Charge 1 Day 1 day 0% 2 Days 4.99% 10% ($300 Max) 5% 10% 10% 10.01% 15% 20% 15.01% 25% 45% 25.01% 50% 70% 50.01% 100% 100% If a student withdraws or is terminated, refunds will be provided within 30 days of student s drop/dismissal notification date. o A student, who on personal initiative and without solicitation enrolls, starts, and completes a program of instruction before midnight of the fifth business day after the enrollment agreement is signed, is not subject to the cancellation provisions of this Section. o Applicants not accepted by the school shall receive a refund of all tuition and fees paid within 30 calendar days after the determination of non-acceptance is made. o Deposits or down payments shall become part of the tuition. o The school shall mail a written acknowledgement of a student s cancellation or written withdrawal to the student within 15 calendar days of the postmark date of notification. Such written acknowledgement is not necessary if a refund has been mailed to the student within 15 calendar days. o A student may give notice of cancellation to the school in writing. The unexplained absence of a student from a school for more than 5 consecutive school days shall constitute constructive notice of cancellation to the school. For purposes of cancellation the date shall be the last day of attendance. o A school may make refunds which exceed those prescribed in this Section. If the school has a refund policy that returns more money to a student than those policies prescribed in this Section, that refund policy must be filed with the School Director. o A school shall refund all monies paid to it in any of the following circumstances: a) the school did not provide the prospective student with a copy of the student s valid enrollment agreement and a current catalog; b) the school cancels or discontinues the program of instruction in which the student has enrolled; c) the school fails to conduct classes on days or times scheduled, detrimentally affecting the student. 9 of 13

10 REFUND POLICY FOR STUDENTS PARTICIPATING IN FEDERAL FINANCIAL AID: The Higher Education Amendments (HEA) of 1998 changed the formula for calculating the amount of the Title IV aid a student and school can retain when the student withdraws from school or is terminated by the school. Students who withdraw from the school or are terminated by the school prior to completing 60 percent (60%) or more of their payment period (a period of time for which student receive Title IV aid) will have their Title IV eligibility recalculated based on the percent of the payment period attended. For example, a student who withdraws completing only 30 percent (30%) of the payment period will have earned only 30 percent (30%) of any Title IV aid received. The school and/or the student must return the remaining 70 percent (70%). This policy applies to all students who withdraw, drop out, or are terminated by DTC and receive financial aid from the Title IV funds. The term Title IV Funds refers to Federal Pell Grants, Subsidized Federal Stafford Loans, Unsubsidized Federal Stafford Loans, and Federal Parent Loans for Undergraduate Students (PLUS). For purposes of the Return of Title IV Funds Policy, a student s withdrawal date is: the student s last day of attendance. Title IV aid is earned in a prorated manner on a per diem basis up to and including the 60 percent (60%) point in the payment period. Title IV aid is considered 100 percent (100%) earned after that point in time. The percent of Title IV aid earned is calculated as: Number of days completed by the student divided by the number of days in the payment period equal the percent of payment period completed. The total number of calendar days in a payment period and the number of days completed by the student will exclude any scheduled breaks of five (5) days or more. The percent of payment period completed will be the percentage of Title IV earned by the student. The percentage of Title IV aid unearned will be returned by DTC to the appropriate Title IV program in the following order: o Unsubsidized Federal Stafford Loan o Subsidized Federal Stafford Loan o Federal PLUS o Federal Pell Grant o Other grants or loan assistance authorized by Title IV of the HEA DTC will return the unearned aid within 45 days from the date the school determined the student withdrew. When the amount of unearned aid is greater than the amount returned by DTC from the student s account, the student is responsible for returning unearned aid to the appropriate Title IV program as follows: o Unsubsidized Federal Stafford Loan* o Subsidized Federal Stafford Loan* o Federal PLUS* o Federal Pell Grant** o Other grants or loan assistance by Title IV of the HEA *Loan amounts are returned in accordance with the terms of the promissory note. **Unearned federal grant amounts to be returned by the student will be reduced by 50 percent (50%). Within thirty (30) days of the date the school determined the student withdrew, the student will be notified in writing if they are required to return any federal grant aid (Federal Pell). The student is considered to be in an over payment status. A student who owes a federal grant overpayment remains eligible for Title IV funds for a period of 45 days from the earlier of the date the school sends a notification to the student of the overpayment, or the date the school was required to notify the student of over payment. If during the 45 day period the student repays the overpayment to the school or signs a repayment agreement with the U.S. Department of Education, the student will remain eligible for further Title IV funds. If during the 45 day period the student fails to repay the overpayment or sign a repayment agreement with the U.S. Department of Education, the student is considered to be in an overpayment status and, thus, ineligible for any additional Title IV aid until that amount is repaid. REFUND POLICY FOR STUDENTS USING VETERANS EDUCATION BENEFITS: The school will charge a sum which does not vary more than 10% from the exact pro rata portion of tuition, fees, and other charges that the length of the completed portion of the program bears to its total length. The exact portion will be determined on the ratio of the number of days of instruction completed by the student to the total number of instructional days in the program (number of hours completed divided by the total number of hours in program plus 10% = refund). Refund will be made within forty (40) days of the change in student status. 10 of 13

11 AGREEMENT TO BINDING INDIVIDUAL ARBITRATION AND WAIVER OF JURY TRIAL ( ARBITRATION AGREEMENT ) Please read this carefully. It affects your rights. Any disputes, claims, or controversies between me and Delta Technical College no matter how described, pleaded or styled, arising out of or relating to the Enrollment Agreement of which this Arbitration Agreement is a part, my recruitment, enrollment, or attendance at Delta Technical College, the education provided by Delta Technical College, Delta Technical College s billing, financial aid, disbursement of funds, career service assistance, or any other claim relating in any manner to my relationship with Delta Technical College that is not resolved in accordance with the Grievance Procedures set forth in the Enrollment Agreement, shall be resolved by binding arbitration under the Federal Arbitration Act. In addition, any dispute as to the arbitrability of a particular issue or claim or the validity of this Arbitration Agreement shall be resolved through arbitration. For purposes of this Arbitration Agreement, the terms Delta Technical College, you, yours or School mean Delta Technical College - a branch of Midwest Technical Institute INC., its predecessors in interest, successors, assigns, parents, subsidiaries, divisions, and affiliates (the MTI Entities ), and each of the MTI Entities owners, shareholders, partners, members, officers, directors, employees, agents, representatives, heirs, executors, administrators, attorneys, insurers, and all persons acting by, through, under, or in concert with them, as well as any subsequent holders of the Enrollment Agreement. I understand that Delta Technical College and Midwest Technical Institute are trade names owned by Midwest Technical Institute, Inc., and that the definitions of the terms you, yours and School as used in this Arbitration Agreement encompasses Midwest Technical Institute, Inc.. The terms I, me, and my as used in this Arbitration Agreement mean the Student/Buyer and any Co-signer. I agree that by entering into this Arbitration Agreement, School and I are each waiving the right to a trial by jury, to participate in a class action, or to have claims brought by or against either of us joined or consolidated with claims brought by or against another person. Student Initials Exclusion for small claims court actions - Notwithstanding the preceding paragraph, either party may file an action in small claims court. Complaints to Regulatory Agencies - Nothing in this Arbitration Agreement prohibits me from filing a complaint with the state regulatory agency or accrediting agencies listed in School s catalog. RIGHT TO REJECT: I may reject this Arbitration Agreement by mailing a signed rejection notice to 2731 Farmers Market Road, Springfield, IL within 20 days of the date that I sign this Enrollment Agreement. Any rejection notice must include my name, address, address and telephone number. Choice of Arbitration Provider and Arbitration Rules - Unless you and I both agree to an alternative, the arbitration shall be administered by the American Arbitration Association ("AAA") before a single arbitrator and under the AAA's Commercial Arbitration Rules and applicable supplementary rules and procedures of the AAA in effect at the time the arbitration is brought, including the Supplementary Procedures for Consumer Related Disputes (collectively the AAA Rules ). Information about the arbitration process can be obtained from AAA at or Location of arbitration All in-person hearings and conferences in the arbitration shall take place in a locale within 50 miles of the campus I attend or attended, unless the School and I agree otherwise. If the county in which I reside at the time I file my claim is more than 50 miles from the campus I attend or attended, then I may choose that the hearings and conferences take place in my county. If my claim is for $10,000 or less, I may choose whether the arbitration will be conducted solely on the basis of documents submitted to the arbitrator, through a telephonic hearing or by an in-person hearing as established by the AAA Rules. If my claim exceeds $10,000, the right to a hearing will be determined by the AAA Rules. Choice of Law You and I agree that the Enrollment Agreement evidences a transaction involving interstate commerce, that the arbitrator shall apply federal law to the fullest extent possible, and that the Federal Arbitration Act (9 U.S.C. 1-16) (including the applicable substantive and procedural provisions thereof) ( FAA ), and not any state law, shall govern the applicability, interpretation and enforcement of this Arbitration Agreement that is included in the Enrollment Agreement. 11 of 13

12 Costs, fees, and expenses of arbitration - Each party shall bear the expense of its own counsel, experts, witnesses, and preparation and presentation of proofs. The amount AAA charges to the consumer for filing a claim under the Supplementary Procedures for Consumer Related Disputes is currently $200, and all remaining amounts are paid by the business (including administrative fees, arbitrator compensation, and expenses). However, this amount is subject to change by the arbitration provider. I understand that if I grossly overstate my claimed damages and the business is required to pay significant fees to the AAA, then the business may seek to recover those costs regardless of who succeeds in the arbitration. Relief and remedies - The arbitrator shall have the authority to award in favor of the party seeking relief all remedies permitted by applicable substantive law, including, without limitation, compensatory, statutory and punitive damages (subject to limits that would apply in court), and attorneys fees and costs. In addition, the arbitrator may award declaratory or injunctive relief only in favor of the party seeking relief and only to the extent necessary to provide relief warranted in that party s claim. Upon the timely request of either party, the arbitrator shall render a written decision setting forth his or her essential findings and the basis of his or her award. If the arbitrator determines that any claim or defense is frivolous or wrongfully intended to oppress the other party, the arbitrator may award sanctions against the applicable party in the form of fees and expenses reasonably incurred by the other party (including arbitration administration fees, arbitrator s fees, and attorney, expert and witness fees), to the extent such fees and expenses could be imposed on a party or a party s counsel under Rule 11 of the Federal Rules of Civil Procedure. The arbitrator may also award fees and expenses in accordance with any applicable AAA rule. Effect of Arbitration Award - Any state or federal court with jurisdiction and venue may enter an order enforcing this Arbitration Agreement, enter judgment upon the arbitrator s award and/or take any action authorized under the FAA. For any arbitration-related proceedings in which courts are authorized to take action under the FAA, each party expressly consents to the non-exclusive jurisdiction of any state court of general jurisdiction or any state court of equity that is reasonably convenient to me, provided that the parties to any such judicial proceeding shall have the right to initiate such proceeding in a federal court or remove the proceeding to federal court if authorized to do so under applicable federal law. Survival, Severability: This Arbitration Agreement shall survive the termination of my relationship with you or any change in my enrollment status. If any part or parts of this Arbitration Agreement are found to be invalid or unenforceable by a decision of a tribunal of competent jurisdiction, then such specific part or parts shall be of no force and effect and shall be severed, but the remainder of this Arbitration Agreement shall continue in full force and effect. Any or all of the limitations set forth in this Arbitration Agreement may be specifically waived by the party against whom the claim is asserted. Such waiver shall not waive or affect any other portion of this Arbitration Agreement. IMPORTANT WAIVERS: NEITHER PARTY WILL HAVE THE RIGHT TO A JURY TRIAL, TO ENGAGE IN DISCOVERY, EXCEPT AS PROVIDED IN THE APPLICABLE ARBITRATION RULES, OR OTHERWISE TO LITIGATE THE DISPUTE OR CLAIM IN ANY COURT (OTHER THAN IN AN ACTION TO ENFORCE THE ARBITRATOR S AWARD). FURTHER, I WILL NOT HAVE THE RIGHT TO PARTICIPATE AS A REPRESENTATIVE OR MEMBER OF ANY CLASS OF CLAIMANTS PERTAINING TO ANY CLAIM SUBJECT TO ARBITRATION. THE ARBITRATOR S DECISION WILL BE FINAL AND BINDING. OTHER RIGHTS THAT YOU OR I WOULD HAVE IN COURT ALSO MAY NOT BE AVAILABLE IN ARBITRATION. Student Initials Student Acknowledgements 1. I hereby acknowledge receipt of the school s catalog, which contains information describing programs offered, and equipment or supplies provided. The school catalog is included as part of this enrollment agreement and I acknowledge that I have received a copy of this catalog. The most updated version of the DTC Catalog can be found at Student Initials 2. I have carefully read and received an exact copy of this enrollment agreement. Student Initials 3. I understand that the school may terminate my enrollment if I fail to comply with attendance, academic, and financial requirements or if I fail to abide by established standards of conduct, as outlined in the school catalog. While enrolled in the school, I understand that I must maintain satisfactory academic progress as described in the school catalog and that my financial obligation to the school must be paid in full before a diploma, transcript or certificate may be awarded. Student Initials 4. I hereby acknowledge that the school has made available to me all required disclosure information listed under the Consumer Information section of this Enrollment Agreement. Student Initials 12 of 13

13 5. I understand that the school does not guarantee transferability of credit and that in most cases, credits or coursework are not likely to transfer to another institution. In cases where transferability is guaranteed, Delta Technical College must provide me copies of transfer agreements that name the exact institution(s) and include agreement details and limitations. Student Initials 6. I understand that the school does not guarantee job placement to graduates upon program completion. Student Initials 7. I understand that complaints, which cannot be resolved by direct negotiation with the school in accordance to its written grievance policy, may be filed with the State Boards of Education, address is on page 13. Student Initials The name of the school employee or admissions personnel responsible for procuring or enrolling this student: School Employee or Admission Representative Signature Date Signature of Student Accepted by Delta Technical College Printed name of Student Date School Director or Director of Education Date Delta Technical College Horn Lake campus, is authorized by the Tennessee Higher Education Commission. This authorization must be renewed each year and is based on an evaluation by minimum standards concerning quality of education, ethical business practices, health and safety, and fiscal responsibility. Delta Technical College Grievance Review Board Complaints against this school can be registered with the Grievance Review Board. The Grievance Review Board will resolve the matter informally and a written notice will be sent to the student. The address is listed below: Delta Technical College Attn: Grievance Review Board Horn Lake, MS Campus Ridgeland, MS Campus 6550 D. Interstate Blvd 113 Marketridge Dr Horn Lake, MS Ridgeland, MS COMPLAINTS AGAINST THIS SCHOOL MAY BE REGISTERED WITH THE STATE BOARD OF EDUCATION AT EITHER OF THE FOLLOWING ADDRESSES AND TELEPHONE NUMBERS. IF YOU BELIEVE YOUR RIGHTS HAVE BEEN VIOLATED, YOU MAY FILE A WRITTEN COMPLAINT WITH THE STATE BOARD OF EDUCATION AT ONE OF THE ADDRESSES LISTED BELOW: Mississippi Commission on Mississippi State Board of Cosmetology Tennessee Higher Education Commission Proprietary School and College 3000 Old Canton Road, Suite 112 Division of Postsecondary State Authorization Registration P.O. Box Parkway Towers Suite Ridgewood Road Jackson, MS James Robertson Parkway Jackson, MS Nashville, TN of 13

Enrollment Agreement Allied Health, Mechanical Trades, and Cosmetology. Student Information. Student Name SSN. Address of student

Enrollment Agreement Allied Health, Mechanical Trades, and Cosmetology. Student Information. Student Name SSN. Address of student Enrollment Agreement Allied Health, Mechanical Trades, and Cosmetology Student Information Student Name SSN Address of student City/State Zip Code Phone Email Address Emergency Contact/Relationship Phone

More information

City State Zip Phone. Employment I acknowledge that no representative of Argosy University has guaranteed me employment upon graduation.

City State Zip Phone. Employment I acknowledge that no representative of Argosy University has guaranteed me employment upon graduation. Argosy University, Washington DC Admissions Departmenta 1550 Wilson Blvd, Suite 600, Arlington, VA, 22209 1.703.526.5800 1.866.703.2777 Fax: 703.526.5850 Enrollment Agreement Please Print All Information

More information

Springfield, IL East Peoria, IL Moline, IL

Springfield, IL East Peoria, IL Moline, IL Enrollment Agreement Allied Health, Mechanical Trades, and Cosmetology Student Information Student Name SSN Address of student City/State Zip Code Phone Email Address Emergency Contact/Relationship Phone

More information

Interactive Brokers Hong Kong Agreement for Advisors Providing Services to Interactive Brokers Clients

Interactive Brokers Hong Kong Agreement for Advisors Providing Services to Interactive Brokers Clients Interactive Brokers Hong Kong Agreement for Advisors Providing Services to Interactive Brokers Clients This Agreement is entered into between Interactive Brokers Hong Kong Ltd ("IB") and the undersigned

More information

Springfield, IL East Peoria, IL Moline, IL

Springfield, IL East Peoria, IL Moline, IL Enrollment Agreement Allied Health, Mechanical Trades, and Cosmetology Student Information Student Name SSN Address of student City/State Zip Code Phone Email Address Emergency Contact/Relationship Phone

More information

Basic Nursing Assistant Training Program #0932 Enrollment Agreement

Basic Nursing Assistant Training Program #0932 Enrollment Agreement Basic Nursing Assistant Training Program #0932 Enrollment Agreement 2040 River Oaks Drive (East 159 th ) Calumet City Illinois, 60409 STUDENT INFORMATION Name: Address: Program: Program Start Date: Number

More information

Buckeye Brainiacs Support Terms of Service

Buckeye Brainiacs Support Terms of Service Buckeye Brainiacs Support Terms of Service 1. ACKNOWLEDGEMENT AND ACCEPTANCE OF TERMS OF SERVICE The Brainiacs Terms of Service ( Service Terms ) are available to you ( Customer ) at our website www.buckeyecableystem.com

More information

Last Name: First Name: Middle initial: City: State: Zip Code: Freshman: X Transfer: Re-entry: International Student (Seeking F-1)

Last Name: First Name: Middle initial: City: State: Zip Code: Freshman: X Transfer: Re-entry: International Student (Seeking F-1) STUDENT ENROLLMENT AGREEMENT 10395 NW 41 st Street Suite 125, Doral, FL 33178 Phone: (305) 629-2929 Fax: (305) 629-2910 Website: http://www.sanignaciocollege.edu E-mail: info@sanignaciocollege.edu STUDENT

More information

APPLICATION FOR ADMISSION

APPLICATION FOR ADMISSION APPLICATION FOR ADMISSION APPLICATION FOR: Online Class Start Date: 20 Campus Location: CTU Online 4435 N. Chestnut St., Suite E Colorado Springs, CO 80907 Are you interested in applying for Financial

More information

Annual Percentage Rate (APR) for Purchases 25.49%* This APR will vary with the market based on the Prime Rate.

Annual Percentage Rate (APR) for Purchases 25.49%* This APR will vary with the market based on the Prime Rate. (BA922TC0216MCY) (68/14) DEPARTMENT STORES NATIONAL BANK CREDIT CARD DISCLOSURES FOR THE MACY S AMERICAN EXPRESS ACCOUNT Interest Rates and Interest Charges Annual Percentage Rate (APR) for Purchases 25.49%*

More information

BASIC NURSING ASSISTANT TRAINING PROGRAM ENROLLMENT AGREEMENT. STUDENT INFORMATION Student Name Date of Birth Student ID No. Social Security No.

BASIC NURSING ASSISTANT TRAINING PROGRAM ENROLLMENT AGREEMENT. STUDENT INFORMATION Student Name Date of Birth Student ID No. Social Security No. LARLIN Medical Staffing & Training Center 6912 Main St., Suite 110, Downers Grove, IL 60516 Tel. No. 630-852-4007 Fax No. 630-852-1220 www.larlinhealthcare.com info@larlinhealthcare.com BASIC NURSING ASSISTANT

More information

VERSION 6.23.15 QUANTUM FINANCIAL ADVISORS

VERSION 6.23.15 QUANTUM FINANCIAL ADVISORS VERSION 6.23.15 Q F A NON- D I S C R E T I O N A R Y I A A G R E E M E N T ( D C ) QUANTUM FINANCIAL ADVISORS N O N D I S C R E T I O N A R Y I N V E S T M E N T A D V I S O R Y A G R E E M E N T THIS

More information

TITLE 135 LEGISLATIVE RULE WEST VIRGINIA COUNCIL FOR COMMUNITY AND TECHNICAL COLLEGE EDUCATION

TITLE 135 LEGISLATIVE RULE WEST VIRGINIA COUNCIL FOR COMMUNITY AND TECHNICAL COLLEGE EDUCATION TITLE 135 LEGISLATIVE RULE WEST VIRGINIA COUNCIL FOR COMMUNITY AND TECHNICAL COLLEGE EDUCATION SERIES 35 CORRESPONDENCE, BUSINESS, OCCUPATIONAL, and TRADE SCHOOLS SECTION 1. GENERAL 1.1 Scope - Rule regarding

More information

HOURLY CONSULTING AGREEMENT

HOURLY CONSULTING AGREEMENT 4245 Kemp Blvd., Suite 1007 Wichita Falls, Texas 76308 HOURLY CONSULTING AGREEMENT This is an agreement between Personal Money Planning ( Advisor ), and ( Client ). By this agreement, Client retains Advisor

More information

CLS Investments, LLC Instructions for the Solicitor Application and Agreement

CLS Investments, LLC Instructions for the Solicitor Application and Agreement CLS Investments, LLC Instructions for the Solicitor Application and Agreement Please complete all fields on page 1 of the Solicitor Application and Agreement. Some general guidelines are set forth below.

More information

AGENT / AGENCY AGREEMENT

AGENT / AGENCY AGREEMENT AGENT / AGENCY AGREEMENT This Agreement entered into this day of, 20, by and between Guardian Legal Services, Inc. (GUARDIAN), and General Agent, hereinafter called GA. GUARDIAN has organized a Legal Insurance

More information

ELECTRONIC INDEPENDENT CONTRACTOR AGREEMENT INTRODUCTION

ELECTRONIC INDEPENDENT CONTRACTOR AGREEMENT INTRODUCTION INTRODUCTION This is an AGREEMENT between you and Field Solutions, LLC ( Field Solutions ) that defines the terms and conditions for Field Solutions to engage you to provide services to our customers as

More information

Subscription Renewal. Renewal Pricing. Gift Memberships.

Subscription Renewal. Renewal Pricing. Gift Memberships. Welcome to MyForce! We look forward to having you as a client and providing the MyForce Service to enhance your safety or the safety of a loved one. 1. Governing Agreements. By creating an account on the

More information

BMA ADVISORS, LLC Investment Advisory Agreement

BMA ADVISORS, LLC Investment Advisory Agreement BMA ADVISORS, LLC Investment Advisory Agreement 608 Silver Spur Road, Suite 100, Rolling Hills Estates, CA 90274 This agreement describes the relationship between BMA Advisors, LLC (hereinafter BMA ) and

More information

Terms and Conditions

Terms and Conditions Terms and Conditions Agreement between user and internetsecurityservices.org Welcome to internetsecurityservices.org. The internetsecurityservices.org website (the "Site") is comprised of various web pages

More information

Effective 06/29/2016. Examples of the calculations for these policies are available in the Student Financial Service department

Effective 06/29/2016. Examples of the calculations for these policies are available in the Student Financial Service department REFUND POLICIES Effective 06/29/2016 Examples of the calculations for these policies are available in the Student Financial Service department Refund Policy As allowed under Federal, state, and accreditation

More information

FINANCIAL AID POLICY

FINANCIAL AID POLICY FINANCIAL AID POLICY Debutantes School of Cosmetology and Nail Technology, LLC (Federal school code 042299) is an approved institution in disbursement of Title IV funds for our cosmetology program. A financial

More information

TAX RESOLUTION SERVICES AGREEMENT Offered through Liberty Tax Service and Whitewood Tax Solutions.

TAX RESOLUTION SERVICES AGREEMENT Offered through Liberty Tax Service and Whitewood Tax Solutions. TAX RESOLUTION SERVICES AGREEMENT Offered through Liberty Tax Service and Whitewood Tax Solutions. This Agreement is being provided to you as part of the Tax Resolution Services we offer and contains material

More information

INVESTMENT ADVISORY AGREEMENT

INVESTMENT ADVISORY AGREEMENT Wealth through ingenuity. INVESTMENT ADVISORY AGREEMENT AGREEMENT, made this day of, 20 between the undersigned party,, whose mailing address is (hereinafter referred to as the CLIENT ), and CMG CAPITAL

More information

Spark Advisors Advisory Agreement

Spark Advisors Advisory Agreement Spark Advisors Advisory Agreement This Investment Advisor Agreement ( Agreement ) is by and between Spark Advisors, LLC ( Spark Advisors or Adviser ), a registered investment adviser, and the party electronically

More information

(1) ECMC has obtained substantial private student loan debt relief for current and former Corinthian students.

(1) ECMC has obtained substantial private student loan debt relief for current and former Corinthian students. February 2, 2015 Hon. Richard Cordray Director Consumer Financial Protection Bureau 1700 G St. NW Washington, DC 20552 RE: ECMC Group, Inc. s purchase of certain Corinthian Colleges, Inc. assets Dear Director

More information

WESTERN MICHIGAN UNIVERSITY REPAYMENT POLICY (RETURN OF TITLE IV AID)

WESTERN MICHIGAN UNIVERSITY REPAYMENT POLICY (RETURN OF TITLE IV AID) WESTERN MICHIGAN UNIVERSITY REPAYMENT POLICY (RETURN OF TITLE IV AID) The federal government mandates that students withdrawing from all classes may keep only the financial aid (federal "Title IV" grant

More information

Blispay Card agreement

Blispay Card agreement Blispay Card agreement 1. Definitions 2. How Blispay Card works 3. Making payments 4. Fees and interest 5. When things go wrong 6. Arbitration Provision 7. Legal 8. Communications and information sharing

More information

PENNSYLVANIA BUILDERS ASSOCIATION INSTRUCTIONS TO HOME IMPROVEMENT MODEL CONTRACT STANDARD FORM Introduction

PENNSYLVANIA BUILDERS ASSOCIATION INSTRUCTIONS TO HOME IMPROVEMENT MODEL CONTRACT STANDARD FORM Introduction PENNSYLVANIA BUILDERS ASSOCIATION INSTRUCTIONS TO HOME IMPROVEMENT MODEL CONTRACT STANDARD FORM Introduction Below are instructions for use with the Home Improvement Model Contract Standard Form, which

More information

INVESTMENT MANAGEMENT AGREEMENT Client: Client and/or Spouse or Institutional Client

INVESTMENT MANAGEMENT AGREEMENT Client: Client and/or Spouse or Institutional Client This Agreement sets forth the contract terms between CARTER CAPITAL MANAGEMENT ( Advisor ), and Client and/or Spouse or Institutional Client In consideration of the mutual benefits to be derived from the

More information

Independent Agent Contract

Independent Agent Contract CONT Independent Agent Contract For use with Independent Agents of: Union Central Life Insurance Company Ameritas Life Insurance Corp. Acacia Life Insurance Company First Ameritas Life Insurance Corp.

More information

SEED CAPITAL CORP BUSINESS CONSULTING SERVICES AGREEMENT

SEED CAPITAL CORP BUSINESS CONSULTING SERVICES AGREEMENT SEED CAPITAL CORP BUSINESS CONSULTING SERVICES AGREEMENT This Business Consulting Services Agreement (this "Agreement"), dated as of, 200 (the Effective Date ), is between and among, an individual residing

More information

INVESTMENT ADVISORY AGREEMENT

INVESTMENT ADVISORY AGREEMENT INVESTMENT ADVISORY AGREEMENT AGREEMENT, made this day of, 20 between the undersigned party, whose mailing address is (hereinafter referred to as the CLIENT ), and SCARBOROUGH CAPITAL CORPORATION, a registered

More information

Agent Agreement WITNESSETH

Agent Agreement WITNESSETH PATRIOT NATIONAL UNDERWRITERS, INC. Agent Agreement THIS AGENT AGREEMENT (the Agreement ) is made and entered into by and between Patriot National Underwriters, Inc., a Texas corporation ( Patriot ), and

More information

Return to Title IV Policy R2T4

Return to Title IV Policy R2T4 1 Return to Title IV Policy R2T4 The return of Title IV funds is administered by Student Financial Services at The Vocational Nursing Institute, Inc. This policy applies to students who withdraw (official,

More information

Brandon College Enrollment Agreement

Brandon College Enrollment Agreement Brandon College Enrollment Agreement www.brandoncollege.com I will attend classes at the following campus location: Brandon College 944 Market St, 2nd Floor, San Francisco, CA 94704 Phone: 415.391-5711

More information

INVESTMENT ADVISORY AGREEMENT

INVESTMENT ADVISORY AGREEMENT INVESTMENT ADVISORY AGREEMENT This Agreement is between the undersigned individual or entity ( Client ) and Van Meter Associates, LLC ( Adviser ). The parties agree as follows: 1. Appointment of Manager.

More information

Chicago s Pulse CPR Training, Inc. July 2015 Page 1

Chicago s Pulse CPR Training, Inc. July 2015 Page 1 Enrollment Agreement & Disclosure The (Chicago s Pulse) Certified Nursing Assistant (CNA) program is designed to help prepare students for a career as a healthcare professional. Certified Nursing Assistants

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT APPLICATION FOR EMPLOYMENT SEABORNE AIRLINES, (hereinafter Employer or The Company ) is an equal opportunity employer and does not unlawfully discriminate in employment. No question on this application

More information

Author may incur additional charges if the Work is not submitted in a format acceptable to the Publisher.

Author may incur additional charges if the Work is not submitted in a format acceptable to the Publisher. This PUBLISHING AGREEMENT (Agreement) between The Educational Publisher Inc., with offices at 1313 Chesapeake Ave., Columbus, Ohio 43212 (Publisher), and the author (Author) whose name and signature appear

More information

ATTORNEY CONSULTATION AND FEE CONTRACT FOR CONTINGENCY CASES

ATTORNEY CONSULTATION AND FEE CONTRACT FOR CONTINGENCY CASES 109 N. Palafox Street Telephone (850) 434-8904 Pensacola, Florida 32502 Fax (850) 434-8922 ATTORNEY CONSULTATION AND FEE CONTRACT FOR CONTINGENCY CASES THIS FEE CONTRACT FOR CONTINGENCY CASES ("Contract")

More information

NAVAL RESERVE OFFICERS TRAINING CORPS SCHOLARSHIP CONTRACT Privacy Act Statement

NAVAL RESERVE OFFICERS TRAINING CORPS SCHOLARSHIP CONTRACT Privacy Act Statement SCHOLARSHIP CONTRACT Privacy Act Statement AUTHORITY: The authority to request this information is contained in: 5 USC 301 (Authorizing Forms and Regulations), Executive Order 9397 (Use of Social Security

More information

SPINE SURGERY FELLOWSHIP MATCH PARTICIPATION AGREEMENT

SPINE SURGERY FELLOWSHIP MATCH PARTICIPATION AGREEMENT 1.0 Introduction SPINE SURGERY FELLOWSHIP MATCH PARTICIPATION AGREEMENT 1.1 Purpose. The Spine Surgery Fellowship Match ( SSFM ) is a program that utilizes a computer-based algorithm developed by San Francisco

More information

RESIDENTIAL AND SMALL COMMERCIAL UNIFORM DISCLOSURE STATEMENT FOR ILLINOIS

RESIDENTIAL AND SMALL COMMERCIAL UNIFORM DISCLOSURE STATEMENT FOR ILLINOIS RESIDENTIAL AND SMALL COMMERCIAL UNIFORM DISCLOSURE STATEMENT FOR ILLINOIS Our Contact Information Type of Plan Term of Agreement Rate Renewal Early Termination Fee Rescission Nature of Sale Delivery Notification

More information

Gas Customer Choice Contract Residential and Small Commercial Terms and Conditions of Service

Gas Customer Choice Contract Residential and Small Commercial Terms and Conditions of Service Gas Customer Choice Contract Residential and Small Commercial Terms and Conditions of Service By receiving natural gas supply service from Grand Rapids Energy SM,an Alternative Gas Supplier (AGS) licensed

More information

Name of Student: (Please Print) Street Address: City: State: ZIP: Email Address: How did you hear about us?

Name of Student: (Please Print) Street Address: City: State: ZIP: Email Address: How did you hear about us? CERTIFICATE PROGRAM ENROLLMENT FORM PARALEGAL INSTITUTE OF WASHINGTON, D.C. 5101 WISCONSIN AVE., NW SUITE 302, WASHINGTON, D.C. 20016 PHONE 202-955-4562 FAX 202-955-6069 Student Information Name of Student:

More information

Discretionary Investment Management Agreement Vulcan Investments LLC 2100SouthBridge Pkwy Suite 650, Birmingham AL, 35209 1. Scope of Engagement a)

Discretionary Investment Management Agreement Vulcan Investments LLC 2100SouthBridge Pkwy Suite 650, Birmingham AL, 35209 1. Scope of Engagement a) Discretionary Investment Management Agreement This investment management agreement (the Agreement ) is, made this day of, 20 Between the undersigned party, Client(s) whose mailing address is. (Hereinafter

More information

mabc Investment Advisors, LLC PO Box 71 1322 Houston, TX 77271 Tel: 713-777-0260 7914 Candle Ln Houston, TX 77071 Cell: 713-516-2310

mabc Investment Advisors, LLC PO Box 71 1322 Houston, TX 77271 Tel: 713-777-0260 7914 Candle Ln Houston, TX 77071 Cell: 713-516-2310 REGULAR NON-DISCRETIONARY INVESTMENT ADVISORY SERVICES AGREEMENT AGREEMENT, made this day of, 20 between the undersigned party, whose mailing address is (hereinafter referred to as the Client ), and mabc

More information

CARDHOLDER AGREEMENT IMPORTANT PLEASE READ CAREFULLY

CARDHOLDER AGREEMENT IMPORTANT PLEASE READ CAREFULLY CARDHOLDER AGREEMENT IMPORTANT PLEASE READ CAREFULLY Terms and Conditions/Definitions for the TransitChek Prepaid Visa Card This Cardholder Agreement ( Agreement ) outlines the terms and conditions under

More information

DEPARTMENT STORES NATIONAL BANK CREDIT CARD DISCLOSURES. This APR will vary with the market based on the Prime Rate.

DEPARTMENT STORES NATIONAL BANK CREDIT CARD DISCLOSURES. This APR will vary with the market based on the Prime Rate. (DSNB180TC122315) (PL068) DEPARTMENT STORES NATIONAL BANK CREDIT CARD DISCLOSURES Interest Rates and Interest Charges Annual Percentage Rate 24.75% * (APR) for Purchases Store Accounts This APR will vary

More information

Lenders Axis LLC Working Capital Sales Agent Agreement Lenders Axis Sales Agent Agreement V 2.0

Lenders Axis LLC Working Capital Sales Agent Agreement Lenders Axis Sales Agent Agreement V 2.0 Lenders Axis LLC Working Capital Sales Agent Agreement Lenders Axis Sales Agent Agreement V 2.0 This Sales Agent Agreement (the Agreement ) is made and effective as of this the day of 13 by and between

More information

ENROLLMENT AGREEMENT RELATIONSHIP: TELEPHONE #: Dental Careers Foundation Dental Assisting Course (Ten Week, Saturday Only)

ENROLLMENT AGREEMENT RELATIONSHIP: TELEPHONE #: Dental Careers Foundation Dental Assisting Course (Ten Week, Saturday Only) DENTAL CAREERS FOUNDATION 755 S Mulford Rd. Rockford, IL 61108 Telephone: (815)398-2410 Fax: (815)398-2620 www.dcfrockford.com DentalCareersRKFD@gmail.com ENROLLMENT AGREEMENT STUDENT INFORMATION STUDENT

More information

DISCRETIONARY INVESTMENT ADVISORY AGREEMENT

DISCRETIONARY INVESTMENT ADVISORY AGREEMENT DISCRETIONARY INVESTMENT ADVISORY AGREEMENT AGREEMENT, made this day of, 20 between the undersigned party, (hereinafter referred to as the Client ), and Walkner Condon Financial Advisors LLC, a registered

More information

FINANCIAL RESCUERS, LLC

FINANCIAL RESCUERS, LLC DEBT SETTLEMENT AGREEMENT Financial Rescuers, LLC (hereinafter the Company ), whose address is noted above, and (hereinafter Client ), residing at hereby agree as follows: 1. Client is retaining the Company

More information

ENROLLMENT AGREEMENT

ENROLLMENT AGREEMENT 1 *Please Print All Information. Name SHEPHERD UNIVERSITY 3200 N. San Fernando Rd., Los Angeles CA 90065 Tel.: (323) 550-8888; Fax: (323) 550-1313 School webpage: shepherduniversity.edu ENROLLMENT AGREEMENT

More information

FORM OF SURETY BOND. NOW, THEREFORE, Surety hereby agrees and covenants as follows:

FORM OF SURETY BOND. NOW, THEREFORE, Surety hereby agrees and covenants as follows: FORM OF SURETY BOND Surety Bond No. THIS SURETY BOND is issued on [October 6, 2011] by [full legal name of surety] ( Surety ) on behalf of [New Wave Energy Corp] ( Principal ), and in favor of the New

More information

TEXAS FAIR PLAN PRODUCER REQUIREMENTS AND PERFORMANCE STANDARDS

TEXAS FAIR PLAN PRODUCER REQUIREMENTS AND PERFORMANCE STANDARDS Producer Requirements Page 1 TEXAS FAIR PLAN PRODUCER REQUIREMENTS AND PERFORMANCE STANDARDS The following Texas FAIR Plan Association ( Association ) requirements and producer performance standards (

More information

Issue Paper #16 Loans Group Final Consensus Language: Contextual Format 03/30/2012. Title IV Closed School Loan Discharge

Issue Paper #16 Loans Group Final Consensus Language: Contextual Format 03/30/2012. Title IV Closed School Loan Discharge Issue: Statutory Cites: Title IV Closed School Loan Discharge 437(c)(1) and 464(g) Regulatory Cites: 674.33(g), 682.402(d), and 685.214 Summary of Change: Under the current closed school discharge regulations

More information

Interest Rate (highest possible starting rate) Amount Provided (amount provided directly to you or your school)

Interest Rate (highest possible starting rate) Amount Provided (amount provided directly to you or your school) PALMETTO ASSISTANCE LOAN APPLICATION AND SOLICITATION DISCLOSURE STATEMENT Loan Interest Rate & Fees PO Box 102405, Columbia, SC 29224 (800) 347-2752 www.scstudentloan.org Your interest rate will be either

More information

Colorado Culinary Academy 6380 S. Fiddler s Green Circle #108A Greenwood Village, CO 80111 (303) 220-6996

Colorado Culinary Academy 6380 S. Fiddler s Green Circle #108A Greenwood Village, CO 80111 (303) 220-6996 ENROLLMENT AGREEMENT 2014 (Effective beginning on or after the April 2014 term) Colorado Culinary Academy 6380 S. Fiddler s Green Circle #108A Greenwood Village, CO 80111 (303) 220-6996 Approved and Regulated

More information

BUY-SELL AGREEMENT. WHEREAS, the Stockholders together own 100% of the outstanding shares of capital stock of the Corporation, and

BUY-SELL AGREEMENT. WHEREAS, the Stockholders together own 100% of the outstanding shares of capital stock of the Corporation, and BUY-SELL AGREEMENT AGREEMENT, made this (1) day of (2), (3), by and between (4), (5), (6), hereinafter separately referred to as "Stockholder", and jointly as "Stockholders", and (7), a (8) corporation,

More information

FINANCIAL AID HANDBOOK 2015-16 ADVANCED TRAINING ASSOCIATES. 1810 Gillespie Way, Suite 104 El Cajon, CA 92020 619.596.2766 www.advancedtraining.

FINANCIAL AID HANDBOOK 2015-16 ADVANCED TRAINING ASSOCIATES. 1810 Gillespie Way, Suite 104 El Cajon, CA 92020 619.596.2766 www.advancedtraining. FINANCIAL AID HANDBOOK 2015-16 ADVANCED TRAINING ASSOCIATES 1810 Gillespie Way, Suite 104 El Cajon, CA 92020 619.596.2766 www.advancedtraining.edu FINANCIAL AID HANDBOOK 2015-2016 This handbook has been

More information

FOR 24-HOUR CUSTOMER SERVICE. Visit us online at americanexpress.com/mygiftcard or call 1-877-297-4438.

FOR 24-HOUR CUSTOMER SERVICE. Visit us online at americanexpress.com/mygiftcard or call 1-877-297-4438. FOR 24-HOUR CUSTOMER SERVICE Visit us online at americanexpress.com/mygiftcard or call 1-877-297-4438. Balance Inquiries Purchase More Gift Cards Merchant Discounts Special Offers For easiest use ALWAYS

More information

INSURANCE AGENT AGREEMENT

INSURANCE AGENT AGREEMENT INSURANCE AGENT AGREEMENT THIS INSURANCE AGENT AGREEMENT is made, 200_ by and between Athens Area Health Plan Select, Inc. ( AAHPS or the Plan ), and ( Agent ). RECITALS: WHEREAS, AAHPS is licensed to

More information

Argosy University Refund Policies

Argosy University Refund Policies REFUND POLICIES Argosy University Refund Policies Institutional Refund Policy The Institutional Refund Policy applies to students who drop all courses in a semester, whether through providing notification

More information

CLIENT REFERRAL AGREEMENT

CLIENT REFERRAL AGREEMENT CLIENT REFERRAL AGREEMENT This CLIENT REFERRAL AGREEMENT ("Agreement") is made by, and between, JBH Processing and Paul Jones("REFERRER"), effective as of, 2010. 1. Reporting In the event Referrer receives

More information

FOR CUSTOMER SERVICE. Visit us online at www.pyramidmg.com or call 1-800-297-5009. Balance Inquiries Purchase More Gift Cards Special Offers

FOR CUSTOMER SERVICE. Visit us online at www.pyramidmg.com or call 1-800-297-5009. Balance Inquiries Purchase More Gift Cards Special Offers FOR CUSTOMER SERVICE Visit us online at www.pyramidmg.com or call 1-800-297-5009 Balance Inquiries Purchase More Gift Cards Special Offers For easiest use ALWAYS KNOW YOUR BALANCE AND TELL THE CASHIER!

More information

Technical Help Desk Terms of Service

Technical Help Desk Terms of Service Technical Help Desk Terms of Service This esecuritel Technical Help Desk Terms of Service (the Agreement ) is provided in connection with the eligible tablet enrolled in either the Advanced Protection

More information

HOOVER FINANCIAL ADVISORS, PC FINANCIAL PLANNING AND CONSULTING AGREEMENT

HOOVER FINANCIAL ADVISORS, PC FINANCIAL PLANNING AND CONSULTING AGREEMENT FINANCIAL PLANNING AND CONSULTING AGREEMENT This financial planning and/or consulting agreement ( Agreement ) made as of the day of, 2016 between the undersigned party, ( Client ), the Investment Advisory

More information

Penn Foster College A.S. in Veterinary Technician Degree Program Online Student Enrollment Agreement

Penn Foster College A.S. in Veterinary Technician Degree Program Online Student Enrollment Agreement Penn Foster College A.S. in Veterinary Technician Degree Program Online Student Enrollment Agreement Penn Foster is pleased to make its Veterinary Technician Degree Program (the Vet Tech Program or the

More information

SOLICITOR APPLICATION

SOLICITOR APPLICATION Date: / / SOLICITOR APPLICATION General Information Name: Birth Date: / / Office Address: City: State: Zip: E-mail address: Business phone: ( ) - Fax number: ( ) - Assistant s Name: Registered Investment

More information

Investment Advisory Agreement

Investment Advisory Agreement Investment Advisory Agreement Whereas ("Client") hereby appoints Fried Asset Management, Inc. ("Adviser") as investment adviser to manage the investment and reinvestment of the cash and securities in the

More information

DELL BUSINESS CREDIT AGREEMENT

DELL BUSINESS CREDIT AGREEMENT DELL BUSINESS CREDIT AGREEMENT Offered by WebBank, a Utah Industrial Bank, and serviced by Dell Financial Services. Definitions. In this DELL BUSINESS CREDIT AGREEMENT ( Credit Agreement ), the following

More information

CO-MARKETING AGREEMENT

CO-MARKETING AGREEMENT CO-MARKETING AGREEMENT This CO-MARKETING AGREEMENT ( Agreement ) between [full legal name], a [entity type and state] ( Company1 ) and [full legal name], a Delaware corporation ( Company2 ) is effective

More information

SEPARATION AGREEMENT AND GENERAL RELEASE. into by and between ( Employee ) and ( the

SEPARATION AGREEMENT AND GENERAL RELEASE. into by and between ( Employee ) and ( the SEPARATION AGREEMENT AND GENERAL RELEASE This Separation Agreement and General Release ( this Agreement ) is made and entered into by and between ( Employee ) and ( the Agency ) (collectively, the Parties

More information

TRONOX TORT CLAIMS TRUST. Individual Review and Arbitration Procedures for Category A and Category D Personal Injury Claims

TRONOX TORT CLAIMS TRUST. Individual Review and Arbitration Procedures for Category A and Category D Personal Injury Claims TRONOX TORT CLAIMS TRUST Individual Review and Arbitration Procedures for Category A and Category D Personal Injury Claims Pursuant to Sections 3.4 and 3.5 of the Tronox Tort Claims Trust Distribution

More information

INTRODUCING BROKER COMMODITY FUTURES CUSTOMER AGREEMENT WITH E*TRADE SECURITIES LLC

INTRODUCING BROKER COMMODITY FUTURES CUSTOMER AGREEMENT WITH E*TRADE SECURITIES LLC INTRODUCING BROKER COMMODITY FUTURES CUSTOMER AGREEMENT WITH E*TRADE SECURITIES LLC Re: Supplement to Commodity Futures Customer Agreement dated between MF Global, Inc ( MF Global ) and the customer named

More information

SECTION A: BORROWER INFORMATION READ THE INSTRUCTIONS IN SECTION G BEFORE COMPLETING THIS SECTION

SECTION A: BORROWER INFORMATION READ THE INSTRUCTIONS IN SECTION G BEFORE COMPLETING THIS SECTION Federal Direct Stafford/Ford Loan Federal Direct Unsubsidized Stafford/Ford Loan Master Promissory Note William D. Ford Federal Direct Loan Program Warning: Any person who knowingly makes a false statement

More information

Plunder Design Terms and Conditions

Plunder Design Terms and Conditions Plunder Design Terms and Conditions (for website enrollement) E-SIGN, the Electronic Signatures in Global and National Commerce Act (15 U.S.C. 7001, et seq.), requires that you consent to entering into

More information

NEW ERA LIFE INSURANCE COMPANY GENERAL AGENT S CONTRACT. For. Name. Address. City State Zip

NEW ERA LIFE INSURANCE COMPANY GENERAL AGENT S CONTRACT. For. Name. Address. City State Zip NEW ERA LIFE INSURANCE COMPANY GENERAL AGENT S CONTRACT For Name Of Address City State Zip P.O. Box 4884 Houston, Texas 77210-4884 200 Westlake Park Blvd. Suite # 1200 Houston, Texas 77079 1-800-713-4680

More information

I N V E S T M E N T A D V I S O R Y A G R E E M E N T

I N V E S T M E N T A D V I S O R Y A G R E E M E N T I N V E S T M E N T A D V I S O R Y A G R E E M E N T AGREEMENT, made this day of, 20 between the undersigned party,, whose mailing address is (hereinafter referred to as the CLIENT ), and TRADEWINDS CAPITAL

More information

Agreement for Net Metering and Interconnection Services (Level 1, 2 and 3 Interconnection)

Agreement for Net Metering and Interconnection Services (Level 1, 2 and 3 Interconnection) Agreement for Net Metering and Interconnection Services (Level 1, 2 and 3 Interconnection) This Agreement for Net Metering and Interconnection Services ( Agreement ) is made and entered into this day of

More information

REGULATORY SETTLEMENT AGREEMENT. THIS REGULATORY SETTLEMENT AGREEMENT (the Regulatory Settlement

REGULATORY SETTLEMENT AGREEMENT. THIS REGULATORY SETTLEMENT AGREEMENT (the Regulatory Settlement IN THE MATTER OF LIFE INSURANCE COMPANY OF GEORGIA AND SOUTHLAND LIFE INSURANCE COMPANY REGULATORY SETTLEMENT AGREEMENT THIS REGULATORY SETTLEMENT AGREEMENT (the Regulatory Settlement Agreement ) is entered

More information

University of the People Enrollment Agreement

University of the People Enrollment Agreement University of the People Enrollment Agreement 07/2015 225 S. Lake Ave. Suite 300, Pasadena, CA 91101, USA +1.626.264.8880 www.uopeople.edu student.services@uopeople.edu Our State Approval University of

More information

CREDIT CARD AGREEMENT

CREDIT CARD AGREEMENT INTEREST RATES AND INTEREST CHARGES Annual Percentage Rate 22.8% (APR) for Purchases How to Avoid Paying Interest CREDIT CARD AGREEMENT Your due date is at least 23 days after the close of each Billing

More information

Satisfactory Academic Progress Policy Providence University College and Seminary

Satisfactory Academic Progress Policy Providence University College and Seminary Satisfactory Academic Progress Policy Providence University College and Seminary The U.S. Department of Education requires institutions of higher education to establish minimum standards of satisfactory

More information

TEXAS ASSOCIATION OF REALTORS INDEPENDENT CONTRACTOR AGREEMENT FOR SALES ASSOCIATE. Robyn Jones Homes, LLC

TEXAS ASSOCIATION OF REALTORS INDEPENDENT CONTRACTOR AGREEMENT FOR SALES ASSOCIATE. Robyn Jones Homes, LLC 1 TEXAS ASSOCIATION OF REALTORS INDEPENDENT CONTRACTOR AGREEMENT FOR SALES ASSOCIATE USE OF THIS FORM BY PERSONS WHO ARE NOT MEMBERS OF THE TEXAS ASSOCIATION OF REALTORS IS NOT AUTHORIZED Texas Association

More information

FINANCIAL AID. Application Process. Awarding Process. 26 UTPB 2009-2011 Undergraduate Catalog

FINANCIAL AID. Application Process. Awarding Process. 26 UTPB 2009-2011 Undergraduate Catalog Application Process FINANCIAL AID The University of Texas of the Permian Basin encourages students who wish to attend the university and who do not have the financial resources available to pay the cost

More information

Investment Advisory Agreement

Investment Advisory Agreement Today s hybrid solution Investment Advisory Agreement AGREEMENT, made this day of, 20 between the undersigned party, whose mailing address is (hereinafter the Client ), and Private Advisor Group, LLC,

More information

CAESAR S TOTAL REWARDS PROMOTIONAL CARD TERMS & CONDITIONS FEES ASSOCIATED WITH YOUR GIFT CARD

CAESAR S TOTAL REWARDS PROMOTIONAL CARD TERMS & CONDITIONS FEES ASSOCIATED WITH YOUR GIFT CARD CAESAR S TOTAL REWARDS PROMOTIONAL CARD TERMS & CONDITIONS FEES ASSOCIATED WITH YOUR GIFT CARD Lost/Stolen/Damaged Replacement Card Fee Subject to applicable law, if your Card is lost or stolen or damaged,

More information

TERMS OF BUSINESS AGREEMENT

TERMS OF BUSINESS AGREEMENT TERMS OF BUSINESS AGREEMENT 2525 E Camelback Rd, Suite 800 As used in this Agreement, The Keating Group, Inc. (tkg) shall refer to any business unit or entity that may be affiliated through common ownership

More information

In the United States District Court for the Northern District of Georgia Atlanta Division

In the United States District Court for the Northern District of Georgia Atlanta Division Case 1:14-cv-02211-AT Document 61-1 Filed 12/28/15 Page 1 of 20 In the United States District Court for the Northern District of Georgia Atlanta Division Consumer Financial Protection Bureau, Plaintiff,

More information

CLOUD DATA STORAGE CDS APPLIANCE BASED SERVICE AGREEMENT

CLOUD DATA STORAGE CDS APPLIANCE BASED SERVICE AGREEMENT CLOUD DATA STORAGE CDS APPLIANCE BASED SERVICE AGREEMENT This CDS Appliance Based Service Agreement (the Agreement ) is made by and between CDS Office Technologies with offices at 612 S. Dirksen Parkway,

More information

Climb Investco, LLC, a Delaware limited liability company. Climb Credit, Inc., a Delaware Corporation

Climb Investco, LLC, a Delaware limited liability company. Climb Credit, Inc., a Delaware Corporation Amended and Restated Final Agreement of the Parties PARTIES Lender Manager Master Servicer School ELIGIBILITY Eligible Assets Eligible Schools TRANSACTION Transaction Term Survival Program Size Funding

More information

SMALL CLAIMS RULES. (d) Record of Proceedings. A record shall be made of all small claims court proceedings.

SMALL CLAIMS RULES. (d) Record of Proceedings. A record shall be made of all small claims court proceedings. SMALL CLAIMS RULES Rule 501. Scope and Purpose (a) How Known and Cited. These rules for the small claims division for the county court are additions to C.R.C.P. and shall be known and cited as the Colorado

More information

SOUTH UNIVERSITY REFUND POLICIES

SOUTH UNIVERSITY REFUND POLICIES REFUND POLICIES SOUTH UNIVERSITY REFUND POLICIES Institutional Refund Policy Refund of Tuition Tuition charges are based on the total number of credit hours for which a student is enrolled on the first

More information

ENROLLMENT AGREEMENT OR CONTRACT CHECKLIST. Date enrollment agreement was developed or revised.

ENROLLMENT AGREEMENT OR CONTRACT CHECKLIST. Date enrollment agreement was developed or revised. ENROLLMENT AGREEMENT OR CONTRACT CHECKLIST School name: _SPECIAL FRIEND CAREER TRAINING_ Location: _9204 S COMMERCIAL AVE CHICAGO. IL 60617_ Date enrollment agreement was developed or revised. The enrollment

More information

DEALER CREDIT APPLICATION ADDENDUM

DEALER CREDIT APPLICATION ADDENDUM DEALER CREDIT APPLICATION ADDENDUM Caterpillar Financial Services Corporation FCC Equipment Financing Caterpillar AccessAccount Corporation Application for credit with: (Please check appropriate box or

More information

Bridge Loan Agreement

Bridge Loan Agreement Document 2048A Access to this document and the LeapLaw web site is provided with the understanding that neither LeapLaw Inc. nor any of the providers of information that appear on the web site is engaged

More information

VIRTUAL OFFICE WEBSITE LICENSE AGREEMENT

VIRTUAL OFFICE WEBSITE LICENSE AGREEMENT Florida Keys Multiple Listing Service, Inc. VIRTUAL OFFICE WEBSITE LICENSE AGREEMENT Florida Keys MLS, Inc. 92410 Overseas Hwy, Ste. 11 Tavernier FL 33070 305-852-92940 305-852-0716 (fax) www.flexmls.com

More information