STUDENT ENROLLMENT AGREEMENT
THIS AGREEMENT, TOGETHER WITH THE SCHOOL CATALOG, CONSTITUTES A BINDING CONTRACT BETWEEN THE STUDENT AND THE SCHOOL UPON ACCEPTANCE BY THE SCHOOL.
READ APPLICATION THOROUGHLY BEFORE SIGNING
Entry Level Dental Assisting with Expanded Functions | Course Term: 12 weeks | Clock Hours: 109
Dental Assisting Program Schedule
Enrollment Schedule Information:Course Start Date:
Course Schedule 1st Selection:
Course Schedule 2nd Selection:
Financial Information and Disclosures: All Books and Materials are included in the program fees.
Program Price: $4000.00
Tuition Payment Details:
Tuition Payment Type:
Application Fee: $75.00
Deposit Amount Paid:
I acknowledge and understand that this agreement constitutes a binding contract between the undersigned student and AAA School of Dental Assisting.
NOTE: For School offering a payment plan with four or more payments the federal boxes or vertical listing must be included in the contract. (N/A, if not applicable or line through)
YOUR PAYMENT SCHEDULE WILL BE: Payments
Number of Payments
Amount of each payment
Automatic Recurring Billing
Payments Managed by Authorize.net ARB: YES
All prices for the program are printed herein. There are no carrying charges, interest charges, or service charges connected or charged with any of these programs. Contracts are not sold to a third party at any time. The cost of the class is included in the price of the goods and services.
CANCELLATION AND REFUND POLICY
Should a student’s enrollment be terminated or canceled for any reason, all refunds will be made according to the following refund schedule:
GROUNDS FOR TERMINATION
I agree to comply with the rules and policies and understand that the School shall have the right to terminate this contract and my enrollment at any time for violation of rules and policies as outlined in the catalog. I understand that the School reserves the right to modify the rules and regulation and that I will be advised of any and all modifications.
I understand that in order to graduate from the program and to receive a diploma, I must successfully complete the required number of scheduled clock hours as specified in the catalog and on the Student Enrollment Agreement, pass all written and practical examination with a 75% average and satisfy all financial obligations to the School.
I understand that the School has not made and will not make any guarantees of employment or salary upon my graduation. The School will provide me with placement assistance up to six months after graduation, which will consist of identifying employment opportunities and advising me on appropriate means of attempting to realize these opportunities.
This contract contains the entire agreement between the School and myself, and no further modification or representation except as herein expressed in writing will be recognized.
ALL SIGNERS HEREIN AFFIRM AGREEMENT AND RECEIPT OF THE BINDING DOCUMENT AND SCHOOL CATALOG.
Leave this empty:
Signed by AAA Soda
Signed On: November 2, 2018
If you have questions about the contents of this document, you can email the document owner.
Document Name: SEA-01-APP-2018-ENR10
Agree & Sign