Course Schedule - Phlebotomy Career Training

Phlebotomy Career Training
Student Contract

Business Offices 28050 Ford Road, Suite C
Garden City, MI 48135
Phone: (734) 762-3220

Student Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Date Of Birth*

Emergency Contact*

Emergency Contact Phone*

Program or Class*

Location*

Garden City
Online

Balance at Signing*

Acknowledgement. This is a legally binding contract between the Student and the Institution Phlebotomy Career Training 28050 Ford Rd. Ste C Garden City, MI.. The Student understands that they may cancel this Contract within 24 hours, no later than midnight from the time that the Student signs this Contract, by sending the Notice of Cancellation or other written notice to the Institution on or before that date. *There will be absolutely no refunds after the start of the first day of a program,or for online students, the day that they access the course, regardless of refund/cancellation period.

Tuition Refund/Cancellation Policy. An application fee of not more than $150.00 will be retained by the Institution upon students request for refund within the allotted 24 hour period. Furthermore, student acknowledges that they are responsible for the entire cost of the class if they fail to make the payments as agreed upon during their registration process and are dismissed due to non payment.

Have you ever been convicted of a felony, pled guilty or nolo contendere to a felony, or accepted a deferred judgment or deferred prosecution to a felony charge?*

Yes
No

Have you ever been convicted of a misdemeanor, pled guilty or nolo contendere to a misdemeanor, or accepted a deferred judgment or deferred prosecution to a misdemeanor charge involving criminal neglect or violence?*

Yes
No

“I, ______ ______________ do declare under penalty of perjury under the laws of the United States of America that the foregoing is true and correct.”*

The Student has read and understands the Terms and Conditions that are a part of this Contract. The Student has provided all items required for Admission, as marked on page 3.

Signature*

Date*

Terms and Conditions

Student has read, understood, and acknowledges and agrees with the following:

Student Conduct. The Student must apply his or her reasonable efforts to prepare for each class, attend each class (on time), and apply him or herself to the best of the Student's ability to learn the subject matter of the class or Program the Student has signed up for. The Student will comply with and be subject to the following policies of the Institution: Dress Code; Academic Dishonesty; Grading System; Attendance, Tardiness and Absences; Rules of Conduct; and Security Camera. The Student has reviewed each such Policy as published in the Institution's Catalog, Course Curriculum, or at its Web Site. The Student understands that the Institution may take adverse action against the Student in the event he/she violates any such Policy. Such adverse action may be up to and including dismissal from the Program without a refund of Tuition.
School Programs. The Institution shall conduct the Programs, classes and clinical comprising each Program the Student attends in the manner, at the times, and with the content presented in the Institution's current Catalog or Course Curriculum. The Institution reserves the right to modify each Program or Course at any time consistent with prevailing industry and academic standards. The Institution may substitute instructors, times or locations or any classes or clinical in its reasonable discretion, and with reasonable advance notice to Student.
Distance Learning. Some classes or Programs may be presented in an Internet-based and/or distance learning format, in whole or part. Students must have their own computer with Internet access that may be used for such purposes, and can only have one seat per Student for each such class or Program.
Copying. All taping, copying, recording, distribution, reproduction, or transmittal of all or any syllabi, academic materials, textbooks, lessons, clinics, lectures, or presentations connected to any Programs, classes or clinical of the Institution is strictly forbidden without the advance written consent of the Institution.
Non-Payment. If any Tuition owed by the Student is not paid when owed or is dishonored, reversed, or declined by a credit card, the Student shall not be entitled to continue to attend or complete the Program, class or clinical the Student has signed up for, unless the Student immediately pays the balance due. A Student who fails to pay Tuition on time shall not be entitled to a refund of any previously paid Tuition, except as provided in the Refund Policy. A Student whose payment of Tuition has not been made or has been dishonored, reversed or declined shall be liable for any fees or costs incurred by the Institution due to any such event, the full amount of Tuition owed by the Student, plus interest at the highest rate allowed by law.
Disclaimer. The Student acknowledges and understands that his or her success or outcome from the Institution's Programs, classes or clinical depends upon the level of effort, ability and attention the Student brings to and applies in the learning process. No additional support, training, teaching, or act by or on behalf of the Institution is expressly promised or implied, beyond the training that is presented as stated in paragraph 2 above. The Institution makes no express or implied representation as to Student's successful application of the knowledge or skills learned from any Programs, classes or clinicals conducted by the Institution. The Institution does not provide placement services and does not guarantee or promise that the Student will achieve any particular outcome from any Program, acquire a job of any kind following completion of a Program, or that the Student will complete or pass any licensing exam as a result of attending or completing any Program.

Acknowledgement: The Student acknowledges receipt of and reading and understanding these Terms and Conditions.

Student Initials*