Choice Career Tech - Enrollment Agreement
Program Name: Electronic Health Records - $4,000Phlebotomy Technician - $4,000Medical Administrative Assistant - $4,000Medical Coding & Billing - $4,000Personal Trainer - $6,800Pharmacy Technician - $6,800Clinical Medical Assistant - $6,800Dental Assistant - $6,800Medical Administrative/Medical Billing & Coding - $6,800Medical Administrative/Electronic Health Records - $6,800Medical Administrative/EHR/Medical Billing & Coding - $7,800Surgical Technologist - $6,800EKG Technician - $4,000Phlebotomy-Cardio Technician - $6,800Patient Care Technician - $6,800IT HelpDesk Technician - $6,800PC Technician - $4,000IT Network Technician - $4,000Cybersecurity Analyst - $4,000Associate Project Management - $4,000IT Security Specialist - $4,000Cloud Computing Specialist - $4,000Microsoft 365 Certified: Modern Desktop Administrator Associate - $4,000Human Resource Specialist - $6,800
City: State: StateAlabamaAlaska ArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisiana MaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth Carolina North DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashington West VirginiaWisconsin WyomingAPOFPODPO
Social Security Number:
Emergency Contact Name:
Emergency Contact Phone Number:
Method of Payment: Payment MethodMyCAAArmyCACredit CardIHFCheckMoney OrderClimb FinancingAscent FinancingParamount FinancingFynn FinancingEdly FinancingVocRehabWIOA
Program Type: Certificate Delivery Method: MethodOnlineBlended
Total Clock Hours: Hours100120140180200220240250260300360 Total Weeks: Weeks10121416182224252630
ADDITIONAL PROGRAM FEES NOT INCLUDED IN TUITIONAccess Code $ 300 (paid to school)National Exam $ cost varies (paid directly to them)Online Technology Requirements $ cost varies (see catalog)Optional Observation/Externship Requirements $ cost varies (see catalog)
Please read this Enrollment Agreement thoroughly as you are agreeing to the following:
STUDENT PROTECTION FUND
KRS 165A.450 requires each school licensed by the Kentucky Commission on Proprietary to contribute to a Student Protection Fund which will be used to pay off debt incurred due to the closing of a school, discontinuance of a program, loss of license, or loss of accreditation by a school or program.
PROCESS FOR FILING A CLAIM AGAINST THE STUDENT PROTECTION FUND
To file a claim against the Student Protection Fund, each person filing must submit a completed "Form for Claims Against the Student Protection Fund". This form can be found on the website at www.kcpe.ky.gov
Scholarship Type: Institutional Scholarship
Scholarship Amount: $
By initialing below, you are accepting the institutional scholarship(s) awarded and understand any and all provided by Choice Career Tech are based off of individual qualifications at the time of application and are between the recipient and said institution.
By initialing below, you are acknowledging you have read and understand this agreement and acknowledge receipt of a copy. You understand the awarded institutional scholarship cannot be transferred to another institution, or person, and may only apply to certain offered programs. You are also required to maintain full time enrollment and minimal academic standards per the student catalog. You understand that if you default upon this agreement, the awarded institutional scholarship will be revoked, and you will be responsible for any and all fees set by any and all financial lenders.
I, Undersigned, do hereby give my consent and agree the CCT employees have the right to take photographs, videotape, or digital recordings of me to use in any and all media outlets. I further consent that my name and identity may be revealed therein or by descriptive text or commentary. I understand there will be no financial or other forms of remuneration for any of the above, either for initial or subsequent transmission or playback. I represent I am at least 18 years of age, have read and understand the foregoing statement, and am competent to execute this agreement.
CODE OF CONDUCT:
Choice Career Tech students are expected to abide by all the standards and policies established by Choice Career Tech. Students behaving unethically or failing to abide by the school’s Code of Conduct will be subject to disciplinary action up to and including dismissal from Choice Career Tech as stated within school catalog. A dismissed student’s tuition refund is calculated in accordance with the school’s refund policy.
Students are expected to: Comply to the school enrollment agreement; Follow and obey all codes of conduct along with applicable Choice Career Tech policies and procedures, local, states, and federal laws; Not share login credentials, documents, curriculum, links or any other school program materials with other students or non-students; Maintain and uphold academic and professional integrity and honesty; Do not copy or reproduce course/program materials; Maintain professional written and verbal communication with Choice Career Tech team members, instructors, support staff, and other students. Zero tolerance for any form of abuse is permitted; Instigate, participate in, soliciting, aiding others to commit a violation of the code of conduct or actions unfavorably reflected upon the school or its students; Disruptive behavior within the learning environment or school sponsored activities, to include off-campus; Physical threats of any nature; Falsify or provide misleading information; Refusal to communicate with Choice Career Tech staff; Thirty days of Academic Probation without a formal Leave of Absence or without effort to retain good standing within his/her program; Failure to maintain tuition payment agreement.
CCT post-secondary educational establishments are NOT eligible for Title IV funding or Student Aid programs administered by the U.S. Department of Education. The federal government generally does not provide loans, grants or other forms of financial assistance to students attending a non-accredited college. (www.irs.gov)
According to the IRS, students can only deduct their loan interest if the loan was used at a school that participates in the U.S. student aid program. This is limited to schools with approved accreditation. Therefore, CCT schools are not eligible to provide tax Form 1098-T for tuition statement or Form 1098-E for student loan interest statement. Personal loans are utilized for educational purposes, and students are advised and must authorize this attestation in advance of attendance.
Tax preparers will be supplied a W-9 Form upon request. CCT employees are not qualified to advise students on tax matters.
Student must provide written notice of cancellation/withdrawal by electronic submission to include: name, date, program enrolled, and reason for cancellation to: http://choicecareertech.com/withdraw-request/
The school may cancel a program at its discretion. Should this occur, any students enrolled prior to cancellation will be notified of this change and will have the option of applying all monies paid toward another program or receiving a refund of all tuition paid within 30 days of the cancellation date.
An applicant who provides electronic submission of cancellation after executing the enrollment agreement, but prior to the digital orientation of the program, is entitled to a full refund of all paid tuition. Unless they have been offered or secured employment in the field as a result of enrollment. Students have six months from enrollment date to seek any refunds of paid tuition. All refunds will be made within 30 days of the electronic receipt.
Upon execution of this agreement Choice Career Tech Catalog, which reflects current policies, regulations, and services, will be electronically delivered to you on the date of this agreement. The date executed is .
Leave this empty:
Your legal name
Your email address
If you have questions about the contents of this document, you can email the document owner.
Document Name: Choice Career Tech - Enrollment Agreement
Agree & Sign