R V TRAINING CENTER
RV Tech Training Center4455 Ulmerton Rd, FL 33762727-536-4694 Office 727-527-9869 FaxEmail: admissions@Licensed by the Commission for Independent Education, Florida Department of Education # 3440Student Enrollment AgreementALL SIGNERS MUST RECEIVE AND READ A COPY OF THE BINDING DOCUMENT AND CATALOG.STUDENT INFORMATIONName: ______________________________________________________________________________________FirstLastM.I.Address: ______________________________________________________________________________________ STREET ADDRESS CITY/STATE ZIP/POSTAL CODEName of Parent/Guardian (if student is under 18): _______________________________________________________Telephone: (Home) ________________________ (Business or Cellular)___________________________Social Security Number: ______________ Date of Birth: ______________ Circle One: Male Female E-Mail Address:______________________PROGRAM INFORMATION(INSTITUTION ONLY)ProgramTitle: _ RV Technician Course Hours: 400Number of weeks required to complete the selected program: ____10________Days of Week: Monday through Friday Hours: Day - 8:00 a.m. – 4:30 p.m. Class Schedule: ( ) Full time ( ) Day Classes ( ) Part time Hours per Week: 40 Start Date: _____/_____/_____ Anticipated Ending Date: _____/_____/_____Tuition$ 5.995.00 Registration Fee (non-refundable)$ 150.00 Books$ included in tuition Program Cost $ 6,145.00_ Total Cost METHODS OF PAYMENT[ ] Full payment at time of signing enrollment agreement. [ ] Registration fee at the time of signing enrollment agreement with balance paid prior to program start date.This document and the catalog constitute a binding contract between the institution and the student and no further modification or representation except as herein expressed by both parties will be recognized. Signature certifies that student has a high school diploma or GED or college transcript.Page 1 of 2REFUND POLICYShould a student terminate or cancel for any reason, all refunds will be made according to the following refund schedule: 1.Cancellation can be made by Certified Mail, return receipt requested only.2. All monies will be refunded if the school does not accept the applicant or if the student cancels within three (3) business days after signing the enrollment agreement and making initial payment. 3. Cancellation after the third business day, but before the first class, will result in a refund of all monies paid, with theexception of the registration fee.4. Cancellation after attendance has begun, through 40% completion of the program, will result in a Pro Rata refundcomputed on the number of hours completed to the total program hours. 5. Cancellation after completing more than 40% of the program will result in no refund. 6. Termination Date: When calculating the refund due to a student, the postmark date on the Certified Letter will be considered the date of cancellation, regardless of actual time attended. 7. Refunds will be made within 30 days of termination of the students’ enrollment or receipt of a Cancellation Notice from thestudent.TERMINATION POLICYA student’s enrollment can be terminated at the discretion of the institution for insufficient academic progress, non-payment of academic costs, or failure to comply with rules and policies established by the institution as outlined in the catalog and this agreement.NON-DISCRIMINATION POLICY No person, based on gender, race, national origin, or disability*, shall be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any educational program or activity under the direction and control of the RV Training Center. *Persons must have use of their hands and arms and have correctable vision and hearing to participate in this vocation safely.DIPLOMA, CERTIFICATE AND GRADUATION REQUIREMENTSUpon satisfactory completion of the program the student will be awarded a diploma and certificate.I understands that in order to graduate from the program and to receive a diploma, they 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 70% average and satisfy all financial obligations to the school. JOB PLACEMENT ASSISTANCEThe RV Training Center assists in work placement at no additional cost to its students and graduates. RV Training Center cannot GUARANTEE employment; however, RVTC graduates may have an opportunity for employment by many recreational vehicle dealers in the country. Specific career advice and placement information is posted on our bulletin board and available from the school’s Director.ACKNOWLEDEMENTThis document and the catalog constitute a binding contract between the institution and the student and no further modification or representation except as herein expressed by both parties will be recognized.DO NOT SIGN THIS CONTRACT BEFORE YOU HAVE READ IT OR IF IT CONTAINS ANY BLANK SPACES, ALL SIGNERS HAVE RECEIVED AND READ A COPY OF THE BINDING DOCUMENT AND CATALOG._____________________________________________ ________________ ___________________________________ ___________________ Signature of Applicant Date Signature of Parent/Guardian Date (If under 18 years of age)______________________________________________ ________________ Signature of School Official DatePage 2 of 257150051435STUDENT INFORMATION SHEETNAME: _______________________________________________________________________________ LAST FIRST M.I.ADDRESS: ____________________________________________________________________________ STREET CITY STATE ZIPDATE OF BIRTH: ___________________________ PHONE (HOME):___________________________E-MAIL ADDRESS: __________________________________ CELL: ____________________________EMERGENCY CONTACT: _____________________ ADDRESS: _______________________________PH. # CELL: ______________________ HOME: _______________________________________ Please list any health issues that may hinder your progress in this course? ____________________________________________________________________________________________________________________________________________________________________________EDUCATION: Have you attended any other training that would give you credit for RV Training?High School/College/Tech School City & StateDate Graduated ProgramDegree/Diploma/Certificate______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________(Please use additional page for education if needed)JOB EXPERIENCE:Employer Address & Phone DatesPosition/Duties________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________(please use add’l page for job experience (if needed)How did you hear about us? ________________________________________________________________( ) Radio ( ) TV ( ) Handout ( ) Internet ( ) RV show ( ) Graduate ( ) Dealer ( ) Other RV REPAIR EXPERIENCE ______________________________________________________________________________________________________________________________________________________________________________Why are you interested in becoming an RV Service Technician? _____________________________________________________________________________________________________________________________Do you own an RV? ( ) No ( ) Yes What kind?__________________________________________________Class you would like to attend? _________ Winter _________ Spring ________ Summer ________ FallI HEREBY ATTEST THAT THE ABOVE INFORMATION IS TRUE AND CORRECT. ANY INFORMATION THAT IS FALSE COULD RESULT IN DISMISSAL FROM THIS PROGRAM.SIGNED:__________________________________________________________________________________DATE:___________________________________ ................
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