IMDT Financial Agreement

COURSE INFORMATION:

Course Name: Program Name: Course & Tuition CostClinical Medical Assistant - $8,800Dental Assistant - $8,800Business Administration - $8,800Pharmacy Technician - $8,800Phlebotomy Technician - $4,000Medical Administrative Assistant - $4,000Electronic Health Records - $4,000 

STUDENT INFORMATION:

Full Name:

Canvas Start Date:  

Skills Start Date:  

End Date:  

PAYMENT INFORMATION:

Method of Payment: CashCredit CardCheckVive FinancingParamount FinancingClimb FinancingPayment PlanPath 2 PromiseUnited WayMoney OrderWIOACareer SourceCampbell StrongIHFTradeUpLeifEdly 

Program Cost:

Please Choose one of the Following: Choose OneFull Payment at the Time of Signing Enrollment AgreementSigned Enrollment Agreement with Balance Paid Prior to Program Start DateSigned Enrollment Agreement with Balance Paid Prior to Graduation 

Please Fill out the following if applicable:

Annual Percentage Rate: %  

Finance Charge: $  

Amount Financed (the dollar amount the credit provided to you on your behalf): $  

Total of Payment (the amount you will have paid after you have made all payments as scheduled): $  

Total Sales Price (the total cost of your purchase on credit including your down payment): $  

You Payment Schedule will be:  

Number of Payments:  

Amount of Each Payment: $  

Payments are due: Beginning on  and on the same day each (select one) WeeklyBi-weeklyMonthly thereafter

CANCELLATION & REFUND POLICY:

Should a student’s enrollment be terminated or cancelled for any reason, all refunds will be made according to the following refund schedule: 

1. Cancellation can be made in person, by electronic mail, by Certified Mail or by termination. 
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 (3rd) Business Day, but before the first class, will result in a refund of all monies paid, with the exception of the registration fee (not to exceed $150.00).  
4. Cancellation after attendance has begun, THROUGH 40% completion of the program, will result in a Pro Rata refund computed 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 last date of actual attendance of the program by the student is used in the calculation unless earlier written notice was received. 
7. Refunds will be made within 30 days of termination of the student’s enrollment or receipt of a Cancellation Notice from the student.

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Document name: Financial Enrollment Agreement

Unique Document ID: 79c40b3a8d7c5b5971d4dfdc594ba676581f9df8

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Timestamp	Audit
August 19, 2022 2:16 pm GMT	Financial Enrollment Agreement Uploaded by Greg Goins - [email protected] IP 99.190.9.234
August 19, 2022 2:17 pm GMT	IMDT Documents - [email protected] added by Greg Goins - [email protected] as a CC'd Recipient Ip: 99.190.9.234
September 22, 2022 12:50 pm GMT	IMDT Documents - [email protected] added by Greg Goins - [email protected] as a CC'd Recipient Ip: 99.190.9.234
March 10, 2023 8:03 pm GMT	IMDT Documents - [email protected] added by Greg Goins - [email protected] as a CC'd Recipient Ip: 99.190.9.234

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