Allied Health Career Training, LLC West River Plaza 2622 W Central Suite B112 Wichita, KS 67203 (316) 854-3892 www.alliedhealthcareertraining.com Enrollment Agreement This is a legal contract Phlebotomy Technician Course Duration: 7 weeks, 70 clock hours The Phlebotomy Certificate of Completion Course is 70 contact hours, which combines instruction and practical experience in all aspects of professional phlebotomy practice. Upon successful completion of this course, students will be eligible to sit for national certification exam as a Certified Phlebotomy Technician (CPT) through the National Healthcareer Association (NHA). *Note - cost of national certification exam is not included in course price and will be the student’s responsibility should they choose to take the exam. Course pre-requisites: Students must be at least 18 years old, have a high school diploma or equivalent, provide proof of identity and citizenship. Total Course Price: $759, which includes the following: Course Tuition $603 (this includes a non-refundable registration fee of $100) Book Rental, Scrubs & Supplies $100 Lab Fee $56 Credential Awarded: Certificate of Completion is awarded to students who fulfill all course requirements with satisfactory performance. Allied Health Career Training’s Right to Cancel: AHCT reserves the right to refuse service or cancel this enrollment agreement at any time, in the event the student fails to comply with academic, attendance, financial obligations, or disrupts the normal activities of Allied Health Career Training. In the event AHCT cancels this enrollment agreement, a refund will be made to the buyer based on the School’s refund policy (as outlined below). Student’s Right to Withdraw: Students may withdraw from a course by visiting with an instructor and completing necessary forms. The effective date is the date that the forms are complete and turned in. The School’s refund policy shall apply in the event a student withdraws from courses (as outlined below). Please note: Should you need to withdraw from this course, the $100 registration fee will not be refunded no matter when the course is dropped. However, the registration fee can be applied to another course date within the next three months or the next time the course is offered if later than three months. AHCT Refund Policy following Kansas Board of Regents Guidelines: 1. All advance monies, other than an initial non-refundable registration fee, paid by the student before attending class, shall be refunded if the student requests a refund in writing, within three days after signing an enrollment agreement and making an initial payment. 2. If a student withdraws during the first week after entering Allied Health Career Training Center (AHCT) as a student, AHCT shall refund 90 percent of the tuition. 3. If a student withdraws during the first 25 percent of the enrollment period but following the first week after the student’s entering the institution, AHCT shall refund 55 percent of the tuition. 4. If a student withdraws during the second 25 percent of the enrollment period, AHCT shall refund 30 percent of the tuition. 5. If a student withdraws during the last 50 percent of the enrollment period, AHCT may deny refund to the student. 6. Any monies due to a student shall be refunded within 60 days from the last day of attendance or within 60 days from the receipt of payment if the date of payment is after student’s last date of attendance. 7. For programs consisting of fewer than 100 clock hours, refunds may be calculated on an hourly, pro rata basis, and in determining the official termination date and percentage of each course completed, AHCT may consider the week during which the student last attended to be an entire week of attendance completed. 8. All correspondence from AHCT regarding the enrollment cancellation of a student, and any refund owed to the student, shall reference this refund policy. Job Placement Disclaimer: Allied Health Career Training LLC does not provide job placement services and does not guarantee employment after completion of this course. Clock Hour Transfer: Allied Health Career Training LLC does not offer clock hour transfer at this time. Allied Health Career Training’s Right to Reschedule: AHCT reserves the right to reschedule or extend this course in the event of power failure, technical issues, or when an inadequate number of students enroll. Back up instructors are available in the event that the primary instructor becomes unavailable. Refunds will be available to students in the event of a course having been rescheduled more than 60 days out. Allied Health Career Training’s Right to Amend: AHCT reserves the right to make programmatic, content, and scheduling changes as necessary to align with changing curricular requirements, accreditation standards, and to maintain compliance with Federal and State regulations. Changes in business and education practices may impact tuition and fee charges. The School reserves the right to modify tuition and fee charges with sufficient notice provided to students and appropriate agencies. Money Back Guarantee: To qualify for the money back guarantee, the student must participate in and pass all classroom and clinical days, and must have attempted the State exam a minimum of three times with mandatory tutoring (at no cost) provided by AHCT staff after the first and second failed attempts. Acknowledgements: My signature below certifies that I have read and understood all aspects of this enrollment agreement and I acknowledge receipt of an exact copy of the same. I understand that this agreement contains all the terms of my enrollment and acknowledge that no verbal statements have been made contrary to what is contained in this agreement. I agree to my rights and responsibilities and that the School’s cancellation and refund policies have been clearly explained to me. I understand that this enrollment agreement becomes effective at the time of signing. ____________________________________________ Printed Name of Student _____________________________________________ Signature of Student _______________________ Date ____________________________________________ Signature of Parent/Guardian _____________________________________________ Signature of AHCT Representative _______________________ Date