ENROLLMENT AGREEMENT DISCLOSURE CHECK LIST INTRODUCTION This Enrollment Agreement Disclosures Check List is intended to be used and submitted with institutions’ Self-Evaluation Report to assure compliance with DEAC enrollment agreement requirements. Institutions should select either yes, no, or not applicable next to the following disclosures. Enrollment Agreement Disclosures Heading Institution Name and Address Student’s Information Name of Course/Program Institution’s Obligations Student’s Rights, Responsibilities, and Obligations Termination Date Student’s Signature and Date Page Numbers Complaint/Grievance Policy If Guarantor is Required Institution’s Acceptance Elements Page Number Yes No N/A ☐ ☐ ☐ ☐ ☐ ☐ Page Number ☐ ☐ ☐ Page Number ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ Statement indicating document is an enrollment agreement or similar contractual document Institution full street address, telephone number, and website address Student’s full name, address, and any other applicable contact information Name of Course/Program Page Number Summary of education and services provided under the enrollment agreement (e.g., tuition, fees, services, instruction) Expectations of students Page Number Indication of the enrollment agreement’s termination date and conditions for extending or reinstating agreement. No more than 1.5 the required time to complete course or not less than 1 year. Explanation of extension policy Students must sign and date the enrollment agreement or similar contractual document Each page must be numbered Student complaint/grievance policy including DEAC contact information If the student is borrowing money, the guarantor’s signature and statement of guarantor’s obligations is required. Institution’s must indicate acceptance of enrollment agreement of similar contractual document (e.g., signature and date block or stamp) Page Number Page Number Page Number Page Number Page Number Page Number Page Number Page Number 1 Date Adopted: Date Revised: DEAC Accreditation Acceptance of Transfer Credit Disclosure Statement Tuition/Fees Cancellation Refund Policy Financial Assistance Discounts Collections Truth-In-Lending (TILA) Disclosures, as applicable If mentioned, institution provides DEAC’s contact information (website address or mailing address and telephone number) Disclosure on the acceptance of transfer credit is determined by the receiving institution Complete listing of all tuition and associated fees including in-residence costs and textbooks for the entire program and those covered by the enrollment agreement or similar contractual document Notification of cancellation in any manner, cancellation period, cancellation before starting program, receipt of materials upon cancellation, and promissory notes Refund policy, refund within 30 days, sample refund calculation Financial Student Assistance Title IV disclosures per state and federal requirements, institutional scholarships, institutional discounts, institutional (non-Title IV) financial assistance, payment programs Well-defined groups, discounted price, non-discounted price, offering discounts, refunds on discounts Collection procedures reflect ethical business practices List all applicable Truth-In-Lending Disclosures as required by state and federal regulation. Page Number Page Number ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ Page Number Page Number Page Number Page Number Page Number Page Number Page Number 2 Date Adopted: Date Revised: