Updated February 2011
Office Use Only:
Payment received?
Payment method:
Materials received?
Cert tried/rec’d?
Agency forms submitted?
Agency processing done?
Missed sessions / issues?
/
Enrollment Form
Course
Title: CompTIA Network+ Certification Training
Start Date:
End Date:
Course Cost: $1,495 ($1095 for A+ students from prior 12 mos)
– Payment can be made by cash, check (payable to “Burgess Computer”), or MC, Visa or AmEx (accepted in person or over phone).
Student:
(First name)
(M.I.)
Student Address:
(Last name)
Please note phone/email type: work, home, etc.
Phone 1 should be best phone# for cancellations:
Phone 1:
Phone 2:
City, State & Zip:
ME
Company or Sending Organization:
(type)
Email:
(if applicable)
Billing contact name (if applicable):
(First name)
Company Address:
(Last name)
Phone 1:
Phone 2:
City, State & Zip:
ME
40 hrs
Ext.
Ext.
Email:
Does this sending organization have reporting requirements?
If so, please detail or attach relevant documents:
(Please see website for course details, incl. #hrs/wk, #wks, #mos -Course Schedule:
THEN, ENTER HERE)
Total Course Hrs:
(include billing contact’s
phone extension if available)
Hours / Week:
Number of Weeks / Months in Course:
Required or recommended
prerequisites:

Student requirements to
complete this course
successfully include:

Upon successful completion,
students should be able to:





weeks /
hrs / wk
month
Skills equivalent to 9 months working as a PC technician and/or A+ certification.
On instructor recommendation, students may be accepted directly out of an A+ certification
training program.
5 weeks/8 hrs. per week class schedule & 3-5 hrs of self study per week
Students should have regular access to a home PC with internet access, preferably running
Windows XP or later, to support their studying and use practice exam software.
Understand the requirements for the Network+ test.
Understand networking topologies, design, implementation and troubleshooting.
Completion of the Network+ test will provide the student with a CompTIA Network+
certification.
I have read the information on the Enrollment Form and on the Student Support Information sheet (page 2).
I understand and agree to the information contained herein:
Student signature:
101 Centre Street Bath, Maine 04530
Date:
800-498-8642 or 207-443-9554
www.burgesscomputer.com
Updated February 2011
Student Support Information
Class Cancellation/Refund Policy

Students notifying two weeks or more prior to the start of a class will receive a full refund.

Students who cancel within two weeks prior to class will be billed and sent their books/class materials. Students
providing advance notice may be eligible to schedule for a later session (restrictions apply.)

If Burgess cancels a class, students will be given a full refund. If Burgess needs to reschedule a class, students
will be given the option of either rescheduling or a full refund.
Class Satisfaction Policy
If at any time a training customer is not totally satisfied with their training experience, they should first contact their
instructor during an out of class time. If they are unable to resolve the issue with the instructor, or prefer not to
deal with the instructor, they can contact the Training Manager, Kate Carpenter by phone at 207-443-9554 Ext.
113, by email at kcarpenter@burgesscomputer.com, or in writing or in person to Burgess Computer, 101 Centre
Street, Bath, Maine 04530. If the Training Manager is not available, they may also speak to one of the owners: Matt
Rice, Mike Dorr or Jeanne Stanton at 207-443-9554. Concerns will be addressed promptly. Customers not
satisfied with their class will be given the option of retaking the class at no cost or receiving a pro-rated refund for
the class less the cost of any training materials and textbooks.
In the event that students can not satisfactorily resolve any concern with Burgess Computer representatives, they
can contact Harry Osgood, Maine Department of Education:
207-624-6846
or
harry.osgood@maine.gov
Attendance Policy
Because of the short duration of our programs, students are strongly encouraged to attend every class. In the
event they miss a class, we can provide lab time and instructional assistance to allow the students to cover missed
material. For students attending programs where they are not self paying, most reporting requirements require us
to notify the payer if the student is not attending the classes as scheduled.
Standards of Progress
Our classes are all offered on a pass/fail basis and there is no internal grading system. Students desiring a “Score or
Grade” are encouraged to utilize certification exams at an authorized testing center where applicable. Burgess
Computer is an Authorized Prometric Testing Center.
Inclement Weather
In the case of inclement weather, Burgess Computer typically follows the closure status of Bath Iron Works (a
major nearby employer) for the shift coinciding most closely with the class times. Students may call the BIW
facilities status line at 207-443-3311, Option 2, for the status of each shift. More detailed inclement weather
instructions will be distributed by email prior to class. Wherever possible, the instructor will work with the
Training Manager and students to make up for instruction time lost due to weather cancellations.
Page 2 of 2
101 Centre Street Bath, Maine 04530
800-498-8642 or 207-443-9554
www.burgesscomputer.com