Application For Enrollment

Natural Healing Institute Hawaii, LLC

Application for Enrollment
Are you a currently enrolled student and transferring from Natural Healing Institute of Naturopathy, Inc to the Natural Healing Institute Hawaii, LLC*

YesNo
Student Name*

First NameLast Name
Student E-mail*
example@example.com
Phone Number*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Billing Address (If different from Mailing Address)
Billing Address (If different from Mailing Address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact*
Emergency Contact Phone Number*

College/High School/Other Education
1.  Name / Location    Graduation Date
2.  Name / Location    Graduation Date
3.  Name / Location    Graduation Date
Name of the Program(s), Course(s), or Class(es) you are enrolling in:

Name   Name
Name   Name
Name   Name
Name   Name
Name   Name
Name   Name

Financial Obligation Terms & Conditions
Signature: Signature*
Date: Date*
A note, instrument, or other evidence of indebtedness relating to payment for an educational program is considered a student loan. In making consumer loans to students, an institution shall also comply with the requirements of the Federal Truth in Lending Act pursuant to Title 15 of the United States Code.
Payment Options (Please select)*

Option #1: Payment In FullOption #2: Payment Plan
Option #2, (THE PAYMENT PLAN), is considered to be EXTENDING CREDIT or LENDING MONEY as a student loan. The down payment will consist of 20% or more of the tuition plus registration, books, tax on books if applicable, shipping and the administration fee which is 10% of the remaining balance. A late fee of 1.5% will be assessed for the past due amount each month.

INITIAL HERE to indicate understanding of the payment plan
agreement if applicable.

NHIH accepts checks, debit cards, and credit cards. (NOTE – There is a $35 Bank fee for all returned checks)
Cancellation & Refund Policy
I have read and understand the terms and conditions set forth in this application for enrollment at Natural Healing Institute Hawaii LLC.

Student Name: Signature* Date: Date*
Payment Information:
Method of Payment:   Method of Payment
Credit Card Number:    Credit Card Number
Expiration Date:      Month   Year
Sec. Code:    Sec. Code
Billing Zip Code:    Billing Zip Code
Signature:   Signature

Additional Information / Questions
1. Have you ever been convicted of a felony? (If yes, please explain)
Yes Explain No*
2. How did you hear about NHIH?
(Please specify, i.e.: Internet, person, publication)*
NHIH Student - Full Name First Name Last Name
3. Yes No* YES/NO: Would you like to receive our email?
Note: There are no advertisements and we do not share our mailing list with anyone.
4. Read completely and retain a copy for your records. This application contains important information. You should have already reviewed the NHIH website: https://www.nhicollege.net/ . If not, please do this now. Please review our catalog as well because it contains important school policy and procedure information that every student should be familiar with. We look forward to issuing your Diploma(s), Certificate(s), Transcript, and any CEUs when you complete your program(s), class(es), or course(s), when any required paperwork is complete, and your account with NHIH is paid in full.
5. Transfers: Transcripts and certificates of completion must be sent to Natural Healing Institute Hawaii, LLC before transfer credits will be granted for comparable training from a state-approved school, vocational college, community college or university. Cost is $1.00 per transfer credit hour.
6. Job Placement: Natural Healing Institute of Hawaii does not provide job placement, but we do post job notices and provide assistance.
7. Extensions are available at a minimal fee. Please review the catalog for all important information regarding cost for any given programs or courses.
8. Transferability: The transferability of credits you earn at Natural Healing Institute Hawaii, LLC is at the complete discretion of an institution to which you may seek to transfer. Acceptance of the Certificate you earn in the educational program(s) you enrolled in is also at the complete discretion of the institution to which you may seek to transfer.
Dispute Resolution:
Distance Learning Website Information

Prior to signing this enrollment agreement, you are encouraged to review the NHIH Distance Learning Website which contains important policies and information for this institution.
I have read and understand the terms and conditions set forth in this application for enrollment at Natural Healing Institute Hawaii LLC.

Student's Name: First Name*   Last Name*
Student Signature: Signature*
Date: Date*
School Representative: First Name   Last Name
Signature:   Signature
Date: Date
Should be Empty:

Natural Healing Institute Hawaii, LLC

Financial Obligation Terms & Conditions

Cancellation & Refund Policy

Payment Information:

Additional Information / Questions

Dispute Resolution: