Course Registration Form

Registration Form

Fill out the form carefully for registration
Student Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student E-mail*
example@example.com
Mobile Number*
H.S. Graduate or GED?*
Must present proof of H.S. Transcript or G.E.D. at time of enrollment.
Additional Comments

CANCELLATION, WITHDRAWAL AND REFUND POLICY

CANCELLATION POLICY

STUDENT’S RIGHT TO CANCEL: The student (applicant) has a right to cancel the enrollment agreement and obtain a refund of charges paid through attendance at the first class session, or the 7th day after enrollment, whichever is later.

All notice of cancelation should be submitted in writing, Cancelation notice will be effected immediate after an email to admin@daaoe.net

A full refund of all monies paid will be made to any applicant who cancels the enrollment agreement within seven business days of signing the enrollment agreement and making initial payment to the school.

An applicant requesting cancellation of enrollment after more than seven business days after enrolling and signing an enrollment agreement is entitled to a refund of all monies paid minus the application fee.

A full refund of all monies paid will be made to any applicant who is not accepted by the school. A full refund of all monies paid will be made to any applicant if school discontinues educational service. A full refund of all monies will be made to any applicant if the school cancels or changes the time or location of the program is such a way that a student who had started the course is unable to complete.

Any monies due the applicant shall be refunded within 30 days from date of cancellation or failure to appear on or before the first day of class.

The refund shall be the amount you paid for instruction multiplied by a fraction, the numerator of which is the number of clock hours of instruction which you have not received but for which you have paid, and the denominator of which is the total number of clock hours of instruction for which you have paid. The calculated refund will be adjusted for the non-refundable items listed in this agreement. The dental assisting program is considered a 130-hour course. For a list of these costs, see the current schedule of charges which details costs of materials and books. IF THE AMOUNT THAT YOU HAVE PAID IS MORE THAN THE AMOUNT THAT IS OWED FOR THE TIME YOU ATTENDED, THEN A REFUND WILL BE MADE WITHIN 30 DAYS OF YOUR WITHDRAWAL. IF THE AMOUNT THAT YOU OWED IS MORE THAN THE AMOUNT THAT YOU HAVE ALREADY PAID, THEN YOU WILL HAVE TO MAKE ARRANGEMENTS TO PAY IT.
Signature*

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CANCELLATION, WITHDRAWAL AND REFUND POLICY

All fees are identified in this catalog and in the enrollment agreement

Refund Policy:

1. Refund computations will be based on scheduled clock hours of class attendance and calculated as of the last date of attendance. Refund will be made in full to the applicant within thirty days as directed on our policy.

2. The official date of withdrawal will be considered to have occurred the earliest of the following:

(a) The last date of attendance, if the students is terminated by the school; or, (b) The date of receipt of written notice from the student; or,

(c) The day after the second complete absence from the program.

3. If an applicant pays any portion of tuition prior to entrance and does not enter school after the seven-business day cancellation privilege, a full refund of the tuition will be made to the applicant minus the application fee.

4. Once the student has entered school and after the expiration of the seventh-business day cancellation privilege, the following policy will be in effect:

(a) The student may withdrawal from the course after instruction has started and receive a pro rata refund for the unused portion of the tuition and other refundable charges if the student has completed 100% or less of the instruction. The tuition charges made by the school will be the pro rata amount of tuition based on the number of clock hours completed.

WITHDRAWAL FROM THE COURSE

You have the right to withdraw from the course of instruction at any time. If you withdraw from the course of instruction after the period allowed for cancellation of the enrollment agreement, which is until midnight of the seventh business day following the signing of this agreement or through the first-class session (whichever is later), the school will remit a refund within 30 days following your withdrawal. The refund shall be the amount you paid for instruction multiplied by a fraction, the numerator of which is the number of clock hours of instruction which you have not received but for which you have paid, and the denominator of which is the total number of clock hours of instruction for which you have paid. The calculated refund will be adjusted for the non-refundable items listed in this agreement. This program is considered an 130 hour course. For a list of these costs, see the current schedule of charges which details costs of materials and books.

IF THE AMOUNT THAT YOU HAVE PAID IS MORE THAN THE AMOUNT THAT IS OWED FOR THE TIME YOU ATTENDED, THEN A REFUND WILL BE MADE WITHIN 30 DAYS OF YOUR WITHDRAWAL. IF THE AMOUNT THAT YOU OWED IS MORE THAN THE AMOUNT THAT YOU HAVE ALREADY PAID, THEN YOU WILL HAVE TO MAKE ARRANGEMENTS TO PAY IT.
Signature*

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CANCELLATION, WITHDRAWAL AND REFUND POLICY

*For the purpose of determining the amount they owe for the time they attended, a student shall be deemed to have withdrawn from the course when any of the following occurs:

A. They notify the school of their withdrawal in writing.

B. The school terminates their enrollment agreement.

Based on the preceding example, the refund calculation would be made in the following way:
Signature*

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THE STUDENT UNDERSTANDS

1. Dental Assisting Academy of Excellence does not accept credit for previous education, training, or work experience.

2. Dental Assisting Academy of Excellence does not guarantee job placement to graduates upon program completion or upon graduation.

3. Dental Assisting Academy of Excellence reserves the right to reschedule the program start date when the number of students scheduled is too small.

4. Dental Assisting Academy of Excellence will not be responsible for any statement of policy or procedure that does not appear in Dental Assisting Academy of Excellence catalog.

5. Dental Assisting Academy of Excellence reserves the right to discontinue any students’ training for unsatisfactory progress, nonpayment of tuition, or failure to abide by school rules.

6. Dental Assisting Academy of Excellence does not guarantee the transferability of credits to a college, university, or institution. Any decision on the comparability, appropriateness, and applicability of credits and whether they should be accepted is the decision of the receiving institution.

7. This document does not constitute a binding agreement until accepted in writing by all parties.
Signature*

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STUDENT ACKNOWLEDGEMENTS
Dental assisting: 130 clock hours

I hereby acknowledge receipt of Dental Assisting Academy of Excellence Catalog ( https://drive.google.com/file/d/1kFOp8LudrV8VptmAR5MpJa35TnHwyKW9/view?usp=sharing ), which contains information describing the program offered and equipment/supplies provided.

The Dental Assisting Academy of Excellence Catalog is included as a part of this enrollment agreement, and I acknowledge that I have received a copy of this documents.
Signature*

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