SECTION 12 Student Acknowledgements.
I hereby acknowledge receipt of the Training Provider’s program offering. The Training Provider’s course catalog is included as part of this Enrollment Agreement and I acknowledge that I have received a copy of such catalog. I have carefully read and received an exact copy of this Enrollment Agreement.
I have carefully read and received an exact copy of this Enrollment Agreement. I understand that the Training Provider may terminate my enrollment if I fail to comply with attendance, academic, and financial requirements or if I fail to abide by established standards of conduct, as outlined in this agreement. While enrolled in the training, I understand that I must maintain satisfactory academic progress as described in the training catalog and that my financial obligation to the. Training Provider must be paid in full before a certificate may be awarded
I understand that the Training Provider does not guarantee job placement to graduates upon training completion or upon graduation
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I understand that complaints, that cannot be resolved by direct negotiation with the Training Provider in accordance to its written grievance policy, and are in direct violation of an Oregon Revised Statute (ORS)or an Oregon Administrative Rule (OAR) may be filed with the Higher Education Coordinating Commission, Private Career Schools Unit, 3225 25th Street SE Salem, Oregon 97302.All student complaints must be submitted in writing. Any inquiry a student may have regarding this contract may be made in writing to (A Emerald Valley Institute 40 E Broadway St suite 213 Eugene OR 97401) or to the Higher Education Coordinating Commission, Private Career Schools Unit, 3225 25th Street SE Salem, Oregon 97302 or by calling 503-947-5716
I understand and have read the tuition refund policy
I undertstand and have read the non-discrimination policy
A Emerald Valley Institute LLC prohibits discrimination against its customers, employees, and applicants for employment on the bases of race, color, national origin, age, disability, sex, gender identity,religion, reprisal, and where applicable, political beliefs, marital status, familial or parental status, sexual orientation, or all or part of an individual's income is derived from any public assistance program, or protected genetic information in employment or in any program or activity conducted or funded by A Emerald Valley Institute LLCÂ
Section 13 Enrollment Agreement Additional lnformation:Â
EXHIBIT AÂ
ServicesÂ
The Services include the following:Â
10 weeks of coursework and modules, including:Â
Weekly 3 evening 160-minute synchronous teaching sessions;Â
40 hour in person practicum training classes over the course of the training program;â–Ş Weekly and monthly asynchronous assignments, assessments, and online small group meetings as required.Â
Final assessment & completion including:Â
Final assessment in written and role play formatsâ–Ş Certificate of Completionâ–Ş Completion ceremonyÂ
Forty (40) hours of practicum training and supervisionÂ
EXHIBIT BÂ
Rules and RequirementsÂ
1. Rules. During the Term of this Agreement, Applicant will adhere to the following standards of conduct:
a. Act in a manner consistent with the Training Provider’s core values of empathy, non-judgement, andrespect.Â
b. Monitor Applicant’s mental and physical health and wellbeing and take responsibility forApplicant’s self-care.Â
c. Pay careful attention to any signs in the Applicant of emotional distress, trauma symptoms,discomfort, or dysregulation and seek the help of a mental health professional if Applicant needs;Â
d. Reach out to the Training Provider’s staff if Applicant is experiencing challenges in completing A Emerald Valley Institutes Psilocybin Facilitator Training Program requirements for any reason;Â
e. Demonstrate a high level of professional etiquette and respect for professionalism during the course for instructors, speakers, and other Emerald Valley Institute Psilocybin Facilitator Training Program participants;Â
g. Create healthy spaces with appropriate boundaries in role and relationships;h. In the case of any missed learning content or in the event of any absence submit a “Leave of Absence”request to Training Provider which Training Provider may accept or reject in its sole discretion and work with Training Provider to complete an individualized education plan to ensure Applicant makes up any missed learning content, remedies any gaps in participation, and completes assignments and assessments;Â
i. Refrain from sharing or posting the Emerald Valley Institutes logo or brand identity in any way publicly and bemindful of public speech regarding the Emerald Valley Institutes Psilocybin Facilitator Training Program, and psychedelics in any form of media, including but not limited to social media or news outlets (if in doubt,Applicant may email training emeraldvalleyinstitute@gmail.com for permission);Â
j. Not attend any Emerald Valley Institute Psilocybin Facilitator Training Program sessions under the influence of any alcohol, drugs, or other awareness-altering substances.Â
k. Not market any services or products of Applicant or others to other Emerald Valley Institutes Psilocybin FacilitatorTraining Program participantsÂ
l. Keep the identity and personal information of any other Emerald Valley Institutes Psilocybin Facilitator TrainingProgram participants, staff members, agents, faculty, or volunteers of Training Provider confidential by refraining from using any names or other identifying information or taking any photos, videos, or audio recordings of such individuals.Â
2. Requirements. During the Term of this Agreement, Applicant must: a. Actively participate in small group integration sessions, workshops, assignments, assessments,and other coursework;Â
b. Attend a minimum of 100% of the Emerald Valley Institutes Psilocybin Facilitator Training Program (subject to aLeave of Absence request accepted by Training Provider as provided in Paragraph 1.f above);Â
c. Receive a “pass” grade on all required assignments and assessments; d. Complete the Training Program no later than two (2) years from the Start Date of their initial cohort;3. Disciplinary and Appeals Process. If Applicant fails to comply with any provision of Paragraphs 1 or 2 above or exhibits behaviors causing concern for Applicant’s ability to participate in or complete the Emerald Valley Institutes Psilocybin Facilitator Training Program:a. A notice will be sent via email to Applicant (the “Notice Email”), requesting a Zoom meeting or a written response from Applicant to the concerns expressed by the Training Provider in the Notice Email;b. Applicants must respond to the Notice Email as soon as possible, but no later than 14 days after the date of the Notice Email;c. If Applicant fails to respond to the Notice Email within 14 days after the date of the Notice Email,Training Provider may immediately expel Applicant from the Training Program.d. If Training Provider desires to have a Zoom meeting and Applicant responds to the Notice Email Within 14 days after the date of the Notice Email, the Applicant, the Director of Education, and theProgramDirector will attend a Zoom meeting to discuss the concerns expressed in the Notice Email (the“Disciplinary Meeting”);e. Following the Disciplinary Meeting, Training Provider will determine a course of action pursuant to which, in Training Provider’s sole discretion, the Applicant may be: (i) immediately expelled from theTraining program or (ii) offered a probationary period subject to specific conditions determined inTraining Provider’s sole discretion (the “Conditions”), which Conditions may include the creation of an individual education plan, and during which period Applicant may be immediately expelled from the Emerald Valley Institutes Psilocybin Facilitator Training Program if Applicant breaches any such Conditions;f. If Applicant is immediately expelled from the Training Program, Applicant may appeal the expulsion by emailing Director of Education at emeraldvalleyinstitute@gmail.com with the subject line “DisciplinaryAction Appeal” and explaining the reasons for which Applicant should not be expelled from the Emerald Valley Institutes Psilocybin Facilitator Training Program (the “Appeal Email”);g. Decisions of disciplinary decisions described in subsections e and f above will be made in writing,retained as part of the Applicant’s student file for a minimum of 3 years, and shall be made available to an Applicant, and h. Training Provider will determine the merits of the appeal and Applicant will be notified ofTraining Provider’s final decision within 10 business days of the date of the Appeal EmailÂ
EXHIBIT CÂ
Privacy Policy Subject to any U.S. privacy laws or any other local privacy laws in Applicant’s jurisdiction,Training Provider will take reasonable steps to maintain the confidentiality of any personal information that Applicant has provided to Training Provider, including but not limited to the Original Applicant Information or New Applicant Information (“Applicant’s Personal Information”). Notwithstanding the foregoing, there is an inherent risk that electronic communications between Applicant and TrainingProvider may be unlawfully intercepted by third parties not under Training Provider’s control. TrainingProvider does not guarantee the security of any information transmitted via the Internet, telephone, text message. Applicant may authorize Training Provider to disclose any of Applicant’s information to a third party in writing signed by the Applicant.Applicant’s Personal Information will not be used by Training Provider for any purpose other than for providing Applicant with the Services specified herein without Applicant’s express written consent.Notwithstanding the foregoing, Training Provider may disclose Applicant’s Personal Information when necessary to protect the safety of Applicant or another person or as otherwise required by law, court order, or legal process, including in a response to any governmental or regulatory request. Personal Transcripts of the Applicant will be made available to the Applicant in compliance with the “FamilyEducational Rights and Privacy Act” (Public Law 93-380 as amended by Public Law 93-568).Applicant’s personally identifiable information will not be made available to anyone other than the student, Higher Education Coordinating Commission, or other local, state, or federal officials as allowed by law. Applicant’s personally identifiable information will be delivered on electronic format to theHigher Education Coordinating Commission at least once a year. Personally identifiable information of Applicant will be maintained in accordance all applicable laws, including but not limited to the OregonConsumer Identity Theft Prevention Act, ORS 646A.600 to 646A.628, and any rules adopted pursuant toORS 646A.600 to 646A.628.Training Provider will not use Applicant’s image or voice for any reason without the written consent ofApplicant; provided, however, that Applicant understands and agrees that Applicant’s image or voice from a recorded training session may be used in training materials used by Training Provider inconnection with the Program without Applicant’s written consent.Â
Agreement to Terms & Conditions
My signature below signifies that I have read and understand all aspects of this agreement and recognize my legal responsibilities in regard to this contract and that the enrollment agreement constitutes a binding contract. I understand that I will receive an original of this signed agreement and the school will retain a copy.
By signing below, I acknowledge that I have read, understood, and agree to the terms and conditions outlined in this agreement.