Southeastern Louisiana Technical College Enrollment Form

Southeastern Louisiana Technical College Enrollment Form

Complete this form to enroll for courses at Southeastern Louisiana Technical College. Please provide accurate information in all required sections.
Student Status
Date

MonthDayYear
Date
Full Name

First NameLast Name
High School Completion
Date of Birth

MonthDayYear
Date
Age
Social Security Number:
Sex
Current Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Phone Type
Program Length (in weeks/months)
Program Schedule
REFUND POLICY

In consideration of my acceptance as a student for the ____________________ program as the above date, I hereby enroll and obligate myself to pay to the order of Southeastern Louisiana Technical College $__________ , to be paid as follows with signing of this enrollment agreement and the balance of $ __________ to be paid as follows:

Three Business Day Cancellation: I understand that if for any reason I amunable to enter, allmonies paid will be refunded if requested within three
business days after an enrollment agreement and making an initial payment.

Cancellation After the Three Business Day Cancellation Period but Before Commencement of Classes by the student:
Tuition or fees collected in advance of entrance and if the student does not begin classes, not more than $150.00 shall be retained by SLTC. Refunds for a student who does not attend classes shall be made within 30 days of the notice of cancellation.

I understand that the Withdrawal After Commencement of Classes Refund Policy shall be:

1) After a student has completed less than 15%of the program, SLTC shall refund at least 80%of the tuition, less the registration fee,thereafter,

2) After a student has completed less than one fourth of the program, SLTC shall refund at least 70%of the tuition, less the registration fee,thereafter,

3) After a student has completed one fourth but less than one half of the program, SLTC shall refund at least 45% of the tuition, less theregistration fee, thereafter,

4) After a student has completed one half or more of the program, SLTCmay retain 100%of the stated course price.

Any unused portion of the book fee will be refunded. I certify that I have received a copy of the school catalog that contains: my program outline, schedule of tuition, fees, and other charges, the refund policy, regulations pertaining to the rules of operation and conduct, grading policy, description of job placement assistance, and general information. I further certify I have received and read a copy of this Enrollment and understand it is subject to representation only as expressed herein. I agree to comply with these policies during my period of enrollment in.

Charges:
Registration fees Entrance Date: ____________
Tuition $ ______ Other Information _____________
Textbooks $ ______ ________________________________
Miscellaneous
Payment Terms - Remaining Balance
APPROVAL ONLY
Payment Terms - How Balance is to be Paid
MUST BE APPROVED BY ADMIN
Additional Fess
Charges - Miscellaneous
Start Date

MonthDayYear
Date
Other Information
Sponsoring Company
Contact Person
Title
Sponsoring Company Email
example@example.com
Sponsoring Company Phone
Please enter a valid phone number.Format: (000) 000-0000.
Sponsoring Company Phone Type
Sponsoring Company Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Sponsoring Company City
Sponsoring Company State
Sponsoring Company ZIP Code
Note
Student Signature
Student Phone
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Signature
Parent/Guardian Phone
Please enter a valid phone number.Format: (000) 000-0000.
Office Use Only - Date

MonthDayYear
Date
Office Use Only - Date Enrolled

MonthDayYear
Date
Office Use Only - Application Fee Amount Paid
Office Use Only - Application Fee Payment Type #
Office Use Only - Processing Fee Amount Paid
Office Use Only - Processing Fee Payment Type #
Office Use Only - Course Enrolled
Office Use Only - School Representative
Office Use Only - Representative Date

MonthDayYear
Date
Office Use Only - Approval
Office Use Only - Notes
Please upload a copy of your ID, Social Security Card, Previous School Transcript etc.

Cancelof
I authorize Southeastern Louisiana Technical College securely store these documents for enrollment purposes
My Products
prevnext( X )
SSHO
Site Safety & Health Officer

$4,500.00 Quantity



CSST
Construction Site Safety Technician

$1,800.00 Quantity



CSSS
Construction Site Safety Supervisor

$2,300.00 Quantity



Project Management
Oversees/Manges the projects

$3,000.00 Quantity



NCCER Core
Helper/labor

$1,000.00 Quantity



Registration Fees
Student Enrollment

$150.00 Quantity



Miscellaneous
Lab fees/Assessments

$350.00 Quantity



Rigging
Basic

$400.00 Quantity



Intermediate Rigging
including Hand-on Skill

$500.00 Quantity



Advanced Rigging
$700.00 Quantity



Carpentry: Level 1
Fundamentals

$2,200.00 Quantity



Carpentry: Level 2
Intermediate

$2,500.00 Quantity



Carpentry: Level 3
Advanced Framing Systems

$2,800.00 Quantity



Carpentry: Level 4
Specialization

$3,200.00 Quantity



SSHO Textbook
Excellence in Safety Management: The Role of SSHos in Government Projects

$225.00 Quantity



EM385-1-1
$325.00 Quantity



Total

$0.00
Should be Empty:

Southeastern Louisiana Technical College Enrollment Form

My Products