PROGRAM NAME: HHA – Home Health Aide
Name: Date Of Birth:
State: Zip Code:
Home Phone: Cell Phone:
Email: Driver’s License Number:
Name: Phone: Cell:
CNA License #
EXPLANATION OF TUITION
Program Name: HHA – Home Health Aide
Students are responsible for paying for all applications and State/National Licensing or Certification exams through CDPH, NCCT & PTCB.
Additional Costs not Included in Tuition
Students are responsible for paying:
This Payment Agreement is entered into by and between Western Medical Training Center & , and they hereby agree upon the terms stated within this agreement.
PROGRAM NAME: HHA – Home Health Aide
Payment Cost : $500.00
CANCELLATION OF ENROLLMENT/ REFUND POLICY
Western Medical Training Center will make every effort to assist students to achieve their educational and career goals. If circumstances arise that require a student to drop out or withdraw from a class or program after starting the program, this action is considered discontinuing coursework and withdrawal from the School. A student who drops out or withdraws from class work during the first five days will not have that course work on their academic record.
The student has the right to cancel the enrollment agreement for a course of instruction, without any penalty or obligations, through attendance at the first class session. A student may not cancel by telephoning the school or by not attending the class. After the end of the cancellation period, the student also has the right to stop school at any time; and has the right to receive a pro rated refund if the student has completed 50 percent or less of the program, less the registration fee, cost of the book and uniform. The refund is to be paid within 30 days after the cancellation date. Cancellation must be made in writing, addressed to the Administrator and delivered via U.S. Postal Service or hand delivered to the following address:
1161 East Main Street, Suite 205, El Cajon Ca 92120
*Important Note – Student will be responsible for any charges the college has paid on their behalf for the above stated program including but not limited to: Live Scan Fingerprinting, Textbook, Workbook, Uniform, CPR certification course, Stethoscope, Gait belt, and all other items related to the specific course in which the student has enrolled. The items listed above are not provided in all courses.
Student Cancellation and Return Of Course Materials, Textbook, Equipment and/or Uniform
WMTC Course Or Program Cancellation
If the school cancels the program before the first day of class, the school will refund all money including deposit paid to students within 30 calendar days. Class being rescheduled does not constitute cancellation as long as the rescheduled class is held within 90 days of the original start date.
The following constitute grounds for dismissal from the training:
Suspension and Dismissal
Students are expected to conduct themselves professionally at all times, and to follow protocols and expectations as outlined in the policies and procedure sections of the student handbook.
The school reserves the right to suspend or dismiss any students who:
Regular school attendance is a necessary part of the learning process and the means to graduation with a good education. Absenteeism, especially tardiness, is a behavior that is highly associated with dropping out of school. Regular attendance is essential for success in school.
Additional absences will result in being dropped from the program.
Before any dismissal of student from the program, school administrator will organize a meeting with director of nursing & the instructor to discuss student overall performance and behavior. If the recommendation is to give the student 1 additional chance, keeping in mind students best interest. As long as finding accommodation is not too difficult and make up is according to California Department of Public Health policy.
With the approval from the RN Program Director, the instructor will set aside 1 day prior to going to the clinical portion of the class. This day would be for makeup class for a student who missed a theory day which included topics required to meet the regulations in Title 22 before going to the clinical portion of the class. If there is room in other schedules were the same topics can be made up by the student, this would also be an acceptable form of makeup.
One on one option where student can pay for one on one instruction prior to clinical training would also be a last resort option for the student. If the above options are not available due to time and scheduling restraints the students who missed two (2) or more days of theory, these students will need to wait for the next class to make up those topics missed and will have to finish out the program including clinical portion with the next class given the availability of space.
Example: If a one-on-one makeup class is required, the student will be charged $40 per instructional hour for each hour of missed theory, lab or clinical time, i.e. 8 hours missed x $40 = $320.
OTHER STUDENT RESPONSIBILITIES:
One-on-One Instructor Make Up Class
Students will be financially responsible for payment of instructor for one-on-one teaching for any missed days.
If a one-on-one make up class is required, the student will be charged $40 per instructional hour for each hour of missed theory, lab or clinical time, i.e. 8 hours missed x $40 = $320.
NOTICE CONCERNING TRANSFER-ABILITY OF CREDITS AND CREDENTIALS EARNED AT OUR INSTITUTION
The transfer-ability of credits you earned at Western Medical Training Center is at the complete discretion of an institution to which you may seek to transfer. Acceptance of the program completion certificate you earn in our school training programs is also at the complete discretion of the institution to which you may seek to transfer. If the credits or certificate that you earn at this institution are not accepted at the institution to which you seek to transfer you may be required to repeat some or all of your coursework at that institution. For this reason you should make certain that your attendance at this institution will meet your educational goals. This may include contacting an institution to which you may seek to transfer after attending Western Medical Training Center to determine if your credits or certificate will transfer.
I hereby acknowledge the following:
Bureau For Private Postsecondary Education
Physical address: 2535 Capital Oak Dr., Suite 400, Sacramento California, 95833
Mailing address: PO Box 980818, West Sacramento, CA 95798-0810
Phone Number: 916-431-6959 / Toll Free: 888-370-7589 / Fax Number: 916-263-1897
Print Student Name Date
I verify that the stated information in this Enrollment Agreement is true and accurate to the best of my knowledge. I agree that the course enrollment procedure and explanation of tuition and fees has been fully explained to me. I acknowledge that I have received a copy of the enroll ent agreement form and the explanation of tuition, fees and cancellation of enrollment, student handbook or catalog and performance fact sheet.
I understand that in consideration to all applicants, seat availability for this course is offered on a first-come first-served basis. Acceptance is dependent upon the successful completion of the application form, payment of enrollment fee, live scan fingerprinting application and submission, physician statement of eligibility to train.
I understand that there is limited seat availability and that my application does not guarantee me a seat until confirmed by administration.
I understand that this enrollment agreement when signed by the student and accepted by Western Medical Training Center is a legally binding contract. My signature below certifies that I have read, und
Leave this empty:
Signed by Kristy Farook
Signed On: November 15, 2017
If you have questions about the contents of this document, you can email the document owner.
Document Name: HHA Enrollment
Agree & Sign