Online Program Enrollment Document


📝 Important: Fulfill and Sign this Enrollment Contract
Before completing your purchase, you must sign this enrollment contract to secure your spot in the course. This step is required for compliance with healthcare training regulations and ensures your commitment to the program. Once signed, you will be redirected to finalize your checkout and officially begin your journey with WMTC. 

Student Full Name

Student Phone Number

Student Email

Student Date of Birth (must be 18 years or older to enroll)

Student Address

Student Driver's License or Government Issued ID

Student Social Security Number

Student Educational Background

Desired Online Program

Do you have any felony convictions? If the answer is yes, please refer to your state’s specific licensure or certification qualification and disqualification guidelines. If you have any questions or concerns, please schedule a time to meet with an administrative staff member. 

Program Payment Agreement: Upon enrollment in one of our online programs (this includes EKG, RNA, and Pharmacology), be advised that all fees must be paid in full before a student may begin their program. All fees paid towards the program are non-refundable. As of 01/02/25, below lists the current rates of our online programs. Some programs may be eligible for a payment plan. Those programs and payment timelines are listed below.

Life Skills - $599.00* (not eligible for payment plan)

EKG - $900.00* (50% deposit, 50% due 30 days from date of enrollment.)

Medical Billing & Coding - $1,200.00* (50% deposit, 50% due 30 days from date of enrollment.)

RNA - $350.00* (not eligible for payment plan)

Pharmacology - $450.00* (not eligible for payment plan)

Pharmacy Technician- $1,100.00* (50% deposit, 50% due 30 days from date of enrollment.)

*Pricing is subject to change and may vary for enrollments completed during promotional events or special offers.

Any installment that is received late is subject to a fee of $20.00 a day until that installment is paid in full. There is no penalty for paying off a payment plan early.

If for whatever reason, full tuition is not received by the time a student has completed their course, their Certificate of Completion will be withheld until the tuition is paid in full. 

This policy and procedure are crucial in maintaining the high quality and integrity of our educational offerings. By proceeding with your enrollment, you acknowledge and accept this policy and procedure. 

Program Completion Agreement: By enrolling in one of our online programs, you are committing to completing the program within the specified duration of the program. Failure to complete the program within the agreed upon timeframe, without obtaining and approved extension by the school director, may lead to the loss of progress and certification eligibility. This commitment underscores the students’ dedication to their personal and professional growth through our educational offerings. Below outlines the timeframe a student must complete their program once they have begun their course and paid in full.

RNA – 3 months

Pharmacology – 3 months

Pharmacy Technician- 6 months

EKG - 6 months

Medical Billing & Coding - 6 months

Pharmacy Tech Online - 6 months

Medical Billing and Coding - 6 months

Life Skills - specified in syllabus

This policy and procedure are crucial in maintaining the high quality and integrity of our educational offerings. By proceeding with your enrollment, you acknowledge and accept this policy and procedure. 

Cancellation Policy: Once a student has enrolled in one of our online programs, they may not drop or cancel their enrollment in the program. 

Student Drop Process: 

  1. Student must submit intent to drop, otherwise referred to as withdraw or cancel, in writing to the school director. 
  2. The school director will review the notice and the student’s enrollment agreement. 
  3. If approved, the student will be notified of any financial obligations they have to WMTC as part of their agreement and confirmation of their dropped program. 

Collections Policy: A student account may be sent to collections if payment is not received for their full tuition and they somehow receive access to their course. It is a student’s responsibility to ensure their payments are received by Western Medical Training Center on-time and in full. If a student’s account is sent to collections, the student will receive a surcharge of 30% of whatever their unpaid remaining tuition balance is to cover collections charges. 

This policy and procedure are crucial in maintaining the high quality and integrity of our educational offerings. By proceeding with your enrollment, you acknowledge and accept this policy and procedure. 

Academic Probation and Dismissal Policy: The following constitute grounds for dismissal from their program. 

  • Academic dishonesty, plagiarism, and unauthorized distribution of educational materials

This is not an exhaustive list of activities that may lead to a student being dismissed or put on probation. If a student is placed on probation or dismissed from their program, they are still liable for their tuition and will receive an incomplete grade. 

This policy and procedure are crucial in maintaining the high quality and integrity of our educational offerings. By proceeding with your enrollment, you acknowledge and accept this policy and procedure. 

NOTICE CONCERNING TRANSFERABILITY OF CREDITS AND CREDENTIALS 

The transferability 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 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.

Bureau For Private Post Secondary Education: A student or any member of the public may file a complaint about this institution with the Bureau For Private Post Secondary Education by calling (888)-370-7580 or by completing a complaint form which can be obtained on the Bureau’s website: https://www.bppe.ca.gov/about_us/contact.shtml. 

Course Materials: Students have the option to purchase hard copies or e-books of the text and textbooks for their online program. Students must provide their own device to complete coursework. All educational materials provided by the school can be found in their online dashboard. 

Certification and License:  The school’s educational programs lead to knowledge and skills for the state programs. We do not guarantee that our education programs will necessarily be sufficient to obtain any certification or licenses issued by a state, public or private agency. Certification and licenses may require additional study and costs. A third party may administer the examination and further study, and a fee may be required.

Severability: If any paragraph, sub-paragraph, provision, or clauses is held invalid, said invalidity shall not affect any other paragraph, sub-paragraph, provision, or clause that can have effect without being invalidated paragraph, sub-paragraph, provision, or clause, and thus is severable one from the other.

Use of Artificial Intelligence (AI): The institution may utilize artificial intelligence (AI) technologies to enhance educational services, administrative processes, and student support. These technologies may be used for, but are not limited to, personalized learning experiences, automated feedback, predictive analytics, and communication tools. By enrolling, the student acknowledges and consents to the use of AI systems in accordance with applicable laws and institutional policies. The institution is committed to ensuring transparency, data privacy, and ethical use of AI, and will take reasonable measures to safeguard student information and uphold academic integrity.

Dispute Resolution Between Instructor and Student: In the event of a disagreement or dispute between an instructor and a student arising from academic instruction, grading, conduct, or any other matter related to the course or enrollment, both parties agree to first attempt resolution through informal discussion. If the matter cannot be resolved informally, the dispute shall be submitted in writing to the designated academic coordinator or program administrator for mediation.

Should mediation fail to resolve the issue, the dispute may be escalated to the institution’s formal grievance process, as outlined in the Student Handbook or institutional policy. All parties agree to abide by the final decision rendered through this process. The institution encourages respectful communication and timely resolution of conflicts to maintain a positive learning environment.

Photo Release and Release of Information:  By signing this agreement, you authorize any organization or person, whether listed on this document, to verify information you provided the institution. This may include financial institutions, student loan services agencies, guarantee agencies, US Department of Education, credit bureaus. You authorize us to use any statements you write, any videos, or any photos the school takes for advertisements, publications, or social media that we may publish from time to time.

Please check yes if you agree to the above terms regarding the photo release and release of information section. 

 

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 will receive a copy of the enrollment agreement form and agree to all the information covered in said agreement. I agree this document is binding and I will uphold all aspects detailed above.

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Signed by Damien Weston
Signed On: February 2, 2026


Signature Certificate
Document name: Online Program Enrollment Document
lock iconUnique Document ID: 277bc3bb492c040c38313cc586fcf365ea737901
Timestamp Audit
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