WP E-Signature by Approve Me - Sign Documents Using WordPress -

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 7/22/24, below lists the current rates of our online programs.

EKG - $900.00*

RNA - $250.00*

Pharmacology - $300.00*

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

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.

EKG - 6 months

RNA – 3 months

Pharmacology – 3 months

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:

Student must submit intent to drop, otherwise referred to as withdraw or cancel, in writing to the school director.
The school director will review the notice and the student’s enrollment agreement.
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.

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.

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.

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.

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw Signature
Type In Signature

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Signed by Damien Weston
Signed On: November 25, 2024

Timestamp

Audit

September 4, 2024 1:18 pm PST

Online Program Enrollment Document Uploaded by Mikaela Schaefer - connect@equiphs.com IP 186.195.236.50

September 5, 2024 2:25 pm PST

Document owner support@equiphs.com has handed over this document to miwanyc@equiphs.com 2024-09-05 14:25:31 - 99.38.233.72

November 25, 2024 12:30 pm PST

Mikaela Shaefer - mikaelas@equiphs.com added by Mikaela Schaefer - connect@equiphs.com as a CC'd Recipient Ip: 186.195.236.50