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Enrollment Agreement 0_l0'�-) s (3 <br />FEES <br />Total Program Tuition <br />Materials <br />Registration Fee(nou refundable) <br />Equipment <br />Assessment Fees for Transfer of Credit <br />DOT Physical Exam <br />NIDA Drug Tasting <br />Random Drug/Alcohol Testing <br />Pees to Transfer Credit <br />Fees Paid to Other Entities <br />ELDT Online Course <br />Uniform <br />In -resident housing, <br />Other Charges <br />STRF Fee (non refundable) <br />TOTAL AMOUNT <br />$ 2,783,00 <br />$ 250.00 (Non Refundable) <br />$ 175.00 (Non. Refundable) <br />N/A <br />$ 50.00 (Non Refiurdable) <br />60,00 (Non Refundable) <br />$ 600 (Non Refundable) <br />77 <br />$ 122.00 (DMV Fees) <br />$ 150,00 (Non Refundable) <br />N/A <br />N/A, <br />$ 10.00 (Student Tuition Recovery And $0.50 per <br />$1,000 of institutional charges Non Refundable) <br />$ ,3,660.00 (This is the amount you will be required to <br />pay to complete the program.) <br />Non -Refundable Materials Fees; Upon receipt of Materials it becomes nou refundable. <br />Non Refundable Charges paid to a third -party provider (Ding & Physical test, DMV Fees) <br />Once physical and drug test has been done it becomesnon refundable. <br />$ 3,660.00 <br />3,660.00 <br />If student obtains a load to pay for an educational program, the student will have the responsibility to repay the <br />full amount of the loan, plus intereat,,loss the anrount of any refund. (94911(1), <br />If the student is eligible for a loan guaranteed by the federal or state government and the student defaults on the <br />loan, both of the following .rnayoccur: <br />1)The federal or state government or a loan guarantee agency may take action against the student, including <br />applying any income tax refund to which the person is entitled to reduce the balance owed on the loan. <br />2.) The student may not be eligible for any other federal student financial aid at another institution or other <br />govortmaent assistance until the loan is repaid; <br />"I understand thatthis is a legally binding -contract.-M'y signature below certifies that f have read, <br />understood, and agreed to my rights and responsibilities, and that the Institution's cancellation and refund <br />policies have been clearly explained to me" <br />X Student's Signature Date Signed <br />School Official's SignatureDate Signed <br />(Page 4 of 4) <br />