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LICENSED BY THE NY STATE EDUCATION DEPARTMENT
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How To Enroll:
- A student may enroll and begin at any time during the year.
- Applicant must be 18 years of age. If under 18, approval by parent or guardian must be obtained.
- Print this web page then mail the form to the address below.
- Whenever possible a personal interview is requested of all applicants.
Berkowits School of Electrolysis 107-25 Metropolitan Avenue Forest Hills, New York 11375 718-544-4234 Fax (718) 544-2589 berkowitselec@aol.com
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Enrollment Agreement For Instruction In: BERKOWITS SCHOOL OF ELECTROLYSIS
107 – 25 Metropolitan Avenue Forest Hills, New York 11375 (718) 544-4234 Fax (718) 544-2589
_______________20___________
I, ________________________________, hereinafter called the student, hereby apply for enrollment and upon acceptance, do enroll myself in the Berkowits School of Electrolysis, hereinafter called the school, for the hereinafter described course of instruction, pursuant to and in accordance with the following provisions:
1) Course of Study: Theory and Practice of Electrolysis, 120 hours. Start Date_______________ Hours of operations: MON. – FRI. 9-4; TU. & TH. 6-9 Expected Graduation Date________________
2) Schedule of Sessions and hours: Day Session: 4 Weeks 6 HRS PER DAY / 30 hours per week: MON. – FRI. 9-12; 1-4 (Lunch 12-1)
Evening session: 20 weeks 6 hours per week / Tuesday & Thursday 6-9 PM.
3) Fees: Enrollment Fee.....................................................100.00 Tuition Fee.........................................................2,165.00 Other Fees:Student Kit,Instruments,Manual..............85.00 Total Cost of Instruction.....................................$2,350.00
4) Refund: In the event a student fails to enter, withdraws, or is discontinued from instruction, the following refund policy shall apply: 1. Upon signing this enrollment agreement, the school may retain a $100 non - refundable registration fee. 2. If cancellation or termination occurs prior to entering into instruction, all tuition monies collected by the School will be refunded. 3. After the student has begun instruction and wishes to cancel, withdraw or discontinue, based on the students last physical day of attendance, the School shall receive and retain the following sums: A)The stated cost of such books and equipment as have been issued by the the student, plus B)A student who cancels within 7 days of signing the enrollment agreement receives all monies returned with the exception of the non-refundable registration fee. C)Thereafter, a student will be liable for 1.the non refunable registration fee plus 2.the cost of any text books or supplies accepted plus 3.tuition liability as of the student's last date of physical attendance. Tuition liability is divided by the number of quarters in the program. Total tuition liabilty is limited to the quarter during which the student withdrew or was terminated, and any previous quarters completed. First Quarter and Second Quarter*
If termination occurs /School may keep
Prior to or during the first week …………............................0%
During the second week………………………………………..25%
During the third week …………………………………………...50%
During the fourth week ………………………………………….75%
After the fourth week……………………………………….....100%
Any payment made to the school in excess of the above amounts shall be refunded within 30 days.
5) Rules and Regulations: The school reserves the right to dismiss a student for failure to make the agreed installment payments when due, or failure to attend classes punctually, breach of school rules or regulations, or for any cause the school deems necessary for the good of the school. While placement assistance service is provided, it is understood that the school cannot promise or guarantee employment to any student or graduate. The certificate of completion is to be withheld until all fees and charges have been met. A copy of the written contract and school catalog has been received by me at the time of execution:
Signature of Student____________________________________________
Date of Birth_______________
Social Security No._________________
Address ______________________________________________________
___________________________________________________________
__________________________________Zip#_____________________
Telephone_______________________________________
Payment herewith $___________________________________
Accepted: Berkowits School of Electrolysis
By_________________________________________________ Authorized signature
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