Student enrollment agreement
Community Barber Schools, LLC
1826 Ionia Street
Jacksonville, Florida 32206
904-425-0055
STUDENT ENROLLMENT AGREEMENT
(Please print application)
*ALL SIGNERS MUST RECEIVE AND READ A COPY OF THE BINDING DOCUMENT AND CATALOG
STUDENT INFORMATION
Name: ___________________________________________________________________________________
Address: __________________________________________________________________________________
STREET ADDRESS CITY/STATE ZIP/POSTAL CODE
Name of Parent/Guardian (if student is under 18): _________________________________________________
Telephone: (Home) ___________________________ (Business or Cellular): ___________________________
Social Security Number: _____________________ Date of Birth ________________ Male ____ Female_____
PROGRAM INFORMATION
Institution use only
Program Title: Barbering Clock Hours: _______________ Credit Hours:
Class Schedule: ( ) full-time ( ) part-time ( ) Day Classes ( ) Evening Classes
Hours per week: _______________ Start Date:_____/_____/_____ Anticipated end date: _____/_____/_____
Tuition $_________________
Registration Fee $_75.00_________
Books $_________________
Materials $__________________
Total Program Cost $__________________
Goods or services not
Included in the tuition $___________________
METHODS OF PAYMENT
[ ] Full payment at time of signing enrollment agreement
[ ] Registration fee at the time of signing enrollment agreement with balance paid prior to graduation date
[ ] Registration fee at time of signing enrollment agreement with balance paid prior to graduation
NOTE: For schools offering a payment plan with four or more payments the federal boxes or vertical listing
must be included on the contract. (ENTER N/A or LINE THROUGH if not applicable)
(Any late fee payments and conditions thereof must be disclosed on the enrollment agreement and in the catalog)
All prices for programs are printed herein. Contracts are not sold to a third party at any time. There are no carrying charges, interest charges, or service charges connected or charged with any of the these programs unless stated.
INSTITUTIONAL CANCELLATION AND REFUND POLICY
Should a student’s enrollment be terminated or cancelled for any reason, all refunds will be made
according to the following refund schedule:
1. Cancellation can be made in person, by electronic mail, or by Certified Mail.
2. Community Barber Schools will refund all monies if the applicant is not accepted or cancels within
three (3) business days after signing the enrollment agreement. Registration Fees are not refundable.
3. Cancellation after the third (3rd) business day, but before the first class, will result in a refund of
all monies paid, minus the registration fee (not to exceed $150.00).
4. Cancellation after attendance has begun through 40% completion of the program, will result in a
prorated refund computed on the number of hours completed relative to the total program hours.
5. Cancellation after completing more than 40% of the program will result in no refund.
6. Termination Date: When calculating the refund due to a student, it will be based on the last date of
actual attendance by the student unless earlier written notices were received.
7. Community Barber Schools will issue a refund within 30 days following termination of the
student’s enrollment or receipt of a Cancellation Notice from the student.
8. Community Barber Schools reserve the right to make refund payments in installments when the amount exceeds $500.
Student Initials_____
GROUNDS FOR TERMINATION
A student’s enrollment can be terminated at the discretion of institution for insufficient academic progress or non-payment of academic costs. Student Initials_____
EMPLOYMENT ASSISTANCE
Although placement assistance may be offered, the institution does not guarantee employment.
Student Initials_____
ACKNOWLEDGEMENT
This document and the catalog constitute a binding contract between the institution and the student, and no further modifications or representations, except as herein expressed by both parties, will be recognized.
Student Initials_____
CREDENTIAL AWARDED
Upon satisfactory completion of the program the student will be awarded a Diploma.
Student Initials_____
ADDITIONAL FEES
A $50.00 late fee will be charged if monthly tuition of $300.00 is not paid by end of the month.
Student Initials_____
A makeup fee of $250.00 may be charged per week at the discretion of institution, if any portion of the course is not completed by scheduled graduation date. Student Initials_____
DO NOT SIGN THIS CONTRACT BEFORE YOU HAVE READ IT OR IF IT CONTAINS ANY BLANK SPACES.
ALL SIGNERS HAVE RECEIVED AND READ A COPY OF THE BINDING DOCUMENT AND CATALOG
____________________________________ _____/_____/_____ __________________________________ _____/_____/_____
Signature of Applicant Date Signature of Parent/Guardian Date
(if under 18 years of age)
____________________________________ _____/_____/_____
Signature of School Official Date
Addendum: There will be a $25.00 re-enrollment fee assessed after 14 consecutive days (excluding holidays) and $25.00 late tuition payment fee for nonpayment after 30 days. Students on approved leave of absence are exempt.
Please contact Dr. Pitts, Director of Community Barber Schools to enroll in the following:
Full Barbering
VA Approved
904-962-5121
*** Please PRINT this page to fill it out and submit to the school.
1826 Ionia Street
Jacksonville, Florida 32206
904-425-0055
STUDENT ENROLLMENT AGREEMENT
(Please print application)
*ALL SIGNERS MUST RECEIVE AND READ A COPY OF THE BINDING DOCUMENT AND CATALOG
STUDENT INFORMATION
Name: ___________________________________________________________________________________
Address: __________________________________________________________________________________
STREET ADDRESS CITY/STATE ZIP/POSTAL CODE
Name of Parent/Guardian (if student is under 18): _________________________________________________
Telephone: (Home) ___________________________ (Business or Cellular): ___________________________
Social Security Number: _____________________ Date of Birth ________________ Male ____ Female_____
PROGRAM INFORMATION
Institution use only
Program Title: Barbering Clock Hours: _______________ Credit Hours:
Class Schedule: ( ) full-time ( ) part-time ( ) Day Classes ( ) Evening Classes
Hours per week: _______________ Start Date:_____/_____/_____ Anticipated end date: _____/_____/_____
Tuition $_________________
Registration Fee $_75.00_________
Books $_________________
Materials $__________________
Total Program Cost $__________________
Goods or services not
Included in the tuition $___________________
METHODS OF PAYMENT
[ ] Full payment at time of signing enrollment agreement
[ ] Registration fee at the time of signing enrollment agreement with balance paid prior to graduation date
[ ] Registration fee at time of signing enrollment agreement with balance paid prior to graduation
NOTE: For schools offering a payment plan with four or more payments the federal boxes or vertical listing
must be included on the contract. (ENTER N/A or LINE THROUGH if not applicable)
(Any late fee payments and conditions thereof must be disclosed on the enrollment agreement and in the catalog)
All prices for programs are printed herein. Contracts are not sold to a third party at any time. There are no carrying charges, interest charges, or service charges connected or charged with any of the these programs unless stated.
INSTITUTIONAL CANCELLATION AND REFUND POLICY
Should a student’s enrollment be terminated or cancelled for any reason, all refunds will be made
according to the following refund schedule:
1. Cancellation can be made in person, by electronic mail, or by Certified Mail.
2. Community Barber Schools will refund all monies if the applicant is not accepted or cancels within
three (3) business days after signing the enrollment agreement. Registration Fees are not refundable.
3. Cancellation after the third (3rd) business day, but before the first class, will result in a refund of
all monies paid, minus the registration fee (not to exceed $150.00).
4. Cancellation after attendance has begun through 40% completion of the program, will result in a
prorated refund computed on the number of hours completed relative to the total program hours.
5. Cancellation after completing more than 40% of the program will result in no refund.
6. Termination Date: When calculating the refund due to a student, it will be based on the last date of
actual attendance by the student unless earlier written notices were received.
7. Community Barber Schools will issue a refund within 30 days following termination of the
student’s enrollment or receipt of a Cancellation Notice from the student.
8. Community Barber Schools reserve the right to make refund payments in installments when the amount exceeds $500.
Student Initials_____
GROUNDS FOR TERMINATION
A student’s enrollment can be terminated at the discretion of institution for insufficient academic progress or non-payment of academic costs. Student Initials_____
EMPLOYMENT ASSISTANCE
Although placement assistance may be offered, the institution does not guarantee employment.
Student Initials_____
ACKNOWLEDGEMENT
This document and the catalog constitute a binding contract between the institution and the student, and no further modifications or representations, except as herein expressed by both parties, will be recognized.
Student Initials_____
CREDENTIAL AWARDED
Upon satisfactory completion of the program the student will be awarded a Diploma.
Student Initials_____
ADDITIONAL FEES
A $50.00 late fee will be charged if monthly tuition of $300.00 is not paid by end of the month.
Student Initials_____
A makeup fee of $250.00 may be charged per week at the discretion of institution, if any portion of the course is not completed by scheduled graduation date. Student Initials_____
DO NOT SIGN THIS CONTRACT BEFORE YOU HAVE READ IT OR IF IT CONTAINS ANY BLANK SPACES.
ALL SIGNERS HAVE RECEIVED AND READ A COPY OF THE BINDING DOCUMENT AND CATALOG
____________________________________ _____/_____/_____ __________________________________ _____/_____/_____
Signature of Applicant Date Signature of Parent/Guardian Date
(if under 18 years of age)
____________________________________ _____/_____/_____
Signature of School Official Date
Addendum: There will be a $25.00 re-enrollment fee assessed after 14 consecutive days (excluding holidays) and $25.00 late tuition payment fee for nonpayment after 30 days. Students on approved leave of absence are exempt.
Please contact Dr. Pitts, Director of Community Barber Schools to enroll in the following:
Full Barbering
VA Approved
904-962-5121
*** Please PRINT this page to fill it out and submit to the school.
