Personal Information - Part 1

Required fields are marked with *.

First Name: (Same as it appears on your Identification Social security) *

Last Name: (Same as it appears on your Identification Social security) *

E-mail Address: *

Phone: *

Street Address: *

City: *

State: *

Drivers License #: *

Soc. Security #: *

Date of Birth:

U.S. Citizen Y / N:
YESNO

Choose a campus:
Dallas Campus Hybrid (in person classes)Dallas Campus OnlineAllen Campus Hybrid (in person classes)Allen Campus Online

Dallas Campus Hybrid/Online schedule:
Day Schedule: Tues/Thu 8:30am-2:30pm & Sat 9:00am-4:00pmNight Schedule: Tue/Thu 4:00pm-9:00pm & Sat 9:00am-4:00pm

Allen Campus Hybrid/Online schedule:
Day Schedule: Wed/Friday 8:30am-2:30pm & Sat 7:00am-1:00pmNight Schedule: Wed/Friday 5:00pm-10:00pm & Sat 7:00am-1:00pm

School (High School): *

Year Graduated: *

City State of High School: *

Veterans Eligibility:

Referred By:

Comments:

Contract Costs and Payment Terms

Student and sponsor (if applicable) agree to pay the school the tuition and fees for the program selected according to the approved payment plan stated below. The school mat, at its option and without notice, prevent student from attending class until any applicable unpaid balance or payments are satisfied. The school will charge additional tuition for hours remaining after the contract ending date of $250 per week, or any part thereof, payable in advance until graduation. The school may charge a $10.00 transcript fee for transcript request. The school will charge a registration fee for students enrolling or transferring to the school of $500.00. The school will charge a re-entry fee to students who have withdrawn and wish to re-enter more than 30 days after termination of $325.00. The tuition rates current at the time of re-entry will apply to the balance of training hours needed for students who re-enroll more than 30 days after the formal withdrawal date unless mitigating circumstances apply. Methods of payment include full payment at time of signing the Enrollment Agreement, registration fee paid at the time of signing agreement with balance paid prior to start date or through an approved payment plan as stated herein. Payments may be made in cash, money order, credit card (no refunds on credit card) or through non-federal agency or loan programs. Students are responsible for paying the total tuition and fees for repaying applicable loans plus interest.

Schedule Information - Part 2

Student’s personal schedule is: *

Schedule: Student is scheduled to attend a total of ____ hours weekly. *

Number of Weeks to Complete Hours Contracted: *

Hours Contracted with the Institution: *

Day or Night Shifts:
DaysNights

Transfer/Re Entry Student/ Hours Accepted: *

Course to be enrolled in:
Lash Specialty License (320 Hours)Esthetics License (750 Hours)Manicurist License (600 Hours)Wig License (300 Hours)Weave License (300 Hours)Cosmetology Instructor License (500/750 Hours)

This 3 page Agreement constitutes a binding contract between the student and the school when signed by all applicable parties and upon acceptance by the school. By signing below, you certify that you have read both pages. You will receive an exact copy of the signed contract. Keep it to protect your rights. The school reserves the right to change start dates based on class enrollment, staff availability and other considerations. ACKNOWLEDGEMENT: My signature below certifies that I have read, understand, and agree to comply with its contents, and that the institution’s cancellation and refund policies have been clearly explained to me. I have received a copy of this fully executed agreement.

Confirmation - Part 3

I agree to the terms and conditions

Date:

Guardian / Sponsor/ Director (if applicable):
I agree to the terms and conditions

Date:

REFUND POLICY- NOTICE CANCELLATION

• For applicants who cancel enrollment within 3 days or students who withdrawal from enrollment a fair and equitable refund will be processed minus their registration fee. The following policy will apply to all terminations for any reason, by either party, including student decision, course or program cancellation, or school closure. Any monies due the applicant or students shall be refunded within 45 days of official cancellation or withdrawal except for non-refundable fees such as application and registration. Official cancellation or withdrawal shall occur on the earlier of the dates that:
• An applicant is not accepted by the school. The applicant shall be entitled to a refund of all monies paid.
• A student must notify the institution of his/her withdrawal in writing.
• If a student is on an approve leave of absence the student must notify the school if he/she will not be returning. The date of the withdrawal will be the earlier of the date of expiration of the leave of absence or the date the student notifies the institution they will not be returning.
• If a student is expelled by the school. (Unofficial withdrawals will be determined by the institution by monitoring attendance at least 30 days.) Be advised if a student is expelled by the school for any reason, including insubordination, the tuition is forfeited
• In type 2,3,4, or 5 official cancellations or withdrawals, the cancellation date will be determined by the postmark on the written notification, or the date said notification is delivered to the school administrator or owner in person.
• For students who enroll and begin classes but withdraw prior to course completion (after three business days of signing the contract) the following schedule of tuition earned by the school applies. All refunds will be calculated based on the students last date of attendance. Any monies due a student who withdraws shall be refunded within 30 days.
• Any student that receives a scholarship of any kind must complete hours as said scholarship is given with the expectation to maintain a 75% GPA and be present 75% of the time. 80% is required for all VA students.

All refunds will be calculated based on the students last date of attendance. Any monies due a student who withdraws shall be refunded within 45 days of a determination that a student has withdrawn, whether officially or unofficially. In the case of disabling illness or injury, death, in the students immediate family or other documented mitigating circumstances, a reasonable an fair refund settlement will be made. If permanently closed or no longer offering instruction after a student has enrolled, the school will provide a pro rata refund of tuition to the student’s enrollment.The school will either provide a full refund of all monies paid or completion of the course at a later time. If the course is cancelled after students have enrolled and instruction has begun, the school shall provide s pro rate refund for all students transferring to another school based on the hours accepted by the receiving school OR provide completion of the course OR participate I the Teach- Out Agreement OR provide a full refund of all monies paid.
Students who withdraw or terminate prior to course completion are charged a cancellation or administrative fee of $125.00. This refund policy applies to tuition and fees charged in the enrollment agreement . Other miscellaneous charges the student may have incurred at the institute ( EG extra kit, materials, books, products, unreturned school property, software etc.) will be calculated separately at the time of withdrawal. All fees are identified in the catalog and in this enrollment agreement.
There are NO refunds for any students who enroll in the in house “Reduced Tuition Program”
* The School is not currently eligible to participate in federal Title IV Financial Aid Program

GENERAL TERMS OF AGREEMENT

School
Shall provide program of study that meets minimum curriculum requirements as prescribed by the state regulatory agency.
May change kit contents, textbooks, dress code, curriculum format, teaching materials or educational methods at its discretion.
Will grant a diploma of graduation and Official Transcript of Hours for the applicable course when the student has successfully completed the program of study according to State requirements: completed all exit paperwork: attended an exit interviewing made satisfactory arrangements for payment of all debts owed to the school.
Will issue an Official Transcript of Hours to students who withdraw prior to program completion when the student has successfully completed the required exit paperwork, attended an exit interview and made satisfactory arrangements for debts owed the school as approved by the School.
Will assist graduates in finding suitable employment by posting area employment opportunities and teaching Job Readiness classes, but placement is NOT GUARANTEED.
May terminate a student’s enrollment for noncompliance with General Policies, this contract, or State Laws and Regulation: Improper conduct or any action which causes or could cause bodily harm to a client, a student or employee of the school: willfully destruction of school property: and theft or any illegal act.

Student
Student agrees that this is a cash pay school. There are not refunds on cash pay.
Agrees to pay applicable school and state fees and provide all required registration paperwork in a timely manner.
Agrees to comply with all Standards of Conduct, General Policies, State Laws and Regulations and educational requirements including clinic assignments.
Agrees not to refuse to perform client services or other program requirements.
Agrees to provide all financial aid documents, if applicable, in the designated time frame.
Agrees to comply with the schools dress code at all times and project a professional image representative of the cosmetology and image industry.
Agrees to comply with the assigned schedule for the applicable program of study which may change from time to time at the discretion of the school.
Agrees to attend theory class as scheduled for the duration go the course of study regardless of whether all required test have been taken and passed.
Understands that if he/she Is a Title IV financial aid recipient* minimum attendence and grade requirements must be maintained for satisfactory academic progress; failure to comply will result in loss of eligibility for financial aid according to the policy found in the catalog.
Understands the he/she is responsible for the state licensing exam fee and other examination or licensing related expenses.

This submission serves as your commitment and signature for registrations to Dallas Lash Academy.

Date: