STUDENT ENROLLMENT AGREEMENT

Dental Careers of South Florida

2100 E. Hallandale Beach Blvd., Suite 409
Hallandale, FL 33009
PH (954) 456-9844--Fax (954) 456- 4272

Student Information

Name: _______________________________________________________

Address: _____________________________________________________

Telephone: (Home)___________________ (Business)__________________

Program Information

Program Title: _____________________________ Clock Hours ________

Class Schedule: ________________________________________________

Starting Date: __________________________________________________

Anticipated Ending Date: ________________________________________

Tuition and Financial Arrangements

The tuition for the DENTAL ASSISTING course of study offered by this institution is: $2995.00.
This covers all costs for the course including books and all supplies. Lunch is not provided, however
several eating establishments are within short walking distance.

The tuition may be paid using one of the following arrangements:

$2995.00 at the time of registration.

$995.00 down payment, then $200.00 at each class (10 payments). Payments are due at the beginning
of each class.

A $995.00 minimum down payment is required to reserve your place in the class.
Upon successful completion of the program, the school will assist each graduate with job placement.
However, the school does not guarantee employment or a specific starting wage upon graduation. A pin,
certificate, and letter of recommendation will be issued to each student who successfully completes the
program and satisfies all requirements.
 Refunds, Cancellations

Should a student’s enrollment be terminated or cancelled for any reason, all refunds will be made
according to the following refund schedule:
1. Cancellations must be made in person or by certified mail
2. All monies will be refunded if the school does not accept the applicant or if the student cancels
within (3) three business days after signing the Enrollment Agreement and making initial
payment.
3. Cancellation after the third (3rd) business day, but before the first class, will result in a refund of
all monies paid, with the exception of the administration fee.
4. Cancellation after attendance has begun, but prior to 40% completion of the program, will result
in a pro rata refund computed on the number of hours completed to the total program hours.
5. Cancellation after completing 40% of the program will result in no refund.
6. Termination Date: The termination date for the refund computation purposes is the last date of
actual attendance by the student unless earlier written notice is received.
7. Refund will be made within 30 days of termination or receipt of cancellation notice.
8. A student can be dismissed, at the discretion of the Director, for insufficient progress,
nonpayment of costs, or failure to comply with the rules.
9. Those wishing to cancel for illness or personal reasons may resume their course of study in the
next class series with no penalty and may repeat the already completed sessions if desired at no
additional charge or pick up where they left off.
10. For any program or course that is cancelled by the institution, the institution will refund the
tuition in full or apply the tuition to a future course depending on the wishes of the student.

GROUNDS FOR TERMINATION

I agree to comply with the rules and policies and understand the School shall have the right to
terminate this contract and my enrollment at any time for violation of rules and policies as outline
in the catalog. I understand that the School reserves the right to modify the rules and regulations,
and that I will be advised of any and all modifications.

GRADUATION REQUIREMENTS
I understand that in order to graduate from the program and to receive a diploma, I must
successfully complete the required number of scheduled clock hours as specified in the catalog
and on the Student Enrollment Agreement, pass all written and practical examination with a 70%
average and satisfy all financial obligations to the School.

EMPLOYMENT ASSISTANCE
I understand that the School has not made and will ot make any guarantees of employment or
salary upon my graduation. The School will provide me with placement assistance, which will
consist of identifying employment opportunities and advising me on appropriate means of
attempting to realize these opportunities.
Acknowledgement
1. I have received a copy of the Institution’s catalog before signing this enrollment agreement.
2. I have read and understand this enrollment agreement.
3. No verbal statements have been made to the contrary to my understanding what is contained in
this agreement
4. I understand that if I wish to cancel this agreement, I must do so in writing within 3 working days.
5. I agree to abide by the school’s policies as stated in my enrollment agreement and school catalog.

NOTICE TO BUYER: DO NOT SIGN THIS CONTRACT BEFORE YOU READ IT OR IF IT

CONTAINS ANY BLANK SPACES. YOU ARE ENTITLED TO AN EXACT COPY OF THE
CONTRACT YOU SIGN. KEEP IT TO PROTECT YOUR LEGAL RIGHTS.

________________________________________________________ __________________
Student Signature Date

________________________________________________________ __________________
School Official Date