MIM Enrollment Agreement

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MIM Enrollment Agreement (EA Form) 0421

Applicant Legal Name and Contact Information

First Name *

Middle Name

Last Name *

Date of Birth *

Contact phone *

Address *

Address

City

State

Zip/Postal

Email address *

Website

I am referred to School by *

A. Educational Service

Program Name: Master Certification in Intuition Medicine® (MIM)

Total Program Credit Hours: 1000 • Quarters: 4

Enrollment Agreement Period – Start Dates: May, September, January, April

Hours are from: 7pm to 9:30pm (Anatomy & Ethics: Tuesdays/Thursdays) / 7pm to 9:30pm (MIM: Tuesdays/Thursdays)

BE SURE TO READ THE ENTIRETY OF THIS AGREEMENT. IT IS PART OF YOUR CONTRACT WITH THE SCHOOL. *

Click checkbox to indicate you have read.

B. Itemization & Total Tuition Fees

Registration Fee	$100	Non-Refundable
Quarterly Tuition	$1,500	Prorated upon withdrawal. Refer to refund policy provision within this Agreement.

TUITION DUE UPON ENROLLMENT

$1,600

TUITION DUE PAYMENT PLAN: $1500 each Quarter: May, September, January & April

YOU ARE RESPONSIBLE FOR THIS AMOUNT. IF YOU GET A STUDENT LOAN, YOU ARE RESPONSIBLE FOR REPAYING THE LOAN AMOUNT PLUS ANY INTEREST, LESS THE AMOUNT OF ANY REFUND.

Other Fees, as applicable • Campus Programs: Late payment fee $25.

THE TERMS AND CONDITIONS OF THIS AGREEMENT ARE NOT SUBJECT TO AMENDMENT OR MODIFICATION BY ORAL AGREEMENT. I, THE UNDERSIGNED PURCHASER OF THE PROGRAM OF TRAINING, HAVE READ, UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS CONTAINED HEREIN. I FURTHER ACKNOWLEDGE THAT NO VERBAL STATEMENTS HAVE BEEN MADE CONTRARY TO WHAT IS CONTAINED IN THIS AGREEMENT. THIS ENROLLMENT AGREEMENT IS A LEGALLY BINDING INSTRUMENT WHEN SIGNED BY THE STUDENT AND ACCEPTED BY THE SCHOOL.

I understand that this is a legally binding contract. Checking the box and typing my full name below certifies that I have read, understood, and agreed to my rights and responsibilities and that the institution’s cancellation and refund policies have been clearly explained to me.

Student’s Agreement *

I have read, understood and now agree to these terms

Signature *

Date *

FMc
Signature and Title of School Official Accepting Enrollment — F. McCartney PhD, President