Student Enrollment Agreement

Student Name: ______________________ Phone: ______________________
Company: ______________________ Pager: ______________________
Address: ______________________ e-mail: ______________________
Fax: ______________________


COURSES: DATES:
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Student and company agree that students are required to complete the entire program for which they have been enrolled. Students are required to give a cancellation notice of 7 days with a binding re-schedule date of equivalent hours (1 class cancellation per individual program is permitted). Failure to notify the training administrator of a cancellation within the given time will result in a charge to the company for the full cost of the particular training class at a rate of $216.00/training day). Failure to complete the "pre-determined" entire course of study will result in the company being liable for the full cost of the training program at a rate of $216.00/training day. Students must be employed by the company for at least 90 days following the last date of training. If a student attends training and is not retained by the company for at least 90 days after the last day of training then the company will be liable for the full cost of the student’s entire training program. (Please notify your program administrator as soon as a separation occurs). Students may not be concurrently enrolled in another ETP funded program; concurrent enrollment in another ETP funded program will result in the company being liable for the full cost of the student’s entire training program. * Note: students may enroll in workplace skills courses without your knowledge; ask your prospective attendees about their current training activities and if questions arise do not fail to apprise us in writing. Company will be liable for cost of training should it leave California within 3 years from the end of training date.

Student: ________________________ Manager: _______________________
Date: ______________ E-Mail: _______________________
Tel: _______________________
Date: _______________________