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I. Enrollment Agreement
This agreement is made on between AUMT Institute (“School”) and (“Student”).
Certified Phlebotomy Technician I
Scheduled Start Date
Expected Completion Date
The didactic portion will be held each week, , beginning at (time) and ending at (time).
The externship will be Monday through Friday (holidays may or may not be accepted). Externship times and start dates will vary according to the student and externship availability.
The total hours for the program will be 88 hours.
II. Student Right to Cancel: Withdrawal, Termination, and Refunds
1. If the student withdraws from the school at any time after the start date of the class, no refunds will be issued. However, the student may request to take a leave of absence (LOA) for up to one year. To re-enroll after a leave of absence, the student must complete the enrollment process and pay the differences in tuition and other applicable fees.
2. The school has the right to withdraw a student for the following reasons and no refunds will be issued:
Not meeting minimum attendance requirements
Not returning from Leave of Absence
Not complying with the externship policy
Not completing the program within the Scheduled Completion Date
Not passing the class with a cumulative score of 75% or higher
III. Additional Information
NOTICE CONCERNING TRANSFERABILITY OF CREDITS AND CREDENTIALS EARNED AT OUR INSTITUTION
The transferability of credits you earn at AUMT Institute is at the complete discretion of an institution to which you may seek to transfer. Acceptance of the diploma you earn in 80 Hour Certified Phlebotomy Technician 1 (88 Hours) is also at the complete discretion of the institution to which you seek to transfer. If the diploma that you earn at this institution is not accepted at the institution to which you seek to transfer, you may be required to repeat some or all of your coursework at that institution. For this reason, you should make certain that your attendance at this institution will meet your educational goals. This may include contacting an institution to which you may seek to transfer after attending AUMT Institute to determine if your diploma will transfer.
IV. Schedule of Fees Paid to AUMT
Registration Fee (non-refundable) $0.00
Didactic Tuition + Externship $0.00
Total Tuition Due To The School $0.00
Total Institutional Charges Due To The School $0.00
V. Schedule of Fees Paid to Vendors by the Student
Certified Phlebotomy Technician I Exam Fee (NHA) 1st Exam $0.00
Certified Phlebotomy Technician I Exam Fee (NHA) 2nd Exam $129.00
CPT1 Application (LFS/DHS) $0.00
VI. . Externship
1. 40 hours of externship is a mandatory part of the Certified Phlebotomy Technician I Program. Externship sites are determined for each student by the Externship Coordinator, and each student must attend his/her assigned site. Every effort will be made to ensure that the externship site is within 50 miles of the school. Externship sites are scheduled during regular weekday working hours (usually 9:00 AM – 6:00 PM, M-Fri).
2. When a student has been placed in an externship site, their attendance is mandatory. If a student does not report to their scheduled externship site, they will be put on probation unless they provide acceptable evidence that supports their absence.
3. Students on probation will need speak with the campus manager to determine the next course of action and pay a $150 reinstatement fee to be placed for the externship site the second time.
4. Students may arrange their own externship assignments. However, the externship site must sign an agreement with AUMT before students start training.
I understand that this is a legally binding contract when signed by the student and accepted by the institution. My signature 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 Signature
Date
Lucy Erdene
Signature of Authorized School Representative
Date