Educational Booklet

Educational Booklet

Student Information

Student Name:

Month:   Day:   Year:

Parent / Guardian Information

Program Enrollment & Schedule

Anticipated Start Date: Month:  Day:  Year:

 Pay in full at enrollment
 Monthly installment plan
 Apply for institutional scholarship/assistance

Textbooks, Materials, and Resources

Required textbooks, materials, and access credentials will be distributed according to program schedule. The student or guardian accepts responsibility for loss, damage, or replacement costs for issued materials.

Policies and Acknowledgments

Attendance Policy: Regular attendance and punctuality are essential. Excessive absences may affect course completion and grading. The student/guardian acknowledges responsibility to notify the program of absences in accordance with published timelines.  I acknowledge and accept the attendance policy.

Academic Integrity: All work submitted must be original or properly attributed. Academic dishonesty, including plagiarism and cheating, will result in disciplinary action up to dismissal from the program.  I acknowledge and agree to abide by academic integrity standards.

Code of Conduct: The student is expected to conduct themselves respectfully and lawfully. The program reserves the right to discipline or dismiss students whose behavior jeopardizes safety or learning.  I have read and will comply with the Code of Conduct.

Technology and Acceptable Use: Electronic resources are provided for instructional purposes. Unauthorized access, distribution of protected content, or harmful activity is prohibited.  I accept the technology use requirements.

Media Release: The program may photograph or record classes and events for educational and promotional use. By acknowledging, the student/guardian grants permission for non-exclusive use of likeness in print and media unless a written opt-out is submitted.  I consent to media capture and use as described.

Field Trips and Off-site Activities: Participation in supervised off-site activities is an educational component. The program will provide trip-specific notices; however, in signing this booklet the guardian provides general consent to participate subject to separate notifications and conditions.  I grant general consent for supervised field trips as described.

Health, Emergency Contact, and Medical Authorization

Medical Authorization: In the event of an emergency in which immediate medical treatment is required, the undersigned authorizes program staff to obtain necessary medical care, to transport the student by emergency vehicle if required, and to provide or authorize procedures reasonably necessary to safeguard the student's health. The undersigned agrees to assume financial responsibility for such care.  I authorize emergency medical treatment as described and accept financial responsibility if applicable.

Privacy and Records

Student Records: Educational and administrative records will be maintained in accordance with institutional policies governing student privacy. The institution may disclose directory information unless an opt-out is submitted in writing. By acknowledging below, the undersigned confirms understanding of recordkeeping, access rights, and information-sharing limitations imposed by policy.  I understand the student records policies and privacy protections.

Acknowledgment and Signature

Certification: By signing below, I certify that the information provided in this Educational Booklet is true and accurate to the best of my knowledge, that I have received and reviewed the policies and program materials included herein, and that I accept the responsibilities and consents indicated by my acknowledgments above. I further certify that I am authorized to sign on behalf of the student if the student is a minor.

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