Enrollment Medical Sales College

ENROLLMENT AGREEMENT — MEDICAL SALES COLLEGE

This Enrollment Agreement is entered into between Medical Sales College (the College) and the individual identified below. Student Name: Date of Birth: Student ID (if issued):

STUDENT CONTACT INFORMATION

EMERGENCY CONTACT & MEDICAL INFORMATION

I affirm that I am at least 18 years of age: If under 18, Parent/Guardian Name:

PROGRAM SELECTION & SCHEDULE

Program Code: Enrollment Status: Full-time Part-time

Program Start Date: Anticipated Completion Date:

TUITION, FEES AND PAYMENT TERMS

Tuition Amount: $ Registration Fee: $ Materials Fee: $

Payment Method: Cash Check Credit/Debit Card Third-party invoice

Pay in full prior to start date    Installment plan

Amount per Installment: $ First Payment Due:

Late payment fee: Returned check fee:

ADMISSIONS, ATTENDANCE & ACADEMIC POLICIES

Enrollment is conditioned upon meeting program prerequisites and submission of required documents. Attendance is mandatory for all scheduled classroom sessions and supervised practical activities. The student acknowledges that absences may affect certification eligibility and that make-up opportunities are at the discretion of the College.

The student will adhere to the College's code of conduct, professional standards, and ethical obligations. Any academic dishonesty, falsification of records, or unprofessional conduct may result in disciplinary action up to dismissal.

HEALTH, BACKGROUND CHECKS AND INSURANCE

Certain coursework may require proof of immunization, a criminal background check, and/or drug screening. The student consents to such requirements where applicable. The College does not provide health insurance; students are responsible for arranging their own coverage for injuries sustained during off-site clinical observations.

I consent to required background checks and drug testing where applicable:

RELEASES, USE OF RECORDS AND LIABILITY

The student authorizes the College to release academic records and enrollment information to third-party payers or certification bodies as necessary for program administration. The College uses photographs, recordings, and student testimonials for educational and promotional purposes; the student grants a non-exclusive license for such uses unless the student objects in writing prior to the start date.

The College makes reasonable efforts to provide safe training environments. The student releases the College from liability for injuries resulting from participation in off-site observation activities where the student has been informed of risks, except to the extent caused by the College's gross negligence or willful misconduct.

REFUND & TERMINATION POLICY

Student may cancel this agreement and receive a refund in accordance with the College's refund schedule: full refund of tuition less non-refundable registration fee if cancellation is received in writing prior to the start date; pro rata refunds within the initial period of instruction as defined by the College; no refund for services already completed beyond the defined refund period. Withdrawals, suspensions for cause, and administrative dismissals are governed by College policy.

ACKNOWLEDGMENTS & CERTIFICATIONS

By signing below, the student (or parent/guardian if student is a minor) certifies that the information provided is true and complete. The student acknowledges receipt of the program syllabus, tuition schedule, and the College's academic and conduct policies. The student understands that successful completion of the program does not guarantee licensure or employment.

SPECIAL ACCOMMODATIONS

I request the above accommodation(s) and understand the College may require documentation to process this request:

SIGNATURES

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