Ethics Course Enrollment Application

ETHICS COURSE ENROLLMENT APPLICATION

Use this application to request enrollment in the Ethics course. Completion of this form and acceptance of the stated policies constitutes an agreement to the academic and financial terms set forth below. Incomplete applications may delay enrollment.

Student Information

Date of Birth:    Student ID (if known):

Course and Enrollment Details

Course Title:    Course Code/Section:

Credit Hours:    Intended Enrollment Term:

Course Start Date:    Preferred Section Time:

Academic Background & Prerequisites

Have you completed the stated prerequisites for this course?   Yes   No

Emergency & Medical Information

Parent / Guardian Information (if student is a minor)

Is student under 18 years of age?   Yes   No

Tuition, Fees and Payment

Payment Plan (select one):
Full Payment due prior to start    Installment Plan (institution-approved)    Scholarship / Sponsor (list below)

Policies & Acknowledgments

Academic Integrity: I affirm that I will adhere to the institution's academic integrity standards and will not engage in plagiarism, fabrication, cheating, or facilitation of academic dishonesty. Violations may result in academic sanction, including dismissal from the course.
I acknowledge and accept the Academic Integrity policy.

Attendance & Participation: Regular attendance and participation are essential. Excessive absences may result in loss of credit or failing grade. It is the student's responsibility to notify the instructor of anticipated absences in advance when possible.
I acknowledge and accept the Attendance & Participation requirements.

Withdrawal and Refund: Tuition refunds are governed by the institution's published schedule. A non-refundable seat reservation fee may apply. Withdrawal after course commencement may result in financial liability for the full tuition.
I have read and understand the Withdrawal and Refund terms.

Accessibility and Accommodations: Students with documented disabilities may request reasonable accommodations. Accommodations are granted following review and verification of documentation.
I request accommodations and will contact the office responsible for student services to submit documentation.

Privacy and Records: By submitting this application, I certify that the information provided is true and complete. I authorize the institution to use and disclose enrollment information as necessary for administrative, instructional, and financial purposes, subject to applicable confidentiality obligations.
I certify the information is accurate and consent to necessary disclosures for administrative purposes.

Additional Information

Certification

By signing below I certify under penalty of academic sanction and institutional recourse that all information provided on this application is true, complete, and accurate to the best of my knowledge. I accept financial responsibility for charges assessed in connection with this enrollment, unless otherwise documented by approved scholarship or sponsorship. I understand that acceptance into the course is subject to space availability and compliance with prerequisites and institutional policies.

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