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Apply to the Dental Assisting School of Tampa

Congratulations on taking the next step to advance your future! Please fill out the application below for our Dental Assistant Training Program. 

Dental Assisting Training Program Application

Student Enrollment Agreement


This agreement, together with the school catalog, constitutes a binding contract between the student and the school upon acceptance by the school.

Multi-line address
Date of Birth
Month
Day
Year
What course are you interested in?
How would you like to pay? (Tutition $3000)
Pay in full at time of enrollment
Deposit of $1200 at time of enrollment then $200.00 due each class
Deposit of $750 at time of enrollment then $250.00 due each class

Please read the following contract(s) below. Do not sign this contract before you have read it, or if it contains any blank spaces. All signers have received and read this binding document and catalog.


Cancellation and Refund Policy

Should a student’s enrollment be terminated or cancelled for any reason, all refunds will be made according to the following refund schedule:


1. Cancellations must be made in person, by E-Mail, by certified mail or by termination.

2. All monies will be refunded if the school does not accept the applicant or if the student cancels within (3) three business days after signing the Enrollment Agreement and making initial payment.

3. Cancellation after the third (3rd) business day, but before the first class, results in a refund of all monies paid, with the exception of the registration fee. (Not to exceed $150.00)

4. Cancellation after attendance has begun, through 40% completion of the program, will result in a Pro Rata refund computed on the number of hours completed to the total program hours.

5. Cancellation after completing more than 40% of the program will result in no refund.

6. Termination Date: In calculating the refund due to a student, the last date of actual attendance by the student is used in the calculation unless earlier written notice is received. 2

7. Refunds will be made within 30 days of termination of students’ enrollment or receipt of Cancellation Notice from student.

8. If a class should be cancelled by the school for any reason, all monies will be refunded to the student within 5 business days.

Grounds for Termination

A student’s enrollment can be terminated at the discretion of the institution for insufficient academic progress, non-payment of academic costs, or failure to comply with rules and policies established by the institution as outlined in the catalog and this agreement.


Employment Assistance

Although placement assistance may be offered, the institution does not guarantee employment.


Acknowledgement

This document and the catalog constitute a binding contract between the institution and the student and no further modification or representation except as herein expressed by both parties will be recognized.


Credential Awarded

Upon satisfactory completion of the program the student will be awarded a diploma for dental assisting.

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