Enrollment Agreement

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Fill out the Enrollment Agreement to reserve your spot

STUDENT ENROLLMENT AGREEMENT

STRAC Institute

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Form Name AC

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Current Date

Name*

First Last

Email*

Date of Birth*

Month

Day

Year

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DOB

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Age

Student Information

Address*

Street Address Apartment City State ZIP Code

Phone*

Social Security Number

Initial here to provide permission for STRAC Institute to conduct a background check***

** Credit Check performed by 3rd party provider GoodHire. The Summary of Your Rights Under the Fair Credit Reporting Act is attached

Emergency Contact Information

Emergency Contact Name*

Relationship*

Emergency Contact Email

Emergency Contact Phone Number*

Alternate Phone Number

Campus / Session

Campus*

Start Date*

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Start Date Format

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End Date

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Program Length Pass

Program Length*

Program Length

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Program Length.

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Tuition 16 Weeks

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Tuition 18 Weeks

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Tuition 20 Weeks

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Tuition

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Tuition int

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Scholarship

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Final Tuition

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Final Tuition Display

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Final Tuition No Scholarship

Are you a veteran?*

Yes

To qualify for STRAC® program, students will (check to acknowledge):*

Sign an Enrollment Agreement*

Sign an Enrollment Agreement

Submit a high school diploma or recognized equivalency*

Submit a high school diploma or recognized equivalency

Different funding types may have additional requirements, please speak to your admissions representative if you are unsure*

Different funding types may have additional requirements, please speak to your admissions representative if you are unsure

Establish employability by submitting to and passing a background check*

Establish employability by submitting to and passing a background check

Pay Tuition in full before their Start Date if not utilizing VA benefits*

Pay Tuition in full before their Start Date if not utilizing VA benefits

Veteran Checkboxes*

VR&E beneficiaries must be approved by their vocational rehabilitation counselor

Veteran Checkboxes*

GI Bill® beneficiaries must provide their Certificate of Eligibility

Veteran Checkboxes*

For GI Bill® benefit, proof of any post-secondary education is also needed

Fayetteville Checkboxes*

For North Carolina students, demonstrate proficiency on assessment

Internationally recognized certifications that students earn are:

IPC-A-610
IPC/WHMA-A-620
IPC J-STD-001
J-S TD-001 Space Addendum
IPC Electro-Static Discharge (ESD)
IPC Counterfeit Component Identification
EM1 - DC Basics
EM2 - AC Basics
EM3 - Analog Basics
EM4 - Digital Basics
EM5 - Comprehensive
Associate Certified Electronics Technician (CETa)
ETA Certified Electronics Technician, Industrial (CET IND)

Upon graduation, students will also receive a STRAC Institute Certificate of Completion.

STRAC Institute retains copies of all certifications and will be provided to the student free of charge upon written request.

Class Schedule:

STRAC Institute is a year-round training facility and welcomes all eligible students to begin immediately upon admission. The program is designed as a self-paced model within the allotted time frame. Classes run Monday through Friday, 8:00 AM to 4:30 PM.

Admission:

Date of Admission

Anticipated Start Date:

Anticipated End Date:

Actual Start Date

MM slash DD slash YYYY

if different from above

Student Initials:

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Start Date School Initials

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Date Amended:

MM slash DD slash YYYY

Actual End Date

MM slash DD slash YYYY

if different from above

Student Initials:

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End Date School Initials

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Date Amended:

MM slash DD slash YYYY

Note: In the event of a dispute or a school closure, the enrollment agreement must reflect the actual dates of attendance; therefore, if the start date of the program changes after this agreement is executed, the student’s agreement must be amended and initialed by both parties or reissued

Tuition:

STRAC Institute has one set program price, which includes tuition, uniforms, books, reference guides, lab materials, training consumables, and equipment. Graduates receive 13 internationally recognized certifications upon completion. To ensure a high probability of employment, STRAC Institute dedicates a full-time Director of Employment to work directly with employers so that students completing STRAC will be better matched for a successful career.

Tuition is

Tuition can be paid by a variety of methods, but not all students are eligible for all payment options. Please speak to your admissions representative if you are unsure of your options.

Please confirm your funding option below:*

Student Loan

Credit/Debit Card

ACH Bank Transfer

GI Bill®

VR&E

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Clock/Credit Hours

Refund Policies:

STRAC Institute has adopted its refund policies to comply with federal and state law (the “Policies”). The Policies apply to all STRAC Institute students. Refunds issued to service-disabled veterans will be processed in accordance with 38 U.S.C. Ch. 31, entitled “Training and Rehabilitation for Veterans with Service-Connected Disabilities.”

A student may terminate this agreement at any time. In the event a student wishes to terminate this agreement, he/she must provide notice to STRAC Institute in writing, such as by an email or a signed letter, of the student’s intent to terminate (the “Notice”). The Notice will become effective on the day the Notice is submitted. A student’s submission of the Notice to STRAC Institute is not intended to and may not satisfy a student’s obligation to inform the Veteran’s Office, Department of Veterans Affairs, and/or the Veterans Administration, or any of their respective representatives, agents or employees, of a student’s termination of his/her enrollment in the STRAC Institute program.

After receipt of the Notice, STRAC Institute will issue a refund based on the applicable refund policy as stated below:

Rhode Island Residents:

After receipt of the Notice, STRAC Institute will refund:

up to 100% of the tuition paid to STRAC Institute if the Notice is submitted prior to the end of the first week (5 days) that the student is enrolled at STRAC Institute
75% of the tuition paid to STRAC Institute if the Notice is submitted prior to the end of the fifth week 50% of the tuition paid to STRAC Institute if the Notice is submitted prior to the end of the tenth week that the student is enrolled at STRAC Institute
25% of the tuition paid to STRAC Institute if the Notice is submitted prior to the end of the fifteenth week that the student is enrolled at STRAC Institute
Following the fifteenth week of enrollment, no refund will be issued for early termination.
Refunds will be made within 30 days of termination of the student’s enrollment or receipt of a Cancellation Notice from the student.

North Carolina Residents:

After receipt of the Notice, STRAC Institute will refund:

100% of the tuition paid to STRAC Institute if the Notice is submitted prior to the end of the first week (5 days) that the student is enrolled at STRAC Institute
75% of the tuition paid to STRAC Institute if the Notice is submitted prior to the end of the fifth week, (25% of period of enrollment attended).
Following the fifth week of training, no refund will be issued for a student who leaves the course of instruction.
Refunds will be made within 30 days of termination of the student’s enrollment or receipt of a Cancellation Notice from the student.

Florida Residents:

After receipt of the Notice, STRAC Institute will refund:

all monies paid if the student cancels within three (3) business days after signing the enrollment agreement
all monies paid if the Notice is submitted prior to the end of the first week (5 business days) after attendance has begun
Cancellation after 5 days of attendance 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
Cancellation after completing more than 40% of the program will result in no refund.
Termination Date: When calculating the refund amount, the last date of actual attendance by the student is used in the calculation, unless earlier written notice is received.
Refunds will be made within 30 days of termination of the student’s enrollment or receipt of a Cancellation Notice from the student.
Formula for Proration of Refunds: Tuition/program clock hours=cost per hour

Acknowledgement

Student Policies Initials*

Your Initials

I have been provided a digital copy of the student handbook and policies.

Student Acknowledges and/or Agrees:

(Initial to acknowledge)

Ackn1*

Your Initials

That this enrollment agreement will not be in force and effect until signed by both the student and a school representative.

Ackn2*

Your Initials

To the refund policy as stated above.

Ackn3*

Your Initials

That coursework and/or credits and certificates from this school may or may not be transferable to other institutions of education and acceptance is at the discretion of such other educational institutions.

Ackn4*

Your Initials

That any changes, addendums, or additions made subsequent to the signing of the enrollment agreement must be in writing and signed by both the school and the student

Ackn5*

Your Initials

That I have signed for the student handbook, which contains information describing programs offered, and equipment/supplies provided and that my compliance with the student handbook is a condition of my enrollment in the school.

Ackn6*

Your Initials

That I have carefully read and received an exact copy of this enrollment agreement.

Ackn7*

Your Initials

That STRAC Institute may terminate my enrollment at any time if I fail to comply with attendance, academic, and financial requirements or if I fail to abide by established standards of conduct, as outlined in the school’s student handbook. While enrolled in the program, I understand that I must maintain satisfactory progress as described in the student handbook

Ackn8*

Your Initials

I understand that my financial obligation to the school must be approved and secured within five days of training and that the school, including but not limited to its affiliates, owners, officers, employees, agents and representatives, have no affiliation or connection with, financial or otherwise, any public or private lenders or lending institutions that may offer and/or provide financing related to the payment of any tuition, fees, costs or expenses related to enrollment in the school.

A Summary of Your Rights Under the Fair Credit Reporting Act

Para información en español, visite www.consumerfinance.gov/learnmore o escribe a la Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, DC 20552.

The federal Fair Credit Reporting Act (FCRA) promotes the accuracy, fairness, and privacy of information in the files of consumer reporting agencies. There are many types of consumer reporting agencies, including credit bureaus and specialty agencies (such as agencies that sell information about check writing histories, medical records, and rental history records). Here is a summary of your major rights under FCRA. For more information, including information about additional rights, go to www.consumerfinance.gov/learnmore or write to: Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, DC 20552.

You must be told if information in your file has been used against you. Anyone who uses a credit report or another type of consumer report to deny your application for credit, insurance, or employment – or to take another adverse action against you – must tell you, and must give you the name, address, and phone number of the agency that provided the information.

You have the right to know what is in your file. You may request and obtain all the information about you in the files of a consumer reporting agency (your “file disclosure”). You will be required to provide proper identification, which may include your Social Security number. In many cases, the disclosure will be free. You are entitled to a free file disclosure if:

a person has taken adverse action against you because of information in your credit report;
you are the victim of identity theft and place a fraud alert in your file;
your file contains inaccurate information as a result of fraud;
you are on public assistance;
you are unemployed but expect to apply for employment within 60 days.

In addition, all consumers are entitled to one free disclosure every 12 months upon request from each nationwide credit bureau and from nationwide specialty consumer reporting agencies. See www.consumerfinance.gov/learnmore for additional information.

You have the right to ask for a credit score. Credit scores are numerical summaries of your credit-worthiness based on information from credit bureaus. You may request a credit score from consumer reporting agencies that create scores or distribute scores used in residential real property loans, but you will have to pay for it. In some mortgage transactions, you will receive credit score information for free from the mortgage lender.

You have the right to dispute incomplete or inaccurate information. If you identify information in your file that is incomplete or inaccurate, and report it to the consumer reporting agency, the agency must investigate unless your dispute is frivolous. See www.consumerfinance.gov/learnmore for an explanation of dispute procedures.

Consumer reporting agencies must correct or delete inaccurate, incomplete, or unverifiable information. Inaccurate, incomplete, or unverifiable information must be removed or corrected, usually within 30 days. However, a consumer reporting agency may continue to report information it has verified as accurate.

Consumer reporting agencies may not report outdated negative information. In most cases, a consumer reporting agency may not report negative information that is more than seven years old, or bankruptcies that are more than 10 years old.

Access to your file is limited. A consumer reporting agency may provide information about you only to people with a valid need – usually to consider an application with a creditor, insurer, employer, landlord, or other business. The FCRA specifies those with a valid need for access.

You must give your consent for reports to be provided to employers. A consumer reporting agency may not give out information about you to your employer, or a potential employer, without your written consent given to the employer. Written consent generally is not required in the trucking industry. For more information, go to www.consumerfinance.gov/learnmore.

You may limit “prescreened” offers of credit and insurance you get based on information in your credit report. Unsolicited “prescreened” offers for credit and insurance must include a toll-free phone number you can call if you choose to remove your name and address form the lists these offers are based on. You may opt out with the nationwide credit bureaus at 1-888-5-OPTOUT (1-888-567-8688).

The following FCRA right applies with respect to nationwide consumer reporting agencies:

Consumers Have the Right To Obtain a Security Freeze

You have a right to place a “security freeze” on your credit report, which will prohibit a consumer reporting agency from releasing information in your credit report without your express authorization.The security freeze is designed to prevent credit, loans, and services from being approved in your name without your consent. However, you should be aware that using a security freeze to take control over who gets access to the personal and financial information in your credit report may delay, interfere with, or prohibit the timely approval of any subsequent request or application you make regarding a new loan, credit, mortgage, or any other account involving the extension of credit.

As an alternative to a security freeze, you have the right to place an initial or extended fraud alert on your credit file at no cost. An initial fraud alert is a 1-year alert that is placed on a consumer’s credit file. Upon seeing a fraud alert display on a consumer’s credit file, a business is required to take steps to verify the consumer’s identity before extending new credit. If you are a victim of identity theft, you are entitled to an extended fraud alert, which is a fraud alert lasting 7 years.

A security freeze does not apply to a person or entity, or its affiliates, or collection agencies acting on behalf of the person or entity, with which you have an existing account that requests information in your credit report for the purposes of reviewing or collecting the account. Reviewing the account includes activities related to account maintenance, monitoring, credit line increases, and account upgrades and enhancements.

You may seek damages from violators. If a consumer reporting agency, or, in some cases, a user of consumer reports or a furnisher of information to a consumer reporting agency violates the FCRA, you may be able to sue in state or federal court.

Identity theft victims and active duty military personnel have additional rights. For more information, visit www.consumerfinance.gov/learnmore.

States may enforce the FCRA, and many states have their own consumer reporting laws. In some cases, you may have more rights under state law. For more information, contact your state or local consumer protection agency or your state Attorney General.M

Contract Acceptance

I, the undersigned, have read and understand this agreement and acknowledge receipt of a copy. I acknowledge and agree that this agreement supersedes all prior verbal or written agreements, if any, and that this agreement may not be modified without the written agreement of me and the school. I also understand and agree that if I default under this agreement, I will be responsible for payment of any collection fees or attorneys’ fees incurred by STRAC Institute.

My signature below signifies that I have read and understand all terms of this agreement and intend to be bound by its terms.

Signature of Student*

Date

Name of Legal Guardian (if student is under 18 years of age):*

Signature of Legal Guardian*

Date

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School Signature

First Choice