Student Enrollment Agreement
Daytime Phone: ____________________ Home Phone:_____________________
Home Address: ____________________________________________________
City:____________________ State:_________ Zip:____________________
I, ____________________________, from
hereby agree to enroll in and complete ______ hours of training at BAVC within four months of my first day of class. In return for receipt of the training to be provided, I agree to attend all courses and lab time as scheduled, and to comply with the terms and conditions stated below:
contract is non-transferable.
training hours, once determined, cannot be decreased.
If I choose to continue my training beyond the hours agreed upon, my
Employer is responsible for payment.
· I must comply with all of BAVC’s practices and policies as stated in its workshop calendar and/or Student Handbook.
If I am
absent from any of my scheduled hours, my absence must be based on good cause,
and constitute no more than 20 percent of my total scheduled enrollment. I
understand that my Employer will be held responsible for payment should I
default on this Agreement.
fax an Add/Drop Form two weeks in advance to drop and/or reschedule a class or
my absence will be considered unexcused.
I understand the following:
· In order to qualify for this program, I must be a full-time, permanent employee with the ETP approved employer and earn equal to or more than $12.22 per hour (including benefits).
· In order to participate in training I must either be working for the ETP approved employer for 90 days prior to starting training or receive a waiver from ETP prior to starting training.
· My social security number will be used to track my enrollment and all participation in this ETP-funded program.
· I may participate in an ETP-funded retraining program at only one institution at a time. I will not enroll in ETP training at more than one training facility simultaneously.
company will incur the cost of my training should I not complete the assigned
training hours or if I should leave the company within 90 days of completing my
signature on the course attendance roster is the only means BAVC has to verify
my completion of that course. I agree to sign the attendance roster during every
course I attend.
to assist my employer in providing BAVC with a photocopy of my paycheck stub at
the end of the 90-day retention period.
leave my current employer I am required to contact BAVC immediately. If I
knowingly continue to take classes after leaving my current employer, I will be
held liable for the training expenses I incurred.
agree to all of the terms and conditions as stated above.
Print Name: First ____________ Middle Initial _____ Last
Date Hired _____________
Sex () Male () Female Disabled () Yes () No
() Yes () No
Veteran () Yes
Recipient () Yes
Wage or Yearly
For BAVC Use:
Training Start Date
_________ Job Number_____________ ____________ _