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  • Dental Assisting Institute
    605 Standiford Avenue, Suite H
    Tel: (209) 527-0101 Fax: (209) 661-9005
    Info@dentalassistinginstitute.comDentalAssistingInstitute.com
  • Dental Assisting Institute - ENROLLMENT AGREEMENT

  • A. EDUCATIONAL SERVICE

  • Program: DENTAL ASSISTING
  • Total Clock Hours: 88
  • Enrollment Period Jan 1, 2018 through Dec. 31, 2018
  • Approximate No. of Weeks 11
  • Hours are from 8 to 5PM on Saturday.


  • B. ITEMIZATION & TOTAL TUITION FEES
    Application Fee:$ 250.00 Non-Refundable
    Books$675.00 Textbooks prices fluctuate depending on recent book editions and pricing changes by publishers. Non- Refundable
    Materials$ 400.00 Non- Refundable
    Student Tuition Recovery Fund Fee$ 0.00 Non- Refundable
    Tuition$ 3670.00 Prorated upon withdrawal. Refer to refund policy provision within this agreement
    ESTIMATED DUE FOR THE ENTIRE PROGRAM $ 4995.00
    TOTAL CHARGES FOR CURRENT PERIOD OF ATTENDANCE $ 4995.00
  • *YOU ARE RESPONSIBLE FOR THIS AMOUNT. IF YOU GET A STUDENT LOAN, YOU ARE RESPONSIBLE FOR REPAYING THE LOAN AMOUNT PLUS ANY INTEREST, LESS THE AMOUNT OF ANY REFUND.
    Additional Fees, as applicable: Return Check Fee: $50.00
    THE TERMS AND CONDITIONS OF THIS AGREEMENT ARE NOT SUBJECT TO AMENDMENT OR MODIFICATION BY ORAL AGREEMENT. I, THE UNDERSIGNED PURCHASER OF THE PROGRAM OF TRAINING, HAVE READ, UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS CONTAINED HEREIN AND WITH MY SIGNATURE I CERTIFY HAVING RECEIVED AN EXACT COPY OF THIS AGREEMENT, A COPY OF THE SCHOOL CATALOG AND SCHOOL PERFORMANCE FACT SHEET. I FURTHER ACKNOWLEDGE THAT NO VERBAL STATEMENTS HAVE BEEN MADE CONTRARY TO WHAT IS CONTAINED IN THIS AGREEMENT. THIS ENROLLMENT AGREEMENT IS A LEGALLY BINDING INSTRUMENT WHEN SIGNED BY THE STUDENT AND ACCEPTED BY THE SCHOOL.
    I understand that this is a legally binding contract. My signature below certifies that I have read, understood, and agreed to my rights and responsibilities, and that the institution’s cancellation and refund policies have been clearly explained to me.



  • C. PAYMENT STUDENT AGREES TO PAY ABOVE SPECIFIED FEES AS FOLLOWING:
  • Thereafter, each monthly payment will be due on the same day of the month as your first monthly payment. Our financial office is closed on Fridays. Any payment which falls due on a Friday must be received by 4.30PM on the preceeding Thursday. Consumer Loan Agreements: Dental Assisting Institute does not loan students funds to attend school. Students may voluntarily choose a Third Party Private Lending Institution to receive a loan to pay for the cost of Dental Assisting Institute’s programs. The third party lender is responsible to provide all disclosures to students according to the Truth in Lending Act of Title 15 of the United States Code.

  • D. REFUND POLICY

    STUDENT’S RIGHT TO CANCEL

    1. You have the right to cancel your agreement for a program of instruction, without any penalty or obligations, through attendance at the first class session or the seventh calendar day after enrollment, whichever is later. After the end of the cancellation period, you also have the right to stop school at any time; and you have the right to receive a pro rata refund if you have completed 60 percent or less of the scheduled days in the current payment period in your program through the last day of attendance.



  • 2. Cancellation may occur when the student provides a written notice of cancellation at the following address: Dental Assisting Institute, 605 Standiford Ave., Ste. H, Modesto, CA 95350. This can be done by mail or by hand delivery.

    3. The written notice of cancellation, if sent by mail, is effective when deposited in the mail properly addressed with proper postage.

    4. The written notice of cancellation need not take any particular form and, however expressed, it is effective if it shows that the student no longer wishes to be bound by the Enrollment Agreement.

    5. If the Enrollment Agreement is cancelled the school will refund the student any money he/she paid, less a registration or administration fee not to exceed $250.00, and less any deduction for equipment, within 45 days after the notice of cancellation is received.

    WITHDRAWAL FROM THE PROGRAM

    You may withdraw from the school at any time after the cancellation period (described above) and receive a pro rata refund if you have completed 60 percent or less of the scheduled days in the current payment period in your program through the last day of attendance. The refund will be less a registration or administration fee not to exceed $250.00, and less any deduction for equipment, within 45 days of withdrawal. If the student has completed more than 60% of the period of attendance for which the student was charged, the tuition is considered earned and the student will receive no refund.

    For the purpose of determining a refund under this section, this program is considered a 80 hour course, a student shall be deemed to have withdrawn from a program of instruction when any of the following occurs:

    • The student notifies the institution of the student’s withdrawal or as of the date of the student’s withdrawal, whichever is later.

    • The institution terminates the student’s enrollment for failure to maintain satisfactory progress; failure to abide by the rules and regulations of the institution; absences in excess of maximum set forth by the institution; and/or failure to meet financial obligations to the School.

    For the purpose of determining the amount of the refund, the date of the student’s withdrawal shall be deemed the last date of recorded attendance.

    The amount owed equals the daily charge for the program (total institutional charge, minus non-refundable fees, divided by the number of days in the program), multiplied by the number of days scheduled to attend, prior to withdrawal. If the student has completed more than 60% of the period of attendance for which the student was charged, the tuition is considered earned and the student will receive no refund.

    If any portion of the tuition was paid from the proceeds of a loan or third party, the refund shall be sent to the lender, third party or, if appropriate, to the state or federal agency that guaranteed or reinsured the loan. Any amount of the refund in excess of the unpaid balance of the loan shall be first used to repay any student financial aid programs from which the student received benefits, in proportion to the amount of the benefits received, and any remaining amount shall be paid to the student.
  • E. UNDERSTANDINGS

    1. Catalog: Information about Dental Assisting Institute is published in a school catalog that contains a description of certain policies, procedures, and other information about the school. Dental Assisting Institute reserves the right to change any provision of the catalog at any time. Notice of changes will be communicated in a revised catalog, an addendum or supplement to the catalog, or other written format. Students are expected to read and be familiar with the information contained in the school catalog, in any revisions, supplements and addenda to the catalog, and with all school policies. By enrolling in Dental Assisting Institute, the Student agrees to abide by the terms stated in the catalog and all school policies.

  • 2. All instruction takes place at 605 Standiford Ave., Ste. H, Modesto, CA 95350.

  • 3. I understand that I will be awarded a Certificate when I have completed all of the program requirements. A graduate must have passed each course and have satisfied all financial obligations.

  • 4. NOTICE CONCERNING TRANSFERABILITY OF CREDITS AND CREDENTIALS EARNED AT OUR INSTITUTION: The transferability of credits you earn at Dental Assisting Institute is at the complete discretion of an institution to which you may seek to transfer. Acceptance of the certificate you earn in the Dental Assisting program is also at the complete discretion of the institution to which you may seek to transfer. If the credits or certificate that you earn at this institution are not accepted at the institution to which you seek to transfer, you may be required to repeat some or all of your coursework at that institution. For this reason you should make certain that your attendance at this institution will meet your educational goals. This may include contacting an institution to which you may seek to transfer after attending Dental Assisting Institute to determine if your credits or degree or certificate will transfer.

  • 5. Placement Assistance: Placement assistance is provided. However, it is understood that the School does not and cannot promise or guarantee neither employment nor level of income or wage rate to any Student or Graduate.

  • 6. Limited English Speakers: If English is not the student's primary language, and the student is unable to understand the terms and conditions of the enrollment agreement, the student shall have the right to obtain a clear explanation of the terms and conditions and all cancellation and refund policies in his or her primary language.

  • 7.Questions: Any questions a student may have regarding this enrollment agreement that have not been satisfactorily answered by the institution may be directed to the Bureau for Private Postsecondary Education at 2535 Capitol Oaks Drive, Suite 400, Sacramento, CA 95833, www.bppe.ca.gov, toll-free telephone number (888) 370-7589 or by fax (916) 263-1897.

  • 8. Complaints: : A student or any member of the public may file a complaint about this institution with Bureau for Private Postsecondary Education by calling 888.370.7589 toll-free or by completing a complaint form, which can be obtained on the bureau’s Internet Web site, www.bppe.ca.gov.

  • 9. Financing: The Student understands that if a separate party is financing his/her education, that the Student, and the Student alone, is directly responsible for all payments and monies owed to the school listed on this agreement.


  • 10. Loan: If a student is eligible for a loan guaranteed by the federal or state government and the student defaults on the loan, both of the following may occur:

    a. The federal or state government or a loan guarantee agency may take action against the student, including applying any income tax refund to which the person is entitled to reduce the balance owed on the loan.

    b. The student may not be eligible for any other federal student financial aid at another institution or other government assistance until the loan is repaid.


  • 11.Student Tuition Recovery Fund Payment: You must pay the state-imposed assessment for the Student Tuition Recovery Fund (STRF) if all of the following applies to you:

  • 1. You are a student, who is a California resident, or are enrolled in a residency program, and prepay all or part of
    your tuition either by cash, guaranteed student loans, or personal loans, and

    2. Your total charges are not paid by any third-party payer such as an employer, government program or other payer unless you have a separate agreement to repay the third party.

  • You are not eligible for protection from the STRF and you are not required to pay the STRF assessment, if either of the following applies:

    1. You are not a California resident, or are not enrolled in a residency program, or

    2. Your total charges are paid by a third party, such as an employer, government program or other payer, and you have no separate agreement to repay the third party.

    The State of California created the Student Tuition Recovery Fund (STRF) to relieve or mitigate economic losses suffered by California residents who students were attending certain schools regulated by the Bureau for Private Postsecondary Education.

    You may be eligible for STRF if you are a California resident or are enrolled in a residency program, prepaid tuition, paid the STRF assessment, and suffered an economic loss as a result of any of the following:

    1. The school closed before the course of instruction was completed.

    2. The school’s failure to pay refunds or charges on behalf of a student to a third party for license fees or any other purpose, or to provide equipment or materials for which a charge was collected within 180 days before the closure of the school.

    3. The school’s failure to pay or reimburse loan proceeds under a federally guaranteed student loan program as required by law or to pay or reimburse proceeds received by the school prior to closure in excess of tuition and other cost.

    4. There was a material failure to comply with the Act or this Division within 30 days before the school closed or, if the material failure began earlier than 30 days prior to closure, the period determined by the Bureau.

    5. An inability after diligent efforts to prosecute, prove, and collect on a judgment against the institution for a violation of the Act.

  • NOTICE

    YOU MAY ASSERT AGAINST THE HOLDER OF THE PROMISSORY NOTE YOU SIGNED IN ORDER TO FINANCE THE COST OF INSTRUCTION ALL OF THE CLAIMS AND DEFENSES THAT YOU COULD ASSERT AGAINST THIS SCHOOL, UP TO THE AMOUNT YOU HAVE ALREADY PAID UNDER THE PROMISSORY NOTE.




    Prior to signing this enrollment agreement, you must be given a catalog or brochure and a School Performance Fact Sheet, which you are encouraged to review prior to signing this agreement. These documents contain important policies and performance data for this institution. This institution is required to have you sign and date the information included in the School Performance Fact Sheet relating to completion rates, placement rates, license examination passage rates, and salaries or wages, and the most recent three-year cohort default rate, if applicable, prior to signing this agreement.

  • I certify that I have received the catalog, School Performance Fact Sheet, and information regarding completion rates, placement rates, license examination passage rates, and salary or wage information, and the most recent three-year cohort default rate, if applicable, included in the School Performance Fact sheet, and have signed, initialed, and dated the information provided in the School Performance Fact Sheet.
    • Dental Assisting Institute
      605 Standiford Avenue, Suite H
      Tel: (209) 527-0101 Fax: (209) 661-9005
      Info@dentalassistinginstitute.comDentalAssistingInstitute.com
    • Dental Assisting Institute - ENROLLMENT AGREEMENT

    • A. EDUCATIONAL SERVICE

    • Program: DENTAL ASSISTING
    • Total Clock Hours: 88
    • Enrollment Period Jan 1, 2018 through Dec. 31, 2018
    • Approximate No. of Weeks 11
    • Hours are from 8 to 5PM on Saturday.


    • B. ITEMIZATION & TOTAL TUITION FEES
      Application Fee:$ 250.00 Non-Refundable
      Books$675.00 Textbooks prices fluctuate depending on recent book editions and pricing changes by publishers. Non- Refundable
      Materials$ 400.00 Non- Refundable
      Student Tuition Recovery Fund Fee$ 0.00 Non- Refundable
      Tuition$ 3670.00 Prorated upon withdrawal. Refer to refund policy provision within this agreement
      ESTIMATED DUE FOR THE ENTIRE PROGRAM $ 4995.00
      TOTAL CHARGES FOR CURRENT PERIOD OF ATTENDANCE $ 4995.00
    • *YOU ARE RESPONSIBLE FOR THIS AMOUNT. IF YOU GET A STUDENT LOAN, YOU ARE RESPONSIBLE FOR REPAYING THE LOAN AMOUNT PLUS ANY INTEREST, LESS THE AMOUNT OF ANY REFUND.
      Additional Fees, as applicable: Return Check Fee: $50.00
      THE TERMS AND CONDITIONS OF THIS AGREEMENT ARE NOT SUBJECT TO AMENDMENT OR MODIFICATION BY ORAL AGREEMENT. I, THE UNDERSIGNED PURCHASER OF THE PROGRAM OF TRAINING, HAVE READ, UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS CONTAINED HEREIN AND WITH MY SIGNATURE I CERTIFY HAVING RECEIVED AN EXACT COPY OF THIS AGREEMENT, A COPY OF THE SCHOOL CATALOG AND SCHOOL PERFORMANCE FACT SHEET. I FURTHER ACKNOWLEDGE THAT NO VERBAL STATEMENTS HAVE BEEN MADE CONTRARY TO WHAT IS CONTAINED IN THIS AGREEMENT. THIS ENROLLMENT AGREEMENT IS A LEGALLY BINDING INSTRUMENT WHEN SIGNED BY THE STUDENT AND ACCEPTED BY THE SCHOOL.
      I understand that this is a legally binding contract. My signature below certifies that I have read, understood, and agreed to my rights and responsibilities, and that the institution’s cancellation and refund policies have been clearly explained to me.



    • C. PAYMENT STUDENT AGREES TO PAY ABOVE SPECIFIED FEES AS FOLLOWING:
    • Thereafter, each monthly payment will be due on the same day of the month as your first monthly payment. Our financial office is closed on Fridays. Any payment which falls due on a Friday must be received by 4.30PM on the preceeding Thursday. Consumer Loan Agreements: Dental Assisting Institute does not loan students funds to attend school. Students may voluntarily choose a Third Party Private Lending Institution to receive a loan to pay for the cost of Dental Assisting Institute’s programs. The third party lender is responsible to provide all disclosures to students according to the Truth in Lending Act of Title 15 of the United States Code.

    • D. REFUND POLICY

      STUDENT’S RIGHT TO CANCEL

      1. You have the right to cancel your agreement for a program of instruction, without any penalty or obligations, through attendance at the first class session or the seventh calendar day after enrollment, whichever is later. After the end of the cancellation period, you also have the right to stop school at any time; and you have the right to receive a pro rata refund if you have completed 60 percent or less of the scheduled days in the current payment period in your program through the last day of attendance.



    • 2. Cancellation may occur when the student provides a written notice of cancellation at the following address: Dental Assisting Institute, 605 Standiford Ave., Ste. H, Modesto, CA 95350. This can be done by mail or by hand delivery.

      3. The written notice of cancellation, if sent by mail, is effective when deposited in the mail properly addressed with proper postage.

      4. The written notice of cancellation need not take any particular form and, however expressed, it is effective if it shows that the student no longer wishes to be bound by the Enrollment Agreement.

      5. If the Enrollment Agreement is cancelled the school will refund the student any money he/she paid, less a registration or administration fee not to exceed $250.00, and less any deduction for equipment, within 45 days after the notice of cancellation is received.

      WITHDRAWAL FROM THE PROGRAM

      You may withdraw from the school at any time after the cancellation period (described above) and receive a pro rata refund if you have completed 60 percent or less of the scheduled days in the current payment period in your program through the last day of attendance. The refund will be less a registration or administration fee not to exceed $250.00, and less any deduction for equipment, within 45 days of withdrawal. If the student has completed more than 60% of the period of attendance for which the student was charged, the tuition is considered earned and the student will receive no refund.

      For the purpose of determining a refund under this section, this program is considered a 80 hour course, a student shall be deemed to have withdrawn from a program of instruction when any of the following occurs:

      • The student notifies the institution of the student’s withdrawal or as of the date of the student’s withdrawal, whichever is later.

      • The institution terminates the student’s enrollment for failure to maintain satisfactory progress; failure to abide by the rules and regulations of the institution; absences in excess of maximum set forth by the institution; and/or failure to meet financial obligations to the School.

      For the purpose of determining the amount of the refund, the date of the student’s withdrawal shall be deemed the last date of recorded attendance.

      The amount owed equals the daily charge for the program (total institutional charge, minus non-refundable fees, divided by the number of days in the program), multiplied by the number of days scheduled to attend, prior to withdrawal. If the student has completed more than 60% of the period of attendance for which the student was charged, the tuition is considered earned and the student will receive no refund.

      If any portion of the tuition was paid from the proceeds of a loan or third party, the refund shall be sent to the lender, third party or, if appropriate, to the state or federal agency that guaranteed or reinsured the loan. Any amount of the refund in excess of the unpaid balance of the loan shall be first used to repay any student financial aid programs from which the student received benefits, in proportion to the amount of the benefits received, and any remaining amount shall be paid to the student.
    • E. UNDERSTANDINGS

      1. Catalog: Information about Dental Assisting Institute is published in a school catalog that contains a description of certain policies, procedures, and other information about the school. Dental Assisting Institute reserves the right to change any provision of the catalog at any time. Notice of changes will be communicated in a revised catalog, an addendum or supplement to the catalog, or other written format. Students are expected to read and be familiar with the information contained in the school catalog, in any revisions, supplements and addenda to the catalog, and with all school policies. By enrolling in Dental Assisting Institute, the Student agrees to abide by the terms stated in the catalog and all school policies.

    • 2. All instruction takes place at 605 Standiford Ave., Ste. H, Modesto, CA 95350.

    • 3. I understand that I will be awarded a Certificate when I have completed all of the program requirements. A graduate must have passed each course and have satisfied all financial obligations.

    • 4. NOTICE CONCERNING TRANSFERABILITY OF CREDITS AND CREDENTIALS EARNED AT OUR INSTITUTION: The transferability of credits you earn at Dental Assisting Institute is at the complete discretion of an institution to which you may seek to transfer. Acceptance of the certificate you earn in the Dental Assisting program is also at the complete discretion of the institution to which you may seek to transfer. If the credits or certificate that you earn at this institution are not accepted at the institution to which you seek to transfer, you may be required to repeat some or all of your coursework at that institution. For this reason you should make certain that your attendance at this institution will meet your educational goals. This may include contacting an institution to which you may seek to transfer after attending Dental Assisting Institute to determine if your credits or degree or certificate will transfer.

    • 5. Placement Assistance: Placement assistance is provided. However, it is understood that the School does not and cannot promise or guarantee neither employment nor level of income or wage rate to any Student or Graduate.

    • 6. Limited English Speakers: If English is not the student's primary language, and the student is unable to understand the terms and conditions of the enrollment agreement, the student shall have the right to obtain a clear explanation of the terms and conditions and all cancellation and refund policies in his or her primary language.

    • 7.Questions: Any questions a student may have regarding this enrollment agreement that have not been satisfactorily answered by the institution may be directed to the Bureau for Private Postsecondary Education at 2535 Capitol Oaks Drive, Suite 400, Sacramento, CA 95833, www.bppe.ca.gov, toll-free telephone number (888) 370-7589 or by fax (916) 263-1897.

    • 8. Complaints: : A student or any member of the public may file a complaint about this institution with Bureau for Private Postsecondary Education by calling 888.370.7589 toll-free or by completing a complaint form, which can be obtained on the bureau’s Internet Web site, www.bppe.ca.gov.

    • 9. Financing: The Student understands that if a separate party is financing his/her education, that the Student, and the Student alone, is directly responsible for all payments and monies owed to the school listed on this agreement.


    • 10. Loan: If a student is eligible for a loan guaranteed by the federal or state government and the student defaults on the loan, both of the following may occur:

      a. The federal or state government or a loan guarantee agency may take action against the student, including applying any income tax refund to which the person is entitled to reduce the balance owed on the loan.

      b. The student may not be eligible for any other federal student financial aid at another institution or other government assistance until the loan is repaid.


    • 11.Student Tuition Recovery Fund Payment: You must pay the state-imposed assessment for the Student Tuition Recovery Fund (STRF) if all of the following applies to you:

    • 1. You are a student, who is a California resident, or are enrolled in a residency program, and prepay all or part of
      your tuition either by cash, guaranteed student loans, or personal loans, and

      2. Your total charges are not paid by any third-party payer such as an employer, government program or other payer unless you have a separate agreement to repay the third party.

    • You are not eligible for protection from the STRF and you are not required to pay the STRF assessment, if either of the following applies:

      1. You are not a California resident, or are not enrolled in a residency program, or

      2. Your total charges are paid by a third party, such as an employer, government program or other payer, and you have no separate agreement to repay the third party.

      The State of California created the Student Tuition Recovery Fund (STRF) to relieve or mitigate economic losses suffered by California residents who students were attending certain schools regulated by the Bureau for Private Postsecondary Education.

      You may be eligible for STRF if you are a California resident or are enrolled in a residency program, prepaid tuition, paid the STRF assessment, and suffered an economic loss as a result of any of the following:

      1. The school closed before the course of instruction was completed.

      2. The school’s failure to pay refunds or charges on behalf of a student to a third party for license fees or any other purpose, or to provide equipment or materials for which a charge was collected within 180 days before the closure of the school.

      3. The school’s failure to pay or reimburse loan proceeds under a federally guaranteed student loan program as required by law or to pay or reimburse proceeds received by the school prior to closure in excess of tuition and other cost.

      4. There was a material failure to comply with the Act or this Division within 30 days before the school closed or, if the material failure began earlier than 30 days prior to closure, the period determined by the Bureau.

      5. An inability after diligent efforts to prosecute, prove, and collect on a judgment against the institution for a violation of the Act.

  • NOTICE

    YOU MAY ASSERT AGAINST THE HOLDER OF THE PROMISSORY NOTE YOU SIGNED IN ORDER TO FINANCE THE COST OF INSTRUCTION ALL OF THE CLAIMS AND DEFENSES THAT YOU COULD ASSERT AGAINST THIS SCHOOL, UP TO THE AMOUNT YOU HAVE ALREADY PAID UNDER THE PROMISSORY NOTE.




    Prior to signing this enrollment agreement, you must be given a catalog or brochure and a School Performance Fact Sheet, which you are encouraged to review prior to signing this agreement. These documents contain important policies and performance data for this institution. This institution is required to have you sign and date the information included in the School Performance Fact Sheet relating to completion rates, placement rates, license examination passage rates, and salaries or wages, and the most recent three-year cohort default rate, if applicable, prior to signing this agreement.

  • I certify that I have received the catalog, School Performance Fact Sheet, and information regarding completion rates, placement rates, license examination passage rates, and salary or wage information, and the most recent three-year cohort default rate, if applicable, included in the School Performance Fact sheet, and have signed, initialed, and dated the information provided in the School Performance Fact Sheet.