Enrollment Agreement 75 hour HCA Course (without Dementia and Mental Health Specialty Training)
Washington Care Academy
Address: 12910 SE 273rd ST Kent, WA 98030
Phone number: (206) 306-6588
This enrollment agreement is between the above named school and:
Course Start Date
The school agrees to provide the following training: Home Care Aide Training (HCA):
HCA Course (Orientation & Safety w/Nurse Delegation Core and 2 days skills class. This Course is for those who do Not need Dementia and Mental Health Specialty Training.
75 hour Home Care Aide Training (HCA) – 75 Hours
This agreement will be binding only when it has been fully completed, signed, and dated by the student and an authorized representative of the school prior to the time instruction begins.
CHANGES TO AGREEMENT NOTICE:
Any changes in the agreement will not be binding on either the student or the school unless such changes are acknowledged in writing by an authorized representative of the school and by the student, or student’s parent or guardian if he/she is a minor.
CANCELLATION AND REFUND POLICY:
(a) A student may request cancellation in any manner and upon such request for cancellation being received and recorded by the school demonstrating the last date of attendance and/or completion of a lesson.
(b) The following is a minimum refund policy for distance education courses without mandatory resident training:
If the student completes this percentage of lessons:
School may keep this percentage of tuition:
0% through 10%
11% through 25%
26% through 50%
More than 50%
Students must possess a High School Diploma, a General Education Development (GED) Diploma. Students must pass DSHS background check in order to receive license. For more information go to https://www.doh.wa.gov/LicensesPermitsandCertificates/ProfessionsNewReneworUpdate/HomeCareAide/LicenseRequirements
NOTICE TO BUYER:
Do not sign this agreement before you read it or if it contains any blank spaces. This is a legal instrument. All pages of this contract are binding. Read all pages before signing. You are entitled to an exact copy of the agreement, school catalog, and any other papers you may sign, and are required to sign a statement acknowledging receipt of those.
CANCELLATION OF CONTRACT:
If you have not started training, you may cancel this contract by submitting written notice of such cancellation to the school at its address shown on the contract. The notice must be postmarked no later than midnight of the fifth business day (excluding Sundays and holidays) following your signing this contract; the written notice may also be personally or otherwise delivered to the school within that time. In event of dispute over timely notice, the burden to prove service rests on the applicant.
UNFAIR BUSINESS PRACTICES:
It is an unfair business practice for the school to sell, discount, or otherwise transfer this contract or promissory note without the signed written consent of the student or his/her financial sponsors if he/she is a minor, and a written statement notifying all parties that the cancellation and refund policy continues to apply.
I certify that I read and understand the cancellation and refund policy and the complaint procedure (located later in this document); and upon request I am entitled to an exact copy of this enrollment agreement, school catalog, and any other papers I sign.
Authorized School Representative:
As the authorized representative of the school, I hereby agree to the conditions set forth herein.
Name: Faduma Mursal, RN, BSN:
Title: Director of Training
Phone Number: 206-306-6588
This school is licensed under Chapter 28C.10 RCW. Inquiries or complaints regarding this private vocational school may be made to the:
Workforce Board, 128 – 10th Ave. SW, Box 43105, Olympia, Washington 98504
E-Mail Address: firstname.lastname@example.org
NOTICE OF FINANCIAL OBLIGATION
Washington law requires the following information to be supplied to each student enrolling in a private vocational school licensed under Chapter 28C.10 RCW. One copy of this notice bearing original signatures must be attached by the school as addenda to that individual’s enrollment agreement, as well as a copy provided to the enrollee by the school.
ACKNOWLEDGMENT BY ENROLLEE
ACKNOWLEDGMENT BY SCHOOL
Prior to being enrolled in this school, the applicant whose name appears above has been made aware of the legal obligations he/she takes on by entering into a contract for training. Those discussions included cautions by the school about acquiring an excessive debt burden that might become difficult to repay given employment opportunities and average starting salaries in his/her chosen occupation.
HOW TO FILE A COMPLAINT
Washington law requires private vocational schools to inform students how to file a complaint. By signing this form you acknowledge this process has been explained to you. Below are the next steps the school must take in discussing this policy with you, along with information about the complaint process.
Discussion about complaint policy: First StepsBefore you file a complaint, you should make a good faith effort to resolve the problem by:
This school is licensed under Chapter 28C.10 RCW. Inquiries or complaints regarding this private vocational school may be made to:
Workforce Training and Education Coordinating Board
128 – 10th Avenue Southwest
Olympia, Washington 98504
ACKNOWLEDGMENT OF COMPLAINT PROCESS BY STUDENT
ACKNOWLEDGMENT BY STUDENT:
I acknowledge that details about the complaint process, my rights, and any restrictions on the time I have to file a complaint can be found at http://wtb.wa.gov/PCS_Complaints.asp
ACKNOWLEDGMENT BY SCHOOL:
Prior to being enrolled in this school, the applicant, whose name and signature appear above, has been made aware of the school’s complaint policy.
Your acceptance of these terms
By using this website, you signify your acceptance of this policy. If you do not agree to this policy, please do not use our site. Your continued use of the site following the posting of changes to this policy will be deemed your acceptance of those changes.
Leave this empty:
Your legal name
Your email address
Signed by Faduma Mursal ( Director of Training Washington Care Academy)
Signed On: November 25, 2021
If you have questions about the contents of this document, you can email the document owner.
Document Name: Enrollment Agreement 75 hour HCA Course (without Dementia and Mental Health Specialty Training)
Agree & Sign