Enrollment Agreement
The enrollment agreement is the contract signed between the student and the
institution. The agreement specifies the conditions under which the school will
provide instruction to the student. It also specifies all costs a student must pay in
order to enroll in a specific school program. A copy of the completed enrollment
agreement must be given to the student upon execution of the enrollment
agreement. The student and an authorized agent of the school must date and
sign the agreement prior to the time instruction begins.
In order to assist schools in developing enrollment agreements that comply with the
requirements of the Education Law and the Commissioner's Regulations, the
Department has developed a sample enrollment agreement. This enrollment
agreement meets all of the requirements set forth in law and regulations. In using
this form, a school must modify the information printed on each form, tailoring it to
include its own school and program information.
When languages other than English are used in the sales presentation, the modified
sample enrollment agreement shall be translated into the language of the
sales presentation. In submitting such enrollment agreements for approval, the
school must include a literal English translation of the foreign language
enrollment agreement as well as a notarized attestation from the translator
affirming the accuracy of the translation. If you have specific questions, contact
the Education Team liaison to whom you are assigned when you file your school
application and fee.
Please note that we are no longer requesting the entire social security number on
enrollment agreements due to issues of potential identity theft and securing student
information. However, Federal grants or loans may require that information.
SAMPLE ENROLLMENT AGREEMENT
Office Prep Business School
Madison Avenue, Suite 8111
Ozone Park, NY 11417 (718) 848-2468
Student Name:
Address:
Email Address:
Phone:
Last Four Digits of
ss#: XXX-XX-
D.O.B.:
The above listed school and student enter into agreement under which the student will pay tuition
and fees as indicated below as well as attest to receiving a copy of the school’s rules and
regulations as set forth in the school catalog. The school will instruct the student in the
curriculum listed below in accordance with Education Law and Commissioner’s Regulations.
Program Executive Secretary Bookkeeping Computer Programming
Hours 1500 950 1200
Tuition $7,500 $4,000 $6,000
Books $550 $200 $600
Non-Refundable
Registration Fee
$100 $100 $100
Total $8,150 $4,300 $6,700
Refund Policy 4 terms of 15 weeks each 2 terms of 18 and
17 weeks each
3 terms of 16 weeks each
Schedule: 9:00 a.m. – 3:00 p.m. M-F (Note: Accounting meets M-Th only)
5 hours daily, 25 hours weekly (20 hours weekly for Accounting)
Hours of School Operation: 9:00 a.m. – 6:00 p.m. M-F
Start Date: Expected Graduation Date:
Method of Payment: Initial Down Payment of $600 with weekly payments of $200 until balance
is paid.
Page 1 of 3
Refund Policy
A. A student who cancels within 7 days of signing the enrollment agreement receives all monies
returned with the exception of the non-refundable registration fee.
B. Thereafter, a student will be liable for
1. the non-refundable registration fee plus
2. the cost of any textbook or supplies accepted plus
3. tuition liability as of the student’s last date of physical attendance.
Tuition liability is divided by the number of terms in the program. Total tuition liability is limited
to the term during which the student withdrew or was terminated, and any previous terms
completed. As per Education Law 5002(3), the school catalog submitted for approval shall
indicate the amount of refund due the student in the event of withdrawal.
(a) First Term
If termination occurs School may keep Student Refund
Prior to or during the first week 0% 100%
During the second week 20% 80%
During the third week 35% 65%
During the fourth week 50% 50%
During the fifth week 70% 30%
After the fifth week 100% 0%
(b) Subsequent Terms
During the first week 20% 80%
During the second week 35% 65%
During the third week 50% 50%
During the fourth week 70% 30%
After the fourth week 100% 0%
(c). The student refund may be more than that stated above if the accrediting agency refund policy
results in a greater refund.
Although placement assistance services may be provided, the school cannot guarantee a job to any
student or graduate.
Page 2 of 3
By my signature, I agree to the conditions of this agreement. I also verify that I have read and
received a copy of this agreement and the school catalog.
Student Signature Date
The agent who enrolled me was:
Cert. #:
Student Signature
Date
I have received a copy of the Student Disclosure Material.
Student Signature - Date
Authorized Agent Signature_ - Date
‐‐‐‐‐‐‐‐END OF SAMPLE ENROLLMENT AGREEMENT‐‐‐‐‐‐‐‐
Page 3 of 3
What follows is a checklist which indicates all of the required components for an enrollment
agreement to be approved.
Satisfactory Unsatisfactory
(1) Ten (10) point type or larger (This is 10 point)
(2) Name of school
(3) Title of curriculum as approved
(4) Length of curriculum (approved hours)
(5) Schedule of sessions (hours/week) (hours/day)
(6) Hours of school operation
(7) Specific student daily schedule
(8) Student name, social security number, and date of birth
(9) Tuition, registration fee, other fees, total cost
(10) Method of payment
(11) Practical experience (externships)
(12) Placement assistance service
(13) Rules, regulations, etc.
(14) Agent names and certificate numbers
(15)
Student Disclosure Material – Acknowledgment
(16) Refund policy
(17) Reading level notice for ESL - vocational combined
programs
When developing your enrollment agreement(s), attempt to satisfy all of the requirements listed
above. If you have specific questions, contact the school’s assigned staff member from the BPSS
Education Unit.
