Dale Carnegie Training: Enrollment Agreement
Step 1 of 2 Steps

All fields in bold are required.

Personal Information


 
 



  (Please format mm/dd/yyyy)  






Integrated Postsecondary Education Data System Survey
The US Department of Education requires us to report the ethnicity and race of our students. These two optional questions permit you to self-identify you
r ethnicity and race. If you do not self-identify the law permits us to identify your race by observation.


If you are not Hispanic/Latino, please select one or more of the following:









Address Information
 

 

     
 


   
   

  




Enrollment Information




 

     


  (specify mm/yyyy and program)



 



Academic History
Did you (or will you) graduate from High School or did you receive your GED?




Colleges
  




Comments
Comments:  



Tuition Agreement
In consideration of my acceptance as a student by Sullivan University, I understand and agree to pay $7,580 in tuition and fees for the selected certificate program. The current tuition charge will remain in effect as long as I am continuously enrolled at Sullivan University; however, should I withdraw and return, the tuition in effect at that time will be charged.

I agree that the University may use my name and picture in University literature, publications, or advertising. The University reserves the right to reject any application for admission and will return the application fee if the application is rejected.

I understand that in addition to meeting the academic requirement of my program of study, I must have paid all financial obligations to the University. I understand that no transcripts or certificate will be released until all of the aforementioned obligations have been met.

All tuition paid in excess of these guidelines will be refunded. Any balances remaining unpaid will be due and payable by the last day of attendance each quarter. In no event will payments required for this or any quarter be payable in more than three (3) installments, including the down payment.

In the event that anticipated financial arrangements do not meet tuition cost, I realize that I am still responsible for such tuition and legal/attorney fees if legal action becomes necessary.

Federal Funding (Title IV) is not available for the SU/DC Certificates. Our Financial Planning Department will assist you with other funding options for which you may be eligible.

This agreement is not binding until the date of your entrance.



E-signature
By typing my initials in the box below, I agree to the terms outlined above, and I understand that making false statements and providing incomplete information may result in the cancellation of my admissions and/or registration. I certify that the information provided in this application is true and correct.
Initials:         Date:      

Electronic Signature Pad (Please sign your signature using your mouse)



Please take a minute to review the information above and make sure it is all correct.
A copy of this page will be emailed to you for your records.

Sullivan University is an equal opportunity institution and does not discriminate against persons because of race, age, religion, sex, handicap, color or national origin. Completion of related items is optional, however it will aid in the prompt processing of your application and will be used for federal, state and Affirmative Action reporting purposes.