Dental Careers Development Center, LLC by mrl19919

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									                               Dental Careers Development Center, LLC
                        43974 North Gratiot Avenue, Clinton Township, MI 48036
                                      Office Phone: (586) 868-0336
                                          STUDENT CONTRACT
  Program Title: “PRACTICAL CONCEPTS IN DENTAL ASSISTING”
  Program Tuition: $2495.00 (The tuition covers all costs for the course and must be paid in full at the time of registration).
                                    (Meals are not provided; however, several eating establishments are within short driving distance).
  Course Description: The course will run ten (10) consecutive weeks, eight classroom hours per week for a total of eighty
  (80) classroom hours of instruction. This will include lecture material as well as clinical "hands on" training. In addition,
  there is approximately 40 hours of home study for an estimated total of about 120 course work hours.
       The tuition fee includes all of the following: (There are no hidden costs once you get started)

  ! Textbook: "Modern Dental Assisting”, Torres & Ehrlich, 8th Edition (Saunders)
  ! Textbook: "Concepts in Dental Assisting", Richard Erickson, DDS, 2nd, Edition (DCI Publishing)
  ! Use of all equipment and instrumentation, the computer lab, dental lab, and digital radiography system.
    (All equipment essential to the training is located at this facility.) Use of all training and visual aids, materi-
    als and dental supplies used in the clinical training. Lockers are available at no charge; however, students will
    need to provide their own locks to protect their personal property. Dental Careers Development Center, LLC
    cannot be held responsible for any theft or misplacement of students’ personal belongings on school property.
  ! A Certificate Of Achievement, Dental Assistant pin, and a letter of recommendation will be awarded to all stu-
    dents who have attained a grade average of 70% or above and have completed all of the course requirements.
    (Dental Careers Development Center, LLC is classified as a Proprietary School and is not accredited
    by the American Dental Association’s (ADA) Commission on Dental Accreditation. Therefore, the
    Certificate of Achievement only represents a student’s completion of this program’s requirements and
    will not be recognized by the Michigan Department of Community Health (MDCH) and Michigan Board of
    Dentistry as an official licensure for the title “Registered Dental Assistant (RDA)”. Students desiring to
    become a Registered Dental Assistant (RDA), which allows them to perform more expanded duties and
    functions, must complete an ADA accredited program which allows them to become eligible to take the
    Registered Dental Assistant (RDA) examination with the State of Michigan Board of Dentistry.)
  ! Training includes how to assist in procedures in all phases of General Dentistry such as Endodontics, Crown & Bridge,
    Cosmetic Dentistry, Restorative Dentistry, Oral Surgery, Orthodontics, Pediatric Dentistry and Periodontics. Students will
    also receive instruction on chairside assisting (4-handed techniques), dental anatomy, charting, operatory preparation and
    sterilization techniques, impressions, and front desk skills such as appointment scheduling, insurance billing, patient ac-
    counts receivable, and preparing patients’ computerized charts using practice management software. Students will learn
    how to construct a professional resume, and receive certification in Basic Life Support while learning about common dental
    office emergencies.
  ! Job Placement following completion of this program is not guaranteed. Dental Careers Development Center, LLC offers
      students job placement assistance with dental offices in the surrounding area (particularly in Macomb county).

  Refunds and Cancellations: After the first week of class, but prior to the second week of class, all but $375 will be
  refunded if cancellation is made. For cancellations during the second week of class through the fifth week of class,
  $250 per week will be charged plus $375 for the first week of class. Any remaining balance will be refunded. There
  will be no refunds after the fifth week of class. All tuition and fees paid by the applicant shall be refunded if the ap-
  plicant is rejected by the school before enrollment. An applicant fee of not more than $25.00 may be retained by the
  school if the applicant is denied. All tuition and fees paid by the applicant shall be refunded if requested within three
  business days after signing a contract with the school. All refunds shall be returned within 30 days.
     I have received and read the terms and conditions stated in the Student Contract, Student Admission Application Form, and the
  current School Catalog. I understand that signing this agreement constitutes a binding contract after written acceptance by the
  School Program Director. Changes in this contract may only be made by written consent of both parties.

          _____________________________________                                ________________________
                   Signature of Student                                                   Date
                                                     School Administrative Use Only
   I have received and reviewed all of the appropriate student application materials and hereby approve this student for enrollment in the
course: “Practical Concepts in Dental Assisting”. This contract officially becomes effective upon my signature on this date and no
changes will be made without written consent of both parties.
  Signature of Program Director: ____________________________________                 Course Number: ______________
                 Signature Date: _______________________                              Course Commencement Date: __________________
                     STUDENT ADMISSIONS APPLICATION FORM - 2008
Course Title: Practical Concepts In Dental Assisting                            Refer to School Catalog on Page #4 or on website in
                                                                                the section entitled “Upcoming Classes” for course
Course Number:     TT108       MW108           TT208            SA108           dates and enrollment deadlines.
(Select only one)
Payment Option: (Select only one)
                                                                                All Checks/Money Orders should be made payable to:
# $2495.00 Paid-in-Full      [ ] Certified Check      [ ] Money Order               Dental Careers Development Center, LLC
# CareCredit® Plan (application instructions below). I have selected the
  following CareCredit installment payment plan:                                All tuition and fees paid by the applicant shall be refunded
                                                                                if the applicant is rejected by the school before enrollment.
  # $416 per month (6 mos; no interest)
  # $117 per month (24 mos; at 11.9% APR)              Care                     An applicant fee of not more than $25.00 may be retained
                                                      Credit                    by the school if the applicant is denied. All tuition and fees
  # $83 per month (36 mos; at 11.9% APR)                                        paid by the applicant shall be refunded if requested within
                                                                                three business days after signing a contract with the school.
                                                                                All refunds shall be returned within 30 days.
#                               (Circle only one credit card option)
                                                                              Card Security
Credit Card #_____________________________________________Exp Date:___________Code (3 digits):__________
(or Care Credit #)
                                                                             Mail or FAX Completed and
Cardholder Signature:_______________________________________________________ Signed Student Contract
                                                                             and Student Admissions
   Name on Card:_________________________________________________________ Application Form along with
                                                                             form of payment to:
   Card Billing Address:____________________________________________________ Dental Careers
                                                                             Development Center, LLC
   City____________________________________State_______ZIP________________
                                                                             43974 N. Gratiot Ave
______________________________________________ Clinton Twp, MI 48036
                                                                                                      FAX : 586-868-0337
Student Name:_________________________________________(PRINT)
                                                                                                        How did you find out
                                                                                                        about our course?:
Address:__________________________________________________
                                                                                                         # Internet
City: ____________________________________Zip_______________                                            #     High School Co-Op
                                                                                                        #     Newspaper Ads
Phone #:__________________ Social Security # ______________________
                                                                                                        #      Former Student:
Student Signature: ____________________________Date:__________                                          __________________

Email address:______________________________________________                                            #     Other:

                 CareCredit Financing                                              Refunds and Cancellations
                Application Instructions                                | A graduation certificate, letter of recommendation,
You can apply for CareCredit financing in total privacy using           and pin will only be awarded to those students attaining a
one of the two methods below:                                           70% or above grade average. Those students whose
1. By Phone: Call 800-365-8295 and follow the automated                 grade average is below 70% will not receive a certificate
   prompts.                                                             but will be allowed to retake the entire course (within one
                                                                        year of initial enrollment date) at a reduced fee of $1495.
2. Online: Apply at www.carecredit.com Click “Apply Now”
   Under "Doctor's name or phone" put our phone #                       | After the first week but prior to the second week of
                     586-868-0336                                       class, all but $375.00 will be refunded if cancellation is
                                                                        made.
To insure approval, enter the fee (tuition) for the course when
asked ($2500), and make sure all information is correct, espe-          | For cancellations during Weeks 2 through 5, $250.00
cially social security numbers. Include ALL sources of house-           per week will be charged plus $375.00 for the first week.
hold income (salary, bonuses, alimony, investments). Consider           Any remaining balance will be refunded. There will be no
                                                                        refunds after the fifth week. Those wishing to cancel for ill-
using a co-applicant if your application is denied.
                                                                        ness or personal reasons may resume their course of
                                                                        study in the next class series with no penalty and may re-
Upon approval, you will be given a 16 digit number beginning            peat the already completed sessions if desired.
with “6”. Write this number in the “CareCredit #” space above,
complete the rest of the information requested and send in to
our address above or FAX it to 586-868-0337

								
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