Kharan Witherspoon
/ 19312957
/ 19805989 / [1249554]
APPLICATION FOR ADMISSION
APPLICATION FOR:
Campus Location Colorado Technical University 4435 North Chestnut Street, Suite E Colorado Springs, CO 80907 8969
PERSONAL DATA
Applicant’s Full Legal Name: Home Address: 4730 Carlie Dr. City: MOBILE Phone 1: 251-431-9377 State: AL Phone 2: Country: US 251-431-9377 Postal Code: 36619 First (Given) Name Kharan Last (Family) Name Witherspoon Middle Initial SSN #: xxx-xx-4884
Primary Email: kwspoon27@gmail.com U.S. Citizen? Yes No Yes (if yes, send copy of green card) Yes No Yes No No
Legal Permanent Resident? Is English your first language?
Have you ever been convicted of a criminal offense (other than minor traffic offenses)? If yes, please describe:
EDUCATIONAL RECORD
Name of High School / Secondary School: John L. Leflore City: Mobile Please list all colleges/universities previously attended: Name Southwest Bishop State Community College City Mobile State AL Dates of Enrollment 1999 - 2000 State: AL Date of Graduation: 1996
I certify that the above information is true and correct and make application for admission to this institution. I understand that the institution does not guarantee employment or salary.
Electronic Signature on File Applicant’s Signature 12/05/2014 Date
Colorado Technical University
4435 North Chestnut Street, Suite E * Colorado Springs, CO 80907 * Tel:(800)416-8904 * enroll.coloradotech.edu
Application For Admission Eff. 6/30/11
Kharan Witherspoon
/ 19312957
/ 19805989 / [1249554]
I would like to refer the following family members/friends to Colorado Technical University:
Name City State Home Phone Work Phone E-Mail Address
CTU does not discriminate on the basis of race, gender, sexual orientation, religion, creed, color, national origin, ancestry, marital status, age, disability, or any other factor prohibited by law in the recruitment and admission of students, the operation of any of its educational programs and activities, and the recruitment and employment of faculty and staff. The Chief Academic Officer serves as the compliance coordinator for Title IX of the Educational Amendments of 1972 and Section 504 of the Rehabilitation Act of 1973, which prohibit discrimination on the basis of sex or handicap.
For Official Use Only: 1113959920021417816915380 | Kharan Witherspoon | 1740828
Colorado Technical University
4435 North Chestnut Street, Suite E * Colorado Springs, CO 80907 * Tel:(800)416-8904 * enroll.coloradotech.edu
Application For Admission Eff. 6/30/11
Kharan Witherspoon
/ 19312957
/ 19805989 / [1249554]
ENROLLMENT AGREEMENT
Applicant Name Kharan Witherspoon Address 4730 Carlie Dr. Telephone (Primary phone) 251-431-9377 Email address kwspoon27@gmail.com
Are you at least 18 years of age? Yes No
Date 12/05/2014 City MOBILE State AL Zip 36619 Telephone (Secondary phone) 251-431-9377 Social Security Number xxx-xx-4884
Program: Credits:
BSBA-Project Management Concentration
180.00 01/04/15
Weeks:
154.00 06/26/18
Date of first class
Anticipated Completion Date
The time frames provided are based on full-time student status for a normally progressing student. The actual time frame for completion can vary depending on the individual.
TUITION AND FEES Tuition TOTAL TUITION AND FEES $58,500.00 $58,500.00
The cost for this program at Colorado Tech Inc., d/b/a Colorado Technical University ("CTU") is provided above, subject to the terms and policies as stated in this Enrollment Agreement ("Agreement"). The tuition noted above is for the entire program. Military tuition rates are not bundled with course materials, books, or fees. I understand that I will be charged tuition and fees at rates established by CTU and published in an addendum to the catalog and that I am fully responsible for the payment of the tuition and fees charged by CTU. The tuition and fees may be subject to change; CTU evaluates institutional tuition and fee rates periodically. Tuition rates may also vary depending on my enrollment status. Total program tuition is based upon the total number of credits in a degree program. The total number of credits taken at CTU may vary due to transfer credits, block transfer, or repeated courses. Tuition is billed on a quarter basis (the terms "quarter" and "term" are used interchangeably in this Agreement). Tuition costs will vary depending on the number of credits taken during each term. Program tuition is charged per credit hour each quarter throughout the student's program, and is charged at the beginning of each quarter. Each academic term is 11 weeks, and consists of two 5 1/2 week sessions. Fees include a custom suite of course materials which are provided to the student by Words of Wisdom, LLC. At CTU's discretion, books may be delivered in an electronic (e-Book) or standard textbook. I understand that it is my sole responsibility to ensure that all tuition and fees for each term are paid by me or funded from financial aid sources, which may include a cash payment agreement with CTU, prior to beginning that term. I understand it is my sole responsibility to ensure that all financial aid paperwork has been completed; my financial obligation will not be released due to incomplete paperwork. For a detailed breakdown of my financial plan, I must refer to my financial aid award letters and/or cash payment agreements. If I leave school for any reason (other than an approved leave of absence) and return at a later date, I will be charged tuition at the rate in effect at the time of my return as well as any applicable reinstatement fee. I understand that I am not released from any of my obligations or commitments to CTU if I leave the school for any reason or if I am not satisfied with the services provided. I also understand that if I am in default of my obligations under this Agreement and my account is referred to a collection agency or an outside attorney to collect the outstanding balance, I will pay the costs of collection, including reasonable attorney's fees, to the extent permitted by state law.
BE SURE TO READ ALL PAGES OF THIS AGREEMENT AS THEY ARE ALL PART OF YOUR CONTRACT WITH THE UNIVERSITY.
I ACKNOWLEDGE THAT I HAVE RECEIVED AND READ THIS PAGE: Place student's initials in box
KW
12/05/2014 Place parent's initials in box
Page 1 of 9 Colorado Technical University
10/9/13 - 0561791
4435 North Chestnut Street, Suite E * Colorado Springs, CO 80907 * Tel: (800)416-8904 * enroll.coloradotech.edu
Kharan Witherspoon
/ 19312957
/ 19805989 / [1249554]
Cancellation: A Student who cancels this Agreement prior to the Student's first day of class attendance will receive a refund of all monies paid (WI residents varies, see WI Customers Right To Cancel section of enrollment agreement for details). If this Enrollment Agreement is not accepted by the University or if the University cancels this Agreement prior to the first day of class attendance, all monies paid will be refunded. All requests for cancellation by the Student should be made in writing and mailed or e-mailed to the Student Affairs Department. Institutional Refund Policy: For students attending campuses in locations without state refund policies, refunds will be calculated in accordance to the Institutional Refund Policy. Funds will be returned following the same hierarchy as the Return of Title IV Funds policy, followed by other aid sources (e.g., private loans), and then the student. Effective July 1, 2011, tuition refunds for students who are residents of Alabama and Wisconsin will be calculated in accordance with the refund policy in the state in which they reside. For all other students attending Colorado Technical University, refunds will be calculated in accordance with the Institutional Refund Policy. Refund Calculation: Number of days remaining in quarter after withdrawal date ÷ Total number of days in the quarter = % of Refund The University will return eligible funds in the following order of priority: 1. 2.
Funds initially will be returned consistent with the Return of Title IV Policy. Following the application of the Return of Title IV Policy, any remaining eligible funds received from other sources of financial aid (e.g. private loans) would be returned, and Following the return of funds to any other sources of financial aid, any remaining eligible funds would be returned to the student.
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For students withdrawing from the University: First Session - During the first week of each session, students must participate at least once in a class related activity. If a student does not participate in a class related activity during the first week of the session, the student is administratively withdrawn from the University. The last date of the students previous grading period is used for tuition refund calculations. After the first week, if a student does not participate in a class related activity at least once every 15 calendar days within a session he/she is administratively withdrawn from the University. Students withdrawing between the add/drop week and the end of the fourth week of the first session will have an adjustment of tuition calculated according to the following formula: Number of days remaining in quarter after withdrawal date ÷ Total number of days in the quarter = % of Refund Second Session - Once a student enters the 2nd session of a quarter, following the designated add/drop week, there will be no refund of tuition. After the first week, if a student does not participate in a class related activity at least once every 15 calendar days within a session he/she is administratively withdrawn from the University. Refund Policy (Alabama and Iowa Residents Only) In the event that a student withdraws or is dismissed from all classes during the quarter, tuition refunds are calculated based on the student’s last date of recorded attendance, divided by the total days in the University’s quarter. Alabama and Iowa Hypothetical Refund Example: At the time of the last day of recorded attendance, the student has been charged $3,000 in tuition for the quarter, and has attended 31 of the total 77 days (46 days remaining in the quarter). Tuition charges will be reduced by $1,792 (46/77 times $3000). The student is responsible for $1208. Refund Policy for Wisconsin Residents Only In the event that a student withdraws or is dismissed from all classes during the quarter, refunds of tuition and fees will be calculated according to the following schedule:
BE SURE TO READ ALL PAGES OF THIS AGREEMENT AS THEY ARE ALL PART OF YOUR CONTRACT WITH THE UNIVERSITY.
I ACKNOWLEDGE THAT I HAVE RECEIVED AND READ THIS PAGE: Place student's initials in box
KW
12/05/2014 Place parent's initials in box
Page 2 of 9 Colorado Technical University
10/9/13 - 0561791
4435 North Chestnut Street, Suite E * Colorado Springs, CO 80907 * Tel: (800)416-8904 * enroll.coloradotech.edu
Kharan Witherspoon
/ 19312957
/ 19805989 / [1249554]
Week of the Quarter Student's Last Date of Attendance During the first week of the instruction of the program* During the first academic week During the second academic week During the third academic week During the fourth academic week During the fifth academic week During the sixth academic week
Student's Quarter Tuition Refund 100% 90% 80% 70% 60% 50% 40%
After the sixth academic week 0% *This applies to a new student's right to cancel in the first week of their program quarter of attendance only.
Online Course Withdrawal For students withdrawing from a course, but not from all courses in the University: First Session - During the first week of a student’s first session, no tuition charges will be assessed for a dropped course. Once a student enters the second week of the first session, there will be no tuition adjustment for a dropped course. Second Session - During the first week of a student’s second session, no tuition charges will be assessed for a dropped course. Once a student enters the second week of the second session of a quarter a student may still drop one course,there will be no tuition adjustment for a dropped course. Return of Title IV Funds Policy CTU follows the federal Return of Title IV Funds Policy to determine the amount of Title IV aid a Student has received and the amount, if any, which needs to be returned at the time of withdrawal. Under current federal regulations, the amount of aid earned is calculated on a pro rata basis through 60% of the term. After the 60% point in the term, a Student has earned 100% of the Title IV funds. The University may adjust the Student's account based on any repayments of Title IV funds that the University was required to make. For details regarding this policy, please see the University catalog.
Policies and Disclosures 1. Catalog: Information about CTU is published in a catalog that contains a description of certain policies, rules, procedures, and other important disclosures and information about CTU and the educational programs offered. CTU 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 University catalog, in any revisions, supplements and addenda to the catalog, and with all University policies. By enrolling in CTU, the Student agrees to abide by the terms stated in the catalog and all University policies.
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Changes: CTU reserves the right to make changes at any time to any provision of the catalog, including the amount of tuition and fees, academic programs and courses, University policies and procedures, faculty and administrative staff, the University academic calendar and other dates, and other provisions. CTU also reserves the right to make changes in equipment and instructional materials, to modify curriculum, and when size and curriculum permit, to combine classes.
BE SURE TO READ ALL PAGES OF THIS AGREEMENT AS THEY ARE ALL PART OF YOUR CONTRACT WITH THE UNIVERSITY.
I ACKNOWLEDGE THAT I HAVE RECEIVED AND READ THIS PAGE: Place student's initials in box
KW
12/05/2014 Place parent's initials in box
Page 3 of 9 Colorado Technical University
10/9/13 - 0561791
4435 North Chestnut Street, Suite E * Colorado Springs, CO 80907 * Tel: (800)416-8904 * enroll.coloradotech.edu
Kharan Witherspoon
3.
/ 19312957
/ 19805989 / [1249554]
Elimination of Classes: CTU reserves the right to cancel or postpone a scheduled class start when the number of students scheduled to start the program is not sufficient as determined by the University. If the Student does not choose to change to a different start date, the Student will be eligible for a full refund. Transfer of Credits: The awarding of credit for coursework completed at any other institution is at the sole discretion of CTU. Additionally, CTU does not imply, promise, or guarantee that any credits earned at the University will be transferable or accepted by any other institution. It is the Student's obligation to ascertain in advance of enrollment whether a possible recipient institution will recognize a course of study or accept credits earned at the CTU. Success of Student: The Student's individual success or satisfaction is not guaranteed, and is dependent upon the Student's individual efforts, abilities and application of himself/herself to the requirements of CTU. The undersigned acknowledges receipt of the University's Hardware/Software Requirements and Student Software Agreement. The student has regular access to a computer that meets these specifications as required for the degree program of study and agrees to adhere to the requirements of the Student Software Agreement. Graduates/completers who obtain employment after graduation typically start out in an entrylevel position. Career advancement and the success or satisfaction of an individual student are not guaranteed and depend on a variety of factors including, without limitation, a Student's abilities, personal efforts, employer and the economy. Career advancement assistance for a specific industry position may be enhanced by the education received but will depend on an individual's abilities, attitude, and prior relevant experience as well as the economy and local job market. Student's Failure to Meet Obligations: CTU reserves the right to terminate the Student's enrollment for failure to maintain satisfactory academic progress, failure to pay tuition or fees by applicable deadlines, disruptive behavior, posing a danger to the health or welfare of students or other members of the University community, conviction of a crime, failure to abide by University policies and procedures or any false statements in connection with this enrollment. CTU can discontinue the student's enrollment status, not issue grades, and deny requests for transcripts should a student not meet all of his/her financial and institutional obligations or for any false statements in connection with this enrollment. Employment: CTU does not guarantee employment or career advancement following graduation but does offer career planning assistance to students and graduates as described in the catalog. Some job or internship/externship opportunities may require substantial travel, background checks, and/or drug testing prior to employment. Applicants with factors such as a prior criminal background or personal bankruptcy or a failed drug test may not be considered for internship/externship or employment in some positions. Employment and internship/externship decisions are outside the control of CTU. Graduates of some programs may require additional education, licensure, drug testing and/or certification for employment in some positions. CTU maintains information in its Career Services offices regarding the specific initial employment that its graduates obtain. It is available to students to review upon request. No Salary Representations: CTU does not make any representations or claims to prospective or current students regarding the starting salaries of its graduates or the starting salaries of jobs in any field of employment. The salaries that may be earned by any particular graduate/completer are subject to many variables including, among other things, the student's abilities, efforts and prior relevant experience as well as the needs in the industry, the economy, and the local job market for the employment and freelance opportunities sought by the student. By signing this form, the Student confirms that s/he has not been promised anything about salaries and that the Student has not relied on anything heard or read from CTU regarding anticipated salaries in deciding to enroll at CTU and/or deciding to continue to attend. Virtual Graduation: The undersigned understands that graduation from the online degree program carries with it the opportunity to participate in an online graduation ceremony at no additional cost to the graduate. Graduates from the online degree programs also have the option of participating in a physical commencement exercise at times, dates and locations designated by the University based on availability and timely receipt of application fee. Physical commencement exercise sites include, but are not limited
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BE SURE TO READ ALL PAGES OF THIS AGREEMENT AS THEY ARE ALL PART OF YOUR CONTRACT WITH THE UNIVERSITY.
I ACKNOWLEDGE THAT I HAVE RECEIVED AND READ THIS PAGE: Place student's initials in box
KW
12/05/2014 Place parent's initials in box
Page 4 of 9 Colorado Technical University
10/9/13 - 0561791
4435 North Chestnut Street, Suite E * Colorado Springs, CO 80907 * Tel: (800)416-8904 * enroll.coloradotech.edu
Kharan Witherspoon
/ 19312957
/ 19805989 / [1249554]
to, Colorado Springs, CO, Denver, CO, Sioux Falls, SD, and Kansas City, MO. Such times, dates, and locations are subject to change. Any and all costs incurred in connection with attending a physical commencement exercise will be the sole responsibility of the graduate.
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Use of Images and Works: The undersigned agrees that the CTU may use his/her name, voice, image, likeness, and biographical facts, and any materials produced by the Student while enrolled at CTU, without any further approval or payment, unless prohibited by law. The undersigned acknowledges that the foregoing permission includes the right to tape and photograph him or her and to record his or her voice, conversation and sounds for use in any manner or medium in connection with any advertising, publicity, or other information relating to CTU. Non-Discrimination: Colorado Technical University does not discriminate, or tolerate discrimination against any member of its community on the basis of race, color, national origin, ancestry, sex/gender, age, religion, disability, pregnancy, veteran status, marital status, sexual orientation, or any other status protected by applicable federal, state or local law in matters of admissions or in any aspect of the educational programs or activities it offers. The following person has been designated to coordinate inquiries regarding Title IX: Diane Auer Jones, Vice President of External and Regulatory Affairs, 231 N. Martingale Road, Schaumburg, IL 60173, (847) 851-7036, dauerjones@careered.com. The following person has been designated to coordinate inquiries regarding ADA/Section 504:: Lakeisha Marvel, Disability Services Administrator, 231 N. Martingale Road, Schaumburg, IL 60173, (224)293-5847, LMarvel@ctuonline.edu. Pre-recorded Messages: The Student understands that s/he may periodically receive pre-recorded messages during his/her time as a student at CTU. These pre-recorded messages are considered "informational" and are intended to notify students of information that may be of interest to them (e.g., changes in class schedules or upcoming events at the school such as orientation). Agreement to submit to the CTU's Grievance Procedure: The Student agrees to submit any claim, dispute, or controversy that the Student may have arising out of or relating to his or her recruitment, enrollment, attendance, education, financial aid assistance, or career service assistance by CTU to the Student Grievance Procedure set forth in the Catalog – University Policies. The parties agree to participate in good faith in the University’s Grievance Procedure. Compliance with the Student Grievance Procedure is mandatory and is a condition precedent to the Student commencing arbitration or otherwise pursuing his or her claim. Notwithstanding the preceding sentence, if a statute or other legal authority specifically bars the University from requiring the Student to utilize CTU’s Student Grievance Procedure, or if a court of competent jurisdiction determines that such a requirement is unenforceable with regard to the Student, then the preceding sentence shall be severed and shall have no force and effect, and the Student may, but will not be required to, submit his or her claim to the University’s Student Grievance Procedure. The University may waive any or all limitations and requirements set forth in this provision. Such waiver shall not waive or affect any other portion of the Enrollment Agreement, this paragraph, or the Arbitration Agreement. Other grievance procedures - This provision is in addition to any grievance procedure specifically provided for by statute or rule to the extent that the claims are within the scope of such statute or rule. Agreement to Arbitrate: Any disputes, claims, or controversies between the parties to this Enrollment Agreement arising out of or relating to (i) this Enrollment Agreement; (ii) the Student's recruitment, enrollment, attendance, or education; (iii) financial aid or career service assistance by CTU; (iv) any claim, no matter how described, pleaded or styled, relating, in any manner, to any act or omission regarding the Student's relationship with the University, its employees, or with externship sites or their employees; or (v) any objection to arbitrability or the existence, scope, validity, construction, or enforceability of this Arbitration Agreement shall be resolved pursuant to this paragraph (the “Arbitration Agreement”). For purposes of this Section, the term “CTU” includes the School, its officers, directors and employees, and its affiliates, subsidiaries and parents, and any officers, directors, and employees of such entities. This Arbitration Agreement will not apply to claims by either party against the other for relief of $5,000 or less, or any claim that could be brought in a small claims court or other court of competent jurisdiction for
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BE SURE TO READ ALL PAGES OF THIS AGREEMENT AS THEY ARE ALL PART OF YOUR CONTRACT WITH THE UNIVERSITY.
I ACKNOWLEDGE THAT I HAVE RECEIVED AND READ THIS PAGE: Place student's initials in box
KW
12/05/2014 Place parent's initials in box
Page 5 of 9 Colorado Technical University
10/9/13 - 0561791
4435 North Chestnut Street, Suite E * Colorado Springs, CO 80907 * Tel: (800)416-8904 * enroll.coloradotech.edu
Kharan Witherspoon
/ 19312957
/ 19805989 / [1249554]
claims not exceeding $5,000. Choice of Arbitration Provider and Arbitration Rules - Unless the parties agree to an alternative, the arbitration shall be administered by the American Arbitration Association ("AAA"). The arbitration shall be before a single arbitrator. The AAA's Commercial Arbitration Rules, and applicable supplementary rules and procedures of the AAA, in effect at the time the arbitration is brought, shall be applied. Copies of the AAA's Rules may be obtained from the CTU Chancellor's office. Location of arbitration – All in-person hearings and conferences in the arbitration shall take place in a locale near Student, so long as that location is in the continental United States or unless the Student and University agree otherwise. In the event the Student is not located in the continental United States, such in-person hearings and conferences requested by the Student in the arbitration shall take place in a locale near the University’s Illinois offices, unless the Student and University agree otherwise, or the arbitrator directs a different locale based upon the location and convenience of the necessary witnesses. Language - The language of the arbitration shall be in English. Any party desiring or requiring a different language shall bear the expense of an interpreter. Choice of Law - The arbitrator shall apply federal law to the fullest extent possible, and the substantive and procedural provisions of the Federal Arbitration Act (9 U.S.C. §§1-16) shall govern this Arbitration Agreement and any and all issues relating to the enforcement of the Arbitration Agreement and the arbitrability of claims between the parties. Costs, fees, and expenses of arbitration - Each party shall bear the expense of its own counsel, experts, witnesses, and preparation and presentation of proofs. All fees and expenses of the arbitrator and administrative fees and expenses of the arbitration shall be paid by the parties as provided by the AAA’s Commercial Arbitration Rules, including the Supplementary Procedures for Consumer-Related Disputes, to the extent applicable, unless otherwise provided by the rules of the AAA governing the proceeding, or by specific ruling by the arbitrator, or by agreement of the parties. Information about the arbitration process also can be obtained from: AAA at www.adr.org. or 1-800-778-7879. Relief and remedies - The arbitrator shall have the authority to award monetary damages and may grant any non-monetary remedy or relief available by applicable law and rules of the arbitration forum governing the proceeding and within the scope of this Enrollment Agreement. The arbitrator will have no authority to alter any grade given to the Student or to require the University to change any of its policies or procedures. The arbitrator will have no authority to award consequential damages, indirect damages, treble damages or punitive damages, or any monetary damages not measured by the prevailing party's economic damages. The arbitrator will have no authority to award attorney's fees except as expressly provided by this Enrollment Agreement or authorized by law or the rules of the arbitration forum. Class and consolidated actions - There shall be no right or authority for any claims within the scope of this Arbitration Agreement to be arbitrated or litigated on a class basis or for the claims of more than one Student to be arbitrated or litigated jointly or consolidated with any other Student's claims. Arbitrator's Award – At the request of either party, the arbitrator shall render a written award briefly setting forth his or her essential findings and conclusions. Judgment on the award rendered by the arbitrator may be entered in any court having jurisdiction. Severability and right to waive - If any part or parts of this Arbitration Agreement are found to be invalid or unenforceable by a decision of a tribunal of competent jurisdiction, then such specific part or parts shall be of no force and effect and shall be severed, but the remainder of this Arbitration Agreement shall continue in full force and effect. Any or all of the limitations set forth in this Arbitration Agreement may be specifically waived by the party against whom the claim is asserted. Such waiver shall not waive or effect any other portion of this Arbitration Agreement. Survival of provisions of this agreement – This Arbitration Agreement will survive the termination of the Student's relationship with the University.
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Notice: Any holder of this consumer credit contract is subject to all claims and defenses which the debtor could assert against the seller of goods or services obtained pursuant hereto or with the proceeds hereof. Recovery hereunder by the debtor shall not exceed amounts paid by the debtor hereunder. Assignment: None of the rights of the Student or the Student's parent under this Enrollment Agreement are assignable to any other person or entity. Entire Agreement: This Enrollment Agreement constitutes the entire agreement between the CTU and the Student concerning all aspects of the education and training the Student will be provided by the
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BE SURE TO READ ALL PAGES OF THIS AGREEMENT AS THEY ARE ALL PART OF YOUR CONTRACT WITH THE UNIVERSITY.
I ACKNOWLEDGE THAT I HAVE RECEIVED AND READ THIS PAGE: Place student's initials in box
KW
12/05/2014 Place parent's initials in box
Page 6 of 9 Colorado Technical University
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4435 North Chestnut Street, Suite E * Colorado Springs, CO 80907 * Tel: (800)416-8904 * enroll.coloradotech.edu
Kharan Witherspoon
/ 19312957
/ 19805989 / [1249554]
University. By signing this agreement, the Student agrees that no binding promises, representations or statements have been made to the Student by CTU or any employee of CTU regarding any aspect of the education and training the Student will receive from the University or prospects of employment or salary upon graduation that are not set forth in writing in this Enrollment Agreement. CTU will not be responsible for any representation, statement of policy, career planning activities, curriculum or facility that does not appear in this Enrollment Agreement or the University's catalog.
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Electronic Correspondence: The undersigned provides consent to receive and/or sign electronic records, and to confirm the undersigned's ability to access all of the disclosures, records, and other information provided in electronic form. If the student withdraws consent, the terms of the previously delivered Electronic Records will continue to apply to his/her related transactions with CTU. Use of the Services includes agreement to the terms of the previously delivered Electronic Records. Withdrawal of consent to receive Electronic Records will not change the fact that terms were agreed to when the Service was first used. Additional Tuition and Fees: The undersigned understands that any additional course work that results from the option to complete lower level or prerequisite requirements, failed courses or program changes may result in additional tuition and fee charges. Information for Residents of Certain States: Wisconsin residents :Regardless of any other stipulations contained in this contract, the Wisconsin student always has the right to file a complaint with the Wisconsin Educational Approval Board at (608) 266-1996 or EABmail@eab.wisconsin.gov. Minnesota residents :CTU is registered as a private institution with the Minnesota Office of Higher Education pursuant to sections 136A.61 to 136A.71. Registration is not an endorsement of the institution. Credits earned at the institution may not transfer to all other institutions. Registration does not mean that the credits earned can be transferred to all other institutions.
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By checking this box I acknowledge that: * I have read and fully understand the statements contained in this enrollment agreement. I further understand that the School is relying on my acknowledgement, understanding, and truthful representation in making its decision to enroll me at the School. The information contained in this enrollment agreement supersedes all prior or other verbal or written statements and agreements that may have been made by the School or any employees of the School regarding the subject matters set forth in this enrollment agreement. I will not start any class at the School until I am completely satisfied that my understanding of the disclosures concerning the School, its programs, and outcomes is entirely consistent with all of the statements contained in this enrollment agreement. I acknowledge and represent that my discussions with the Admissions Advisor were entirely consistent with the above disclosures. I understand that the School cannot guarantee employment or salary.
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By checking this box and providing my contact information: * I am giving CTU consent to contact me by email or telephone, including text message. These calls may be prerecorded messages and/or use an automated dialing system.
BE SURE TO READ ALL PAGES OF THIS AGREEMENT AS THEY ARE ALL PART OF YOUR CONTRACT WITH THE UNIVERSITY.
I ACKNOWLEDGE THAT I HAVE RECEIVED AND READ THIS PAGE: Place student's initials in box
KW
12/05/2014 Place parent's initials in box
Page 7 of 9 Colorado Technical University
10/9/13 - 0561791
4435 North Chestnut Street, Suite E * Colorado Springs, CO 80907 * Tel: (800)416-8904 * enroll.coloradotech.edu
Kharan Witherspoon
/ 19312957
/ 19805989 / [1249554]
By signing this agreement, I certify that I have received a complete copy of this Agreement, and that I have read, understand and agree to comply with all of its terms. I also acknowledge that I have received and had an ample opportunity to review a copy of the CTU catalog in one of the following formats: printed (hard copy), CD-ROM, or downloaded from the CTU registration site, and I agree to comply with all school disclosures, policies and rules contained therein. I also understand and agree that this Agreement supersedes all prior or contemporaneous verbal or written statements and agreements made by CTU or any employees of CTU and that no binding promises, representations or statements have been made to me by CTU or any employee of CTU regarding any aspect of the education and training I will receive from the school or the prospects for employment or salary upon graduation that are not set forth in writing in this Agreement. I further understand and agree that this Agreement may not be modified without the written agreement of me and CTU except that the stated tuition and fees are subject to change at the discretion of CTU. I hereby certify that all information I provided in my application for admission to CTU is complete, accurate and up to date. Once I sign this Agreement, and CTU accepts this Agreement, I understand that a legally binding contract will be created. My signature indicates that I agree to all of the above terms.
I understand that Colorado Technical University cannot guarantee employment or salary. THIS CONTRACT CONTAINS A BINDING ARBITRATION PROVISION WHICH MAY BE ENFORCED BY THE PARTIES Electronic Signature on File Signature of Student Signature of Parent or Guardian (required if Student is under the age of 18)
Kharan Witherspoon Printed Name
12/05/2014 Date
Printed Name Printed Name
Date Date
Admissions Advisor
ACCEPTED BY COLORADO TECHNICAL UNIVERSITY
Signature of Authorized School Advisor For Official Use Only:
Printed Name and Title
Date
1113959920021417816915380 | Kharan Witherspoon | 1740828
BE SURE TO READ ALL PAGES OF THIS AGREEMENT AS THEY ARE ALL PART OF YOUR CONTRACT WITH THE UNIVERSITY.
I ACKNOWLEDGE THAT I HAVE RECEIVED AND READ THIS PAGE: Place student's initials in box
KW
12/05/2014 Place parent's initials in box
Page 8 of 9 Colorado Technical University
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4435 North Chestnut Street, Suite E * Colorado Springs, CO 80907 * Tel: (800)416-8904 * enroll.coloradotech.edu
Kharan Witherspoon
/ 19312957
/ 19805989 / [1249554]
WISCONSIN RESIDENTS ONLY:
Customer’s Right to Cancel Date of Transaction is provided on previous page
You may cancel this transaction, without any penalty or obligation, within three business days (72 hours) from the date noted on the previous page. (Saturdays, Sundays and holidays are not business days.) If you cancel, any property traded in, any payments made by you under the contract or sale, and negotiable instruments executed by you will be returned within 10 business days following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received, any goods delivered to you under this contract of sale; or you may, if you wish, comply with the instructions of the seller regarding the return shipment of the goods at the seller’s expense and risk. If you do make the goods available to the seller and the seller does not pick them up within 20 days of the date of your notice of cancellation, you may retain or dispose of the goods without any further obligation. To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written notice, or send a telegram to the Student Affairs Department at CTU no later than midnight of: ____________________, ___________________ (72 hours from the date noted on the previous page). Note: Purchase of educational goods and services offered by a school is deemed to take place when written and final acceptance is communicated to the student by the school. If the representative who enrolls you is authorized to grant written acceptance at the time you enroll, and does so, the cancellation period ends at the time specified above. If you have not been accepted in writing at the time you enroll, the cancellation period does not end until midnight of the third business day after the day you receive written acceptance by certified mail from the school. I hereby cancel this transaction. Date Buyers Signature
Buyer’s Name – Please Print ________________________________________ Street Address,City,State,Zip Code ___________________________________
BE SURE TO READ ALL PAGES OF THIS AGREEMENT AS THEY ARE ALL PART OF YOUR CONTRACT WITH THE UNIVERSITY.
I ACKNOWLEDGE THAT I HAVE RECEIVED AND READ THIS PAGE: Place student's initials in box
KW
12/05/2014 Place parent's initials in box
Page 9 of 9 Colorado Technical University
10/9/13 - 0561791
4435 North Chestnut Street, Suite E * Colorado Springs, CO 80907 * Tel: (800)416-8904 * enroll.coloradotech.edu
Kharan Witherspoon / 19312957 / 19805989 / [1249554] Student Name (print)Kharan Witherspoon
Student Disclosure Form
As part of our enrollment process, Colorado Technical University (the “School”) asks you and your admissions advisor to read the following information and acknowledge your mutual understanding of, and agreement to, each of the following important points.
1. Accreditation: The School is institutionally accredited by the Higher Learning Commission (HLC), which is a member of the North Central Association of Colleges and Schools (NCA), a regional accrediting agency recognized by the United States Department of Education (USDE). Additional information is available at www.ncahigherlearningcommission.org or 312-263-0456. This indicates that the School substantially meets or exceeds the stated criteria of education quality established by the HLC and approved by the USDE. USDE recognition of institutional accreditation by the HLC entitles the School to offer Title IV Financial Assistance to students who qualify. Individual programs may also be programmatically accredited by outside agencies. Programmatic accreditation may enhance employment opportunities or allow graduates to sit for some credentialing or licensure exams upon graduation. No one at the School, including my admissions advisor, has made any representations or guarantees regarding accreditation other than what has been provided to me in writing by the School in the School Catalog and/or a separate disclosure. 2. Transfer of Credits: The awarding of credit for coursework completed at any other institution is at the sole discretion of the School. Additionally, the School does not imply, promise, or guarantee that any credits earned at the School will be transferable or accepted by any other institution. It is the Student’s obligation to ascertain in advance of enrollment whether a possible recipient institution will recognize a course of study or accept credits earned at the School. 3. Academic Standards: My admissions representative explained that the School has academic standards that I must meet or exceed in order to progress in my program. I understand that I will be required to attend class, participate in the classroom, complete homework assignments, and meet deadlines in order to remain enrolled at the School. 4. Attendance/Course Participation: My admissions representative explained that the School’s attendance/course participation policy is detailed in the School Catalog and that I am required to read it and abide by it. I understand my education may be interrupted or terminated should I fail to comply with the attendance/course participation policy, and that my failure to attend classes (or participate online) in accordance with the policy may result in a failing grade in or withdrawal from class. I understand that I may be required to retake any failed or withdrawn course at an additional cost and, if I am required to retake any course, my date of graduation will likely be extended, which may ultimately impact my financial aid eligibility. I also understand that if I am withdrawn from the program, I may be required to reapply for admission and acceptance will be based on my eligibility at that time. 5. Code of Conduct: Each student has the responsibility to refrain from any behavior that detracts from the reputation, safety and security of the School. This requires that students cooperate and comply with the School’s policies as reflected in the School Catalog, as well as with respect to local, state and federal laws and regulations. My admissions representative explained and I understand that if I fail to comply with the School’s policies and procedures or with any local, state or federal law or regulation, I may be subject to disciplinary action, up to and including dismissal from the School. 6. Financial Responsibility: I understand that financial aid is available to those who qualify and that I may qualify for student loans and/or grants depending upon the financial information that I provide and the criteria and requirements of the lender or grant awarder. Any substantive discussions regarding qualification for financial aid are conducted with financial aid personnel. No one at the School guaranteed that I will receive any loans or grants, or the amount or terms of any loans or grants. I further understand that if I receive loans, I will be responsible for repaying the loans. I understand that loans must be repaid. I also understand that no one at the School is a financial advisor and no one has made any representations about my ability to repay my loans after graduation. I understand
BE SURE TO READ ALL PAGES OF THIS AGREEMENT Student Disclosure Agreement Student Disclosure Form Eff. 7/12 Go Live 05/17/13
Page 1 of 5 Colorado Technical University
4435 North Chestnut Street, Suite E * Colorado Springs, CO 80907 * Tel: (800)416-8904 * enroll.coloradotech.edu
Kharan Witherspoon / 19312957 / 19805989 / [1249554] that I am responsible for repaying my loans regardless of my satisfaction with the institution or completion of my program of study. I further understand that I must pay for education charges according to my agreed upon terms and that a delinquent tuition account may be grounds for dismissal and may cause the lender(s) to pursue legal remedies against me and/or any of my co-borrowers. I understand that if I choose to begin my coursework without having my financial aid paperwork complete, I am still liable for any charges that accrue based on the applicable refund policy as outlined in the School Catalog. I also understand that my education may be interrupted or terminated should I fail to complete the financial aid requirements. Finally, I understand that education charges are subject to change by the School. 7. Housing and Jobs While Attending School: Although employment and housing in the immediate area of the School may be available, I understand that there is no guarantee of employment or housing while attending the School. 8. Factors Affecting Employment: Employers, industries, and jurisdictions are largely free to set their own requirements for employment, and these requirements are not controlled by the School and may change at any time without notice to me or the School. Graduates/completers from the School who obtain employment after graduation typically start out in an entry-level position. The School cannot guarantee me employment, career advancement, or my individual success or satisfaction. These items depend on a variety of factors including, without limitation, my abilities, personal efforts, and attitude, as well as the economy, the local job market, prior relevant experience, and any other credentials or requirements established by my jurisdiction, industry or employer. For instance, I understand that there may be certification, permit, and/or licensure requirements or exams that may be generally needed to be employed in the field. However, no one at the School has made any representations or guarantees regarding my ability to take or successfully pass any applicable certification or licensure exams, other than what has been provided to me in writing by the School in the School Catalog and/or a separate disclosure. Further, no one at the School has implied or guaranteed that I would obtain a particular credential upon graduation, other than the degree, certificate or diploma conferred upon successful completion of my program. I understand that further study or experience may be required to be eligible to take certain exams or receive certain credentials, and that I may have to successfully pass such exams or receive such credentials in order to obtain certain employment. Depending on where I reside, I also understand that I may have to relocate to pursue certain opportunities. Before starting my program at the school, I understand it is my responsibility to investigate any such requirements, including those that are generally needed to be employed in my field of study, and that I should confirm that the program in which I am enrolling will help me reach my goals. 9. Specific Factors That May Preclude Employment (e.g. Criminal Background Checks/Medical Testing): Companies, agencies or institutions that accept students for externship/internship placement and/or potential employment may consider a variety of factors that will prevent an applicant from qualifying for employment. These factors are not controlled by the School, and may change at any time without notice to me or the school. For example, entities routinely conduct a criminal and/or personal background check, and the results may affect my employability. I understand that students with backgrounds that include criminal conduct (e.g., misdemeanor or felony charges or convictions, including those that involve dishonesty or are drug related, or involve conduct that may not have been considered a crime, felony or misdemeanor in the jurisdiction in which the conduct occurred) or financial issues, such as bankruptcy, may not be accepted by these companies, agencies, or institutions for an externship/internship or employment following completion of the program. I also understand that some employers or externship/internship sites may require candidates to submit to a drug test, and may deny employment based on substances that are lawfully prescribed. I understand that a medical condition or drug use may prevent a student from obtaining employment or placement at externship/internship sites. My admissions representative encouraged me to discuss any questions regarding how these issues may affect my externship/internship or possible future employment with the head of academics prior to beginning my program. I acknowledge that it is my responsibility to investigate any such requirements, before starting my program and throughout my education at the School, and my responsibility to confirm that I will be able to pursue my goals upon graduating from the program. 10. Career Services: My admissions representative explained that the School will offer career services assistance as described in the School Catalog. I acknowledge that opportunities may be available at locations other than where
BE SURE TO READ ALL PAGES OF THIS AGREEMENT Student Disclosure Agreement Student Disclosure Form Eff. 7/12 Go Live 05/17/13
Page 2 of 5 Colorado Technical University
4435 North Chestnut Street, Suite E * Colorado Springs, CO 80907 * Tel: (800)416-8904 * enroll.coloradotech.edu
Kharan Witherspoon / 19312957 / 19805989 / [1249554]
I live, and that graduates may therefore have to relocate in order to obtain employment. My admissions representative also explained that the School does not and cannot guarantee employment. I acknowledge that no one at the School made any express or implied promises or guarantees regarding employment. 11. Salaries: Any information provided by the School regarding salaries is for general information purposes only. The School does not make any representations or claims to prospective or current students regarding the starting salaries of its graduates or the starting salaries of jobs in any field of employment. The salaries that may be earned by any particular graduate/completer are subject to many variables including, among other things, the student's abilities, efforts and prior relevant experience as well as the needs in the industry, the economy, and the local job market for the employment and freelance opportunities sought by the student. The School cannot guarantee employment or salary, or any range of salaries. By signing this form, the Student confirms that s/he has not been promised anything about salaries and that the Student has not relied on anything heard or read from the school regarding anticipated salaries that influenced my decision in deciding to enroll at the school and/or deciding to continue to attend. 12. My Responsibility to Myself: The School did not make any representations to me about my ability to repay my loans (to the extent I take out any loans to finance my education). I acknowledge the need to research the job markets where I am interested in working to learn more about the job qualifications required and potential salaries available to people who will be in similar circumstances to me after I graduate from my program. I am responsible to prepare my own budget and make my own estimates of my earnings potential based on my own research about potential entry level jobs and/or career advancement. I expect the School to provide me with education, training and career services assistance. However, the jobs and salaries I ultimately obtain will depend, among other things, on my abilities, attitude, prior relevant experience, the economy and the local job market. 13. Criminal Convictions: I understand that the School does not admit applicants known to have certain types of criminal convictions. I understand that if I am found to have misrepresented my criminal conviction history on my application, I may be dismissed from School. I understand that I have an obligation to describe that history, if any, accurately and completely on my application. I understand that if I commit certain types of crimes while enrolled, I may be dismissed. I understand that while enrolled, I have an obligation to report any criminal conviction to the School within 10 days of being convicted and that if I fail to do so, I may be dismissed. The School reserves the right to conduct criminal background checks on applicants and students at its discretion. I understand that I must consent to such a background check if requested to do so and that if I refuse, I may be dismissed . 14. Graduation Rate and Employability: I acknowledge being informed that the Student Outcomes Disclosure Form is available on the School website. I also acknowledge that no one at the School provided, and I have not relied and will not rely upon, any graduation rates, employment or placement information, different than the information in this Disclosure Form. I further acknowledge that the disclosed rates reflect historical outcomes and should not be relied on by anyone as an implicit or explicit representation or promise of future outcomes or employability for any student following completion of a program of study. I understand that numerous individual and market factors contribute to the likelihood of me securing a job after graduation and the School has little or no control over many of these factors and, thus, cannot guarantee or estimate the likelihood of employment to me. 15. Acknowledgement of Externships/Internships/Practical Experiences: Many programs offer the opportunity, and some programs require students to participate in an approved externship, internship, or practical experience at a third-party facility, in order to receive practical education and/or to earn credit toward my program. The facility may be located a significant distance from my School or home, may operate 24 hours a day, or utilize non-standard scheduling. Although the School will assist me in finding such an opportunity, and my personal preferences will be considered, I acknowledge that no one at the School has made any representation or guarantee that I will be placed at any specific facility, at a specific time, or for specific working days or hours, and that I am responsible for transportation and expenses during this opportunity. 16. Grades and Continuation in a Program: [Health Programs Only]: Some health careers require a license or certification to practice. One step in obtaining a license or certification is passing a standardized test given by a state or national authority. Generally, the minimum passing scores on such tests is 75% although it is frequently
BE SURE TO READ ALL PAGES OF THIS AGREEMENT Student Disclosure Agreement Student Disclosure Form Eff. 7/12 Go Live 05/17/13
Page 3 of 5 Colorado Technical University
4435 North Chestnut Street, Suite E * Colorado Springs, CO 80907 * Tel: (800)416-8904 * enroll.coloradotech.edu
Kharan Witherspoon / 19312957 / 19805989 / [1249554] higher. I acknowledge that many health career programs have set a different and non-traditional grading standard designed to assist graduates to achieve passing scores on these tests. I understand that these specific standards and related policies are described in detail in the catalog. I further understand that repeating courses may affect financial assistance, satisfactory academic progress, and/or my expected graduation date. 17. Disease Risk/Immunization: [Health Career Programs Only]: I understand that due to occupational exposure to blood and other potentially infectious materials, I may be at risk of acquiring certain diseases. My admission representative has encouraged me to explore any health risks in my chosen program and to receive any appropriate immunizations at my own risk and expense. 18. Health Information Portability Accountability Act (HIPAA): [Health Career Programs Only]: My admissions representative explained, and I understand, that for any allied health program where practical experience in a clinical setting is a required component, a health screening/physical examination may be required prior to starting the practice experience. I understand that a written copy of the results of my health screening/physical examination will be retained as part of my education records and will be made available to clinical sites upon request. I understand that my education records may be reviewed by any authorized member of the faculty or staff of the School. I further understand that other officials (such as accreditation representatives; government department of education representatives; or auditors – all approved by the School) may also seek access to my file. I hereby authorize and give my full consent for the School, or anyone authorized by the School, to view my education records, including any of my health records retained therein.
By checking this box, I acknowledge that: * I have read and fully understand the statements contained in this disclosure form. I further understand that the School is relying on my acknowledgement, understanding, and truthful representation in making its decision to enroll me at the School. The information contained in this disclosure form supersedes all prior or other verbal or written statements and agreements that may have been made by the School or any employees of the School regarding the subject matters set forth in the disclosure form. I will not start any class at the School until I am completely satisfied that my understanding of the disclosures concerning the School, its programs, and outcomes is entirely consistent with all of the statements contained in this disclosure form. One requirement for admission is to provide a valid proof of graduation from high school or its equivalency. I understand that the School cannot guarantee employment or salary. By checking this box, I acknowledge and represent that my discussions with the admissions advisor were entirely consistent with the above disclosures.
*
*
* *
Kharan Witherspoon
Printed Name of Student
Electronic Signature on File
Student Signature
12/05/2014
Date
............................................................................................................................................................................
Student Name:
Kharan Witherspoon
By my signature below, I acknowledge and represent that my discussions with the Student were entirely consistent with the above disclosures.
BE SURE TO READ ALL PAGES OF THIS AGREEMENT Student Disclosure Agreement Student Disclosure Form Eff. 7/12 Go Live 05/17/13
Page 4 of 5 Colorado Technical University
4435 North Chestnut Street, Suite E * Colorado Springs, CO 80907 * Tel: (800)416-8904 * enroll.coloradotech.edu
Kharan Witherspoon / 19312957 / 19805989 / [1249554]
Printed Name of Admissions Advisor Admissions Advisor Signature Date
For Official Use Only: 1113959920021417816915380 | Kharan Witherspoon | 1740828
BE SURE TO READ ALL PAGES OF THIS AGREEMENT Student Disclosure Agreement Student Disclosure Form Eff. 7/12 Go Live 05/17/13
Page 5 of 5 Colorado Technical University
4435 North Chestnut Street, Suite E * Colorado Springs, CO 80907 * Tel: (800)416-8904 * enroll.coloradotech.edu
Kharan Witherspoon / 19312957 / 19805989 / [1249554] BACHELOR OF SCIENCE IN BUSINESS ADMINISTRATION Project Management ACCREDITATION DISCLOSURE
Accreditation is a voluntary process which may be undertaken by schools to demonstrate compliance with specific standards designed to indicate a level of education quality. Colorado Technical University (CTU) is institutionally accredited by the Higher Learning Commission (HLC), which is a member of the North Central Association of Colleges and Schools (NCA), a regional accrediting agency recognized by the United States Department of Education. Additional information is available at http://www.ncahigherlearningcommission.org or 312-263-0456. The recognition of institutional accreditation by HLC indicates that CTU substantially meets or exceeds the stated criteria of education quality established by HLC and entitles CTU to offer Title IV Financial Assistance to those who qualify. An additional form of accreditation that a school may undertake to obtain is a specific, individual accreditation of certain programs (programmatic accreditation). Institutional accreditation is not the same as or a substitution for programmatic accreditation. Although programmatic accreditation is not required for employment in many cases, the existence of it is a further indication that a program meets the standards of the profession, and may therefore indirectly enhance employment opportunities. The Bachelor of Science in Business Administration with a Concentration in Project
Management program offered through CTU’s Virtual Campus is programmatically accredited by the Project Management Institute Global Accreditation Center for Project Management Education Programs (GAC).
FACTORS AFFECTING EMPLOYMENT
Employers, industries, and jurisdictions (federal, state, and local) are largely free to set their own requirements for employment and advancement, and these requirements are not controlled by the School and may change at any time without notice to the School. For example, in the field of project management, employers may favor applicants who have prior experience or who obtain voluntary certifications (e.g. the credentials offered by the Project Management Institute), continuing education or professional development in the field. This program is not designed to prepare students for a particular certification exam. In fact, in many cases, graduates will have to obtain work experience before they are eligible to apply for certification. Employers also may be more likely to refrain from employing applicants with a criminal record, personal bankruptcy, or other items that may be disclosed on a personal background or credit check. These are non-exhaustive examples. Specific potential employers, industry groups, jurisdictions, and the latest edition of the Bureau of Labor Statistics’ Occupational Outlook Handbook (see http://www.bls.gov/oco ) are good places to start researching the specific requirements for employment in this field. The School cannot guarantee that a graduate will be able to obtain a particular certification, permit, or license or secure employment in the field upon graduation or at any time in the future. It is the student’s responsibility to investigate the requirements before starting class. By my signature below, I acknowledge and represent that I have read and fully understand the statements contained in this disclosure form, and no representation or statement has been made to me by CTU which contradicts the information contained in this disclosure. I further understand that CTU is relying on my acknowledgement and representation in making its decision to enroll me in the Bachelor of Science in Business Administration program. Electronic Signature on File Student Signature Kharan Witherspoon Printed Name 12/05/2014 Date
By my signature below, I acknowledge and represent that my discussions with the student were entirely consistent with the above disclosures.
Admissions Advisor Signature For Official Use Only 1113959920021417816915380 | Kharan Witherspoon | 1740828
Printed Name
Date
Revised June 30, 2011 Go Live 05/17/13
Colorado Technical University
4435 North Chestnut Street, Suite E * Colorado Springs, CO80907 * Tel:(800)416-8904 * enroll.coloradotech.edu
Kharan Witherspoon / 19312957 / 19805989 / [1249554]
ATTESTATION OF HIGH SCHOOL GRADUATION OR EQUIVALENCY
ATTESTATION STATEMENT: I, KharanWitherspoon ,have applied for admission as a student at Colorado Technical University
I understand that one requirement for admission to Colorado Technical University is graduation from high school or its equivalency. I hereby certify that: I graduated from Mobile
(City)
John L. Leflore
(Name of High School)
ALUSA
(State)(Country)
1996
(Date of Graduation*)
If, for any reason, this attestation of high school graduation or GED/home school completion is found to be false or untrue, I understand that I will not have met an admission requirement of Colorado Technical University and I will not be considered a regular student, and thus, will be subject to immediate dismissal from the University. Furthermore, I understand that if this attestation is found to be false or untrue, all Title IV financial aid or any state or institutional financial aid that was disbursed on my behalf must be refunded to the appropriate source, and that I will be responsible for payment to Colorado Technical University for any and all monies refunded. By my signature below, I attest the information provided is true and correct to the best of my knowledge.
Student Signature: Electronic Signature on File
Date: 12/05/2014
*High School students who have not yet completed high school should note their anticipated date of graduation and indicate that the date is not yet final.
For Official Use Only: 1113959920021417816915380 | Kharan Witherspoon | 1740828
Colorado Technical University
4435 North Chestnut Street, Suite E * Colorado Springs, CO 80907 * Tel: (800)416-8904 * enroll.coloradotech.edu
Kharan Witherspoon
/ 19312957
/ 19805989 / [1249554]
HIGH SCHOOL DIPLOMA REQUEST FOR TRANSCRIPTS
INFORMATION OF INSTITUTION ATTENDED Name of High School:
John L. Leflore ATTN: Registrar/Records 700 Donald st, Mobile, AL 36619
Address of School: City, State, Zip/Postal Code:
Please ensure that you fill out the address information above accurately so that we can receive your transcripts in a timely manner.
STUDENT INFORMATION Name: Kharan Witherspoon Name when attending, if different from above: Social Security #: 418-02-4884 Current address of student: 4730 Carlie Dr. City: MOBILE Dates Attended: 1992
Year
Date of Birth: 11/24/1976
State: AL
Country: US
Zip/Postal Code:
36619
To: 1996
Year
Please send one (1) official transcript for the above student to: Colorado Technical University Attention: Registrar 231 N. Martingale Road, 7th Floor Schaumburg, IL60173 Toll Free: 866-813-1836, Option 3 Fax: 866-371-8821 Student Signature Electronic Signature on File 12/05/2014 (Electronic): Date:
Student Signature:
Date:
For Office Use Only:
Payment of $ _________ is enclosed
For Official Use Only: 1113959920021417816915380 | Kharan Witherspoon | 1740828
Colorado Technical University
4435 North Chestnut Street, Suite E * Colorado Springs, CO 80907 * Tel: (800)416-8904 * enroll.coloradotech.edu
High School/G.E.D Transcript Request Eff. 6/30/11
Kharan Witherspoon
/ 19312957
/ 19805989 / [1249554]
COLLEGE REQUEST FOR TRANSCRIPTS
INFORMATION OF INSTITUTION ATTENDED Name of College:
Southwest Bishop State Community College ATTN: Registrar/Records Daluphin Island Parkway Mobile, AL36606
Address of School: City, State, Zip/Postal Code:
Please ensure that you fill out the address information above accurately so that we can receive your transcripts in a timely manner.
STUDENT INFORMATION Name: Kharan Witherspoon Name when attending, if different from above: Social Security #: xxx-xx-4884 Current address of student: 4730 Carlie Dr. City: MOBILE Dates Attended: 1999
Year
Date of Birth: 11/24/1976
State: AL
Country: US
Zip/Postal Code:
36619
To: 2000
Year
Please send one (1) official transcript for the above student to: Colorado Technical University Attention: Registrar 231 N. Martingale Road, 7th Floor Schaumburg, IL60173 Toll Free: 866-813-1836, Option 3 Fax: 866-371-8821 Student Signature Electronic Signature on File (Electronic): 12/05/2014 Date:
Student Signature:
Date:
For Office Use Only:
Payment of $ _________ is enclosed
For Official Use Only: 1113959920021417816915380 | Kharan Witherspoon | 1740828
Colorado Technical University
4435 North Chestnut Street, Suite E * Colorado Springs, CO 80907 * Tel: (800)416-8904 * enroll.coloradotech.edu
College Transcript Request Eff. 6/30/11 