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Electronic Pre-Enrollment Checklist and Enrollment Agreement for Students Living in the State of Arizona

Notice Related to the Arizona State Board for Private Postsecondary Education

Amridge University is authorized by the Arizona Higher Education Commission. This authorization must be renewed each year and is based on an evaluation by minimum standards concerning quality of education, ethical business practices, health and safety, and fiscal responsibility.

Instructions for Completing this Agreement

Complete each of the items and select the "Submit My Electronic Pre-Enrollment Checklist and Enrollment Agreement for Students Living in the State of Arizona to Amridge University" button at the end of this form. For pull-down menu answers (i.e., the boxes that have a small black arrow pointing down on the right side of the white box), select the down arrow with your cursor and then select the appropriate answer. For fill-in-the-blank answers (i.e., the white boxes), place your cursor in the box, click the left mouse button and type in the requested information.

This document is a requirement of the Arizona State for Private Postsecondary Education and items must be completed. Forms that do not have all of the items completed as directed will not be processed.

Contact, Program, and Cost Information
Full Name First Name
 		 Middle Name
 Last Name
 
E-Mail Address  
The email address you enter will be used for all your correspondence with Amridge University.
Mailing Address  
City
 		 State
 Zip
 
Telephone Number ( ) -       
Social Security Number   -  -       
Name of Program Enrolled/Enrolling:
 
Program Start Date:
 
Enrollment Status:
 
Campus/format where I will be taking the majority of my courses:
 
Estimated Program Completion Date:
Semester    Year  
Checklist Items
a.

I have toured the Campus:
   
b. I have been informed that the Amridge University Academic Catalog is available on the Amridge University web site at: http://www.AmridgeUniversity.edu. I also understand that I may request a paper copy of the Academic Catalog. I have been given the time and opportunity to review the institutional polices available in the online catalog.
 
c. I have been informed and understand the total tuition and fee costs of the program.
 

Total Program Costs

Note: These costs are good for an academic year. The Amridge University academic year is from the fall semester through the summer semester. If a student enrolls in the fall semester the costs are estimated for the fall, spring, and summer semesters; if a student enrolls in the spring semester the costs are estimated for the spring and summer semesters; and if a student enrolls in the summer semester, the costs are estimated for the summer semester only.
a.

By selecting the yes button below I understand Amridge University reserves the right to implement annual tuition increases:
 
b.

Tuition Costs for full-time enrollment for three semesters -- I have been informed of estimated tuition for three semesters.

 
c.

Fees for full-time or part-time enrollment for three semesters -- I have been informed of estimated fees for full-time or part-time enrollment.

All Graduate and Doctoral programs have a $1,200 per year Comprehensive Fee.

Undergraduate Fees (Consult your advisor regarding your program requirements):

All Amridge University undergraduate students are required to take a General Competency Test which has a $50 Fee.

Graduate/Doctoral Courses Listed Below May Have the Stated Additional Fees Averaged for Three Semesters(Consult your advisor regarding your program requirements):

Doctoral students will be required to pay fees associated with a dissertation.

Lab fees are also required in some counseling courses.

Students working on their thesis will pay additional thesis fees.

 

Clinical/Practicum Internship Fee $300 (averaged for two semesters – total Internship fees $600)

 

Thesis Fee-Part 1 $600 – MA Biblical Studies only (one-time fee)

Thesis Fee-Part 2* $1,200 – MA Biblical Studies only (one-time fee $600 reading fee + $600 final thesis fee)

 

Dissertation Module I-III Reading Fee $600 each module (averaged for three semesters – total at $600 each module $1,800)

Dissertation Module IV** $1,400 (one-time fee $600 reading fee + $800 Final dissertation fee)

Comprehensive Exam Fee $300 (Ph.D. only)

 

FT7300 or PT7300 (Licensure Mini Exam Fee) $350

FT7340 Assessment Materials $500

 

*Includes Registration of Thesis, Binding Fee for 3 copies, Reading Fee and Thesis Defense Fee

 

**Includes Registration of Dissertation, Binding Fee for 3 copies, Reading Fee and Thesis Defense Fee

 
d.

Books -- I understand that this is an estimated cost for full-time enrollment and the actual cost of books may be higher and is beyond the control of Amridge University.

 

Estimated Cost of Books Per Course

 

Undergraduate - $150

Graduate - $200

Doctor of Ministry- $200

Doctor of Philosophy - $250
 
e.

Total Tuition, Fees, and Cost of Books -- I have been informed of estimated tuition, fees, and books for full-time enrollment.

 

Each program has a unique fee structure and associated cost of books, as indicated in previous sections c. and d. of this registration form. Please confirm with your advisor the fees that apply to your degree.

 

The estimated costs for tuition, fees and books for full-time enrollment follow:

 

Undergraduate: $3,750 per semester

Graduate (Leadership): $6,150 per semester

Graduate (Ministry): $5,815 per semester

Graduate (Bible): $5,815  per semester

Graduate (Counseling): $5,815 per semester

Doctoral: $4,730 per semester

PhD: $5,070 per semester
 
f.

I have been informed and understand the total tuition and fee costs of the program.
 
g.

I have been informed of the estimate cost of other requirements such as computer/peripherals/Internet access, etc.

(Estimated costs for 2008 follow: Computer $745.00 - $1000.00 Internet Access $30.00 - $50.00 per month)
 
h.

I understand what the term "transferability of credits" means at Amridge University.
 
i.

I understand that “If the student complaint cannot be resolved after exhausting the Institution's grievance procedure, the student may file a complaint with the Arizona State Board for Private Postsecondary Education (State Board). The student must contact the State Board for further details. The State Board address is: 1400, W. Washington, Room 260, Phoenix, AZ, 85007; Telephone: 602.542.5709."

 
Refund and Withdrawal Policy

COMPREHENSIVE WITHDRAWAL/DROP POLICY

CANCELLATION OF ENROLLMENT AGREEMENT FOR RESIDENTS OF THE STATE OF ARIZONA

An Amridge University student or prospective student who is a resident of the State of Arizona may cancel an enrollment agreement with the University if the student or prospective student submits a written notice of cancellation to the attention of the University Registrar within three days (72 clock hours), excluding Saturday, Sunday, and federal holidays, of signing said agreement. The written notice of cancellation shall be sent via email to azcancellation@amridgeuniversity.edu

The University will provide the student or the person who paid the student's tuition and fees, a refund of 100% of all student fees and tuition paid for the student within 30 calendar days after the University receives the respective cancellation of the enrollment agreement within the three day period, excluding Saturday, Sunday, and federal holidays.

WITHDRAWAL DEFINITION

A withdrawal occurs when a student totally withdraws from all registered courses at Amridge University during a semester.

PROCEDURES FOR WITHDRAWAL

The withdrawal process begins with an emailed request from the student to WITHDRAWAL@AmridgeUniversity.EDU prior to 12:00, noon, CT on Friday of the 11th week of the semester which includes student name and number. Note: You will receive an email notice from the financial aid office detailing academic and financial ramifications that will result if you wish to finalize your withdrawal, you must follow the instructions at the bottom of the email. If this step is not completed, you will not be withdrawn. If the withdrawal policy process is not completed by the student within ten calendar days of the initial notification, the withdrawal request will be cancelled. If the student chooses to later withdraw from his or her course(s), the withdrawal date will be the date of the subsequent request. The student will again have ten calendar days to complete his or her withdrawal. There are academic and financial responsibilities associated with withdrawal. We recommend that you discuss your options with your advisor. The withdrawal date will be the date that the email request to withdraw is received by the registrar.

WITHDRAWAL FINANCIAL RESPONSIBILITY

Financial responsibility is calculated using the following rules.

1. Withdrawal prior to the first day of the semester, the student will not incur tuition or fee charges.

2. Withdrawal beginning on the first day of the semester will result in the charge of a $75 per course Drop Fee and a percentage of the tuition. Tuition percentage is calculated at 10% of the total tuition cost per working day of the semester, regardless of the date the student registers or the first day the course meets.

PROCEDURES FOR AND RAMIFICATIONS OF DROPPING A COURSE

The process to drop a course (not all courses) begins with an emailed request from the student to DROPANDADD@AmridgeUniversity.EDU prior to 12:00, noon, CT on Friday of the 11th week of the semester which includes student name and number. Note: You will receive an email notice from the financial aid office detailing academic and financial ramifications that will result if you wish to finalize your drop, you must follow the instructions at the bottom of the email. If this step is not competed, you will not be dropped. If the drop process is not completed by the student within ten calendar days of the initial notification, the drop request will be cancelled. If the student chooses to later drop from his or her course(s), the drop date will be the date of the subsequent request. The student will again have ten calendar days to complete his or her drop. The Drop Course date will be the date that the email request to drop is received by the registrar.
A student who drops a course (not all courses) prior to the first day of the semester will not incur tuition or fee charges for the course. A student who drops a course on or after the first day of the semester will be held financially responsible for the entire Tuition & Fees of the course and an additional $75 per course Drop Fee.

ACADEMIC RULES REGARDING WITHDRAWAL/DROP

1. If a student withdraws or drops a course(s) prior to the first day of the semester, no grade will be reflected for the course(s).

2. If a student withdraws or drops a course(s) on or after the first day of the semester but before the end of the eighth week (as defined in the school calendar), the grade(s) will appear on the student's record with a mark of "W" (Withdrew).

3. If a student withdraws or drops a course(s) after the eighth week (as defined in the school calendar), the grade(s) will appear on the student's record with a mark of "WF" (Withdrew Failing).

WITHDRAWAL FOR STUDENTS WITH A FEDERAL LOAN OR GRANT

Amridge University abides by federal regulations regarding the return of federal financial aid (Title IV funds). Title IV aid is earned in direct proportion to the length of time the student is enrolled. A student who remains enrolled beyond the 60% timeframe of the semester earns all the aid for that semester. The Financial Aid Office will determine the percentage of aid earned by a Title IV recipient by calculating the percentage of the enrollment period that the student completed. The university will return any federal Title IV funds received for a registered student who withdraws prior to the first day of the semester. Students withdrawing on or after the first day of the semester but prior to completing 60% of the semester will be required to repay a prorated portion of aid funds. If funds must be returned per federal regulations, that amount will be charged to the student's account and must be repaid by the student.

Students with federal loans and grants who excessively withdraw from or drop course(s) jeopardize their satisfactory progress toward graduation and may be subject to loss of eligibility for financial aid.

Holder in Due Course Statement

Any holder of this consumer 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 (FTC Rule effective 5.14.76)

Job Placement

Amridge University does not guarantee job placement to graduates upon program/course completion or upon graduation.

Certification

I have read and understand the Amridge University Comprehensive Withdrawal/Drop Policy provided above and understand I will receive a copy of this policy along with the signed copy of this Electronic Enrollment Agreement and Checklist.
 
Acceptance and e-Signature

This is to certify that I have read, understand, and agree to all of the information in this document. I further understand and agree to comply with all of the policies and procedures of Amridge University as specified in the latest edition of the Academic Catalog as posted on the Amridge University web site at: http://www.AmridgeUniversity.edu.

I also understand and agree to conduct this business electronically with Amridge University and that through the typing of my name and by selecting the "Submit My Electronic Pre-Enrollment Checklist and Enrollment Agreement for Students Living in the State of Arizona to Amridge University " at the end of this page constitutes my electronic signature and formalizes the Enrollment Agreement between me and Amridge University. I further understand that my electronic signature is legally binding under Federal law. When this document is submitted, my IP address and a timestamp specifying the date and time that this Electronic Agreement was submitted will automatically be attached to the submitted document.

Type your name in the box to sign this agreement:    

e-Signature:    

Final Step

Submit this Agreement by selecting the "Submit My Electronic Pre-Enrollment Checklist and Enrollment Agreement for Students Living in the State of Arizona to Amridge University " button below. If your Electronic Pre-Enrollment Checklist and Enrollment Agreement for Students Living in the State Arizona has been completed properly and accepted by the Amridge University system, you will be presented with an opportunity to print the contract and receive a confirmation e-mail that the Checklist has been submitted to Amridge University . If you get an error message, note the missing information provided in the error message, select the "Back" button on your browser, provide the corrections, and then repeat the Final Step. If you have any problems with submitting the online form, please contact Rick Johnson, whose telephone number is 800.351.4040, Extension 7513.

Version AZ 11.17.2008

Amridge University is accredited by the Commission on Colleges of the Southern Association of Colleges and Schools (1866 Southern Lane, Decatur, Georgia 30033-4097; Telephone number 404.679.4501) to award Associate of Arts, Bachelor of Arts, Bachelor of Science, Master of Arts, Master of Science, Master of Divinity, Doctor of Ministry, and Doctor of Philosophy degrees.

© Amridge University 2008