CERTIFICATE PROGRAM APPLICATION
CERTIFICATE PROGRAM FEES
REGISTRATION FEE $75 (NON-REFUNDABLE)
PER COURSE FEE $900 (PLUS TEXTBOOKS AND SHIPPING)
CERTIFICATE COMPLETION FEE $150
(THIS FEE IS ASSESSED ONCE THE STUDENT APPLIES FOR CANDIDACY) NOTE: THE PAYMENT PLAN OPTION IS NOT AVAILABLE FOR CERTIFICATE PROGRAM STUDENTS. TUITION MUST BE PAID IN FULL UPON ENROLLMENT.
REGISTRATION FORMS SUBMITTED WITHOUT THE NON-REFUNDABLE REGISTRATION FEE, SIGNATURE, AND DATE WILL NOT BE PROCESSED.
SEND THIS APPLICATION FORM AND PAYMENT TO:
California National University for Advanced Studies 18520 Hawthorne Blvd 1st Floor, Torrance, CA 90504
(818) 830-2411 Fax (310) 371-7072 Form of Payment:
Check enclosedPlease charge the $75.00 non-refundable application fee to the following credit card listed below:
Visa
Master Card
American ExpressPRINT NAME exactly as it appears on the credit card: ____________________________________________
Credit Card Number: __________________________________Expiration Date: ________________________
I certify that to the best of my knowledge, the information furnished in this registration is true. I understand that it is for evaluation purposes only, and any credit awarded to me on that basis may be revoked if this information is found to be false.
Signature: ______________________________________________ Date:_______________________
Certificate Program in Six Sigma Green & Black Belt – Combined Registration
Page 1 of 3 Rev. 2014
Certificate Program in Six Sigma Green & Black Belt - Combined
REGISTRATION
This Registration Form is for the Certificate Program in Six Sigma Green & Black Belt - Combined only.
Upon receipt of your signed registration form, CNU will issue you an Enrollment Agreement via fax or e-mail with a choice of Start Dates for the month. To learn more about CNU, and for CNU’s most up-to-date course listings, please visit our website at www.cnuas.edu For assistance, please call CNU at 800-782-2422 or 310-371-7072.
STUDENT INFORMATION
NAME: □ Female □ Male
Last/Family First/Given Middle Initial
HOME ADDRESS:
Number/Route/P.O. Box Street
City/State Zip/Postal Code Country EMPLOYER:
Company/Organization Title WORK ADDRESS:
Number/Route/P.O. Box Street
City/State Zip/Postal Code Country TELEPHONES:
Area Code/Home Area Code/Work FAX
E-Mail Address PERSONAL:
DOB: Month/Day/Year Social Security # Citizenship MILITARY:
(check all that apply) □ Active □ Veteran □ Civilian Employee ETHNIC SURVEY: (check one)
OPTIONAL
□ Native American □ Asian/Asian American □ Black/African American □ Other
□ Hispanic □ Pacific Islander □ White/Caucasian
Certificate Program in Six Sigma Green & Black Belt – Combined Registration
Page 2 of 3 Rev. 2014
STUDENT’S RIGHT TO CANCEL AND REFUND POLICY
The Course Start Date is defined on the front page of this Enrollment Agreement. California National University for Advanced Studies (CNU) guarantees that students will have access to their course study guides, via e-mail, US mail, or Internet by the selected Start Date of the Trimester. In a given trimester, a student is expected to combine guided and self-instruction and progress through the course according to the prescribed schedule. Students are required to sign a course enrollment agreement for each course taken. Total potential tuition/financial commitment for a 121-unit degree program: $300 per unit X 121 units equals $36,300, graduation fee of $300.00. Total potential tuition/financial commitment for a 36-unit degree program: $330 per unit X 36 units equals $11,880, graduation fee of $300.00. Total potential tuition/financial commitment for an 18-unit H.R. certificate program: $300 per unit X 18 units equals $5400, certificate completion fee of
$150.00. Estimated costs of textbooks and course materials per course approximately $150.00 or more, shipping varies according to geographical location. The student has the Right to Cancel by notifying the CNU Registrar in writing within five (5) days of enrolling and will receive a full refund of course fees paid to CNU. A student withdrawing from CNU or dropping a course may only be assessed a one-time “registration fee” of either $75 or 20% of the tuition charge per course (not to exceed $200 per degree program). Students requesting cancellation during subsequent weeks from their Start Date receive their refund according to the Refund Policy and formula for the refundable tuition amount, as defined in the table below.
EXAMPLE: If the student completes only 2 weeks of a 15-week course and paid $2900.00 in tuition, the refund is calculated as follows: Non-Refundable Registration Fee ($200.00 = $2900.00 -$200.00 = $2700.00). Refundable tuition at 2 weeks of instruction completed ($2700.00 X 70% = $1890.00).
Student paid: $2900.00 School retains: $1010.00 School refunds: $1890.00
15-Week Course Refundable Tuition Due After:
1-15 Weeks 1st week = 80%
2nd week = 70%
3rd week = 60%
4th week = 50%
5th week = 40%
6th week = 30%
7th week = 20%
8th week = 10%
9th – 15th week = 0%
ALL NOTICES OF WITHDRAWAL OR REQUESTS FOR REFUNDS MUST BE SUBMITTED IN WRITING, ATTENTION TO:
STEPHANIE SMITH/REGISTRAR
California National University for Advanced Studies 18520 Hawthorne Blvd, First Floor,
Torrance, CA 90504
CNU shall make all refunds within 30 days of cancellation.
I have read and understood the Cancellation and Refund Policy for California National University.
Signature: ________________________________________ Date: _________________
Certificate Program in Six Sigma Green & Black Belt – Combined Registration
Page 3 of 3 Rev. 2014
HELP
For help, refer to the CNU online catalog at our website: www.cnuas.edu.Or, call the CNU Admissions Office at 800-782-2422
FEES CERTIFICATE PROGRAMIN SIX SIGMA GREEN & BLACK BELT - COMBINED
REGISTRATION FEE $75 (NON-REFUNDABLE)
PROGRAM FEE $2900
(DOES NOT INCLUDE TEXTBOOKS AND SHIPPING)
CERTIFICATE OF COMPLETION INCLUDED IN PROGRAM FEE
NOTE: THE PAYMENT PLAN OPTION IS NOT AVAILABLE FOR CERTIFICATE PROGRAM STUDENTS. TUITION MUST BE PAID IN FULL UPON ENROLLMENT.
REGISTRATION FORMS SUBMITTED WITHOUT THE NON-REFUNDABLE REGISTRATION FEE, SIGNATURE, AND DATE WILL NOT BE PROCESSED.
SEND THIS REGISTRATION FORM AND PAYMENT TO:
California National University for Advanced Studies 18520 Hawthorne Blvd 1st Floor, Torrance, CA 90504
(818) 830-2411 Fax (310) 371-7072 Form of Payment:
Check enclosedPlease charge the $75.00 non-refundable registration fee to the following credit card listed below:
Visa
Master Card
American ExpressPRINT NAME exactly as it appears on the credit card: ____________________________________________
Credit Card Number: __________________________________Expiration Date: ________________________
I certify that to the best of my knowledge, the information furnished in this registration is true. I understand that it is for evaluation purposes only, and any credit awarded to me on that basis may be revoked if this information is found to be false.
Signature: ______________________________________________ Date:_______________________
Page 1 of 4 Rev12/13 NEW STUDENT-ENROLLMENT AGREEMENT California National University for Advanced Studies 18520 Hawthorne Blvd, First Floor, Torrance, CA 90504 PHONE: (818) 830-2411 Fax (310) 371-7072 www.cnuas.edu STUDENT INFORMATION
BE SURE TO READ THIS THOROUGHLY, AS IT REPRESENTS YOUR CONSENT TO ENROLL AND ABIDE BY THE POLICIES OUTLINED HEREIN.
Name:
Last First Middle
Address:
Street City/State Zip/Postal Code
TUITION
THIS ACKNOWLEDGES MY ENROLLMENT AT CALIFORNIA NATIONAL UNIVERSITY FOR ADVANCED STUDIES TO PURSUE MY ______ DEGREE FOR A TOTAL OF _____UNITS LESS TRANSFER UNITS OF ___ WITH ______ UNITS COMPLETE, ___UNITS PENDING AND A REMAINDER OF_____CNU UNITS NEEDED.
THE TUITION AND FEES BELOW, WHICH ARE BASED ON A 15-WEEK TRIMESTER SYSTEM, COVER ONE
TRIMESTER OF EDUCATIONAL SERVICES. MOST INSTRUCTIONAL MATERIALS ARE AVAILABLE FOR PURCHASE THROUGH THE CNU BOOKSTORE AT THE CNU WEBSITE AS DESCRIBED IN THE ENCLOSED INSTRUCTIONAL MATERIALS MEMORANDUM. THEREFORE, IT SHOULD BE UNDERSTOOD THAT THE AMOUNT OF THIS
CONTRACT DOES NOT REPRESENT THE TOTAL COST OF THE DEGREE PROGRAM. STUDENTS ARE REQUIRED TO SIGN A COURSE ENROLLMENT AGREEMENT FOR EACH COURSE TAKEN. THIS ENROLLMENT AGREEMENT ONLY REPRESENTS THE TOTAL AMOUNT OF COURSES ENROLLED IN FOR THIS 15-WEEK TRIMESTER PERIOD AND THEIR RELATED FEES.
DESCRIPTION OF CHARGES FOR THE CURRENT PERIOD OF ATTENDANCE
UNITS X $ per unit for $ 0.00 TUITION
STUDENT BODY FEE $ 0.00
FEES (Shipping Varies By Geographical Location)
Instructional Materials are purchased independently by Student $ 0.00 INSTRUCTIONAL MATERIALS (Refer to enclosed Instructional Materials Memo)
STRF FUND (PAID BY CNU APPLICABLE IN CALIFORNIA ONLY-NON-REFUNDABLE) $ 0.00 TUITION
REGISTRATION FEE (NON-REFUNDABLE-SEE PAGE 2) $ 0.00
TOTAL AMOUNT FOR THIS CONTRACT PERIOD: $ ______
THE TOTAL CHARGES FOR THE CURRENT PERIOD OF ATTENDANCE, THE ESTIMATED TOTAL CHARGES FOR THE ENTIRE EDUCATIONAL PROGRAM, AND THE TOTAL CHARGES THE STUDENT IS OBLIGATED TO PAY UPON ENROLLMENT.
Any questions a student may have regarding this enrollment agreement that have not been satisfactorily answered by the institution may be directed to the Bureau for Private Postsecondary Education at 2535 Capitol Oaks Drive, Suite 400, Sacramento, CA 95833, www.bppe.ca.gov, toll-free telephone number (888) 370-7589 or by fax (916) 263-1897. A student or any member of the public may file a complaint about this institution with the Bureau for Private Postsecondary Education by calling (888) 370-7589 toll-free or by completing a complaint form, which can be obtained on the bureau's internet web site www.bppe.ca.gov.