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Refund Policy (As Per MGL Chapter 255, Section 13K):

You may terminate this agreement at any time.
If you terminate this agreement within five days you will receive a refund of all monies paid, provided that you have not commenced the program. Refund Amount: $ ()
If you subsequently terminate this agreement prior to the commencement of the program, you will receive a refund of all monies paid, less the actual reasonable administrative costs described in paragraph 7. Refund Amount: $ ()
If you terminate this agreement during the first quarter of the program, you will receive a refund of at least seventy-five percent of the tuition, less the actual reasonable administrative costs described in paragraph 7. Refund Amount: $ ()
If you terminate this agreement during the second quarter of the program, you will receive a refund of at least fifty per cent of the tuition, less the actual reasonable administrative costs described in paragraph 7. Refund Amount: $ ()
If you terminate this agreement during the third quarter of the program, you will receive a refund of at least twenty-five percent of the tuition, less the actual reasonable administrative costs described in paragraph 7. Refund Amount: $ ()
If you terminate this agreement after the initial five-day period, you will be responsible for actual reasonable administrative costs incurred by the school to enroll you and to process your application, which administrative costs shall not exceed fifty dollars or five percent of the contract price, whichever is less. A list of such administrative costs is attached hereto and made a part of this agreement. ()
If you wish to terminate this agreement, you must inform the school in writing of your termination, which will become effective on the day, such writing is mailed.
The school is not obligated to provide any refund if you terminate this agreement during the fourth quarter of the program.

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STEP 3:

I, the student, attest that I have read the Student Handbook & Course Catalog. Student Handbook & Course Catalog for Online Courses for 9.17.2019

STEP 4: Enter the characters from above Required field

STEP 5:	I Agree
	Please click on the checkboxes below in order to agree to the terms.

	I understand this contract will not be in force and effect until signed by both myself and a CCCI representative.
	I have received a copy of the school's complaint procedures policy.
	I understand the refund policy as stated above.
	I understand that coursework and/or credit from this school may not be transferable to other institutions of education and acceptance is at the discretion of the receiving institution.
	By signing the registration/enrollment agreement, the applicant acknowledges agreement to this document in its entirety, understands and accepts all defined terms and conditions. The applicant acknowledges that s/he has reviewed and agrees with all provisions set forth in the Student Handbook & Course Catalog.

This school is licensed by the Massachusetts Division of Professional Licensure's Office of Private Occupational School Education. Any comments, questions or concerns about this school's license should be directed to occupational.schools@state.ma.us or 617.727.5811, dial "0."

Any changes, addendums, or additions made subsequent to the signing of the enrollment agreement must be in writing and signed by both the school and the student and are subject to the regulations of 230 CMR 15.04.

You have the right to cancel this enrollment contract before the completion of five school days or five percent of this Program, or course, whichever occurs first, and to receive a full refund of all monies paid, less actual reasonable administrative costs up to $50 and actual reasonable costs of non-reusable supplies or equipment. Refund Amount: (See Attachment). Once purchased, manuals are non-refundable as markings are not acceptable.

STEP 6:

Electronic Signature Required field

	10-23-2021
Student's Signature	Date

Zarita Araújo-Lane, LICSW, CCCI Director	10-23-2021
CCCI Official's Signature	Date

STEP 7:

I, the student, have received a completed and signed copy of this agreement
on 10-23-2021

STEP 8:

Please take the time to review all of the information that you have included in this form.

STEP 9:

Please print this Enrollment Agreement for your records.

STEP 10:

Click on SUBMIT button found below.

Oct 23, 2021

STEP 1:		I meet all the enrollment criteria.
		I do not meet all the enrollment criteria and I will not be able to receive a certificate.