Registration Student Enrollment Agreement ImpactTek Inc. 8807 Sudley Road Suite 116 Manassas, VA 20110 Phone: (571) 358-8565 E-mail: [email protected] Website: https://ImpactTek.org ImpactTek is CompTIA Authorized Partner, AWS Academy Accredited Educator and Grow with Google Partner Please enable JavaScript in your browser to complete this form.Full Name *Email *Phone *Address *City *State *How did you hear about ImpactTek? *FriendGoogleFacebookInstagram LinkedIn WhatsApp OtherPaid By *SelfGovernmentChoose A Training Course *Choose A Training CourseCompTIA A+ 1101 and 1102CompTIA Security+ 601CompTIA Cyber Security Analyst (CySA+)CompTIA PenTest+EC-Council Certified Ethical Hacker(CEH)AWS Solutions Architect AssociateAWS Cloud PractitionerSplunk Core User Fundamentals 1Splunk Power User Fundamentals 2ITIL v4 FoundationStart Date: March 11, 2023 Clock hours: 60 Course Tuition: $757 eLearning System & Books: $400 Registration Fee: $100 TOTAL COST: $1,257Start Date: March 18, 2023 Clock hours: 40 Course Tuition: $400 eLearning System & Books: $400 Registration Fee: $100 TOTAL COST: $900Start Date: April 1, 2023 Clock hours: 40 Course Tuition: $700 eLearning System & Books: $400 Registration Fee: $100 TOTAL COST: $1,200 Start Date: April 1, 2023 Clock hours: 40 Course Tuition: $700 eLearning System & Books: $400 Registration Fee: $100 TOTAL COST: $1,200 Start Date: April 8, 2023 Clock hours: 40 Course Tuition: $700 CEH Labs: $400 Registration Fee: $100 TOTAL COST: $1,200 Start Date: March 25, 2023 Clock hours: 39 Course Tuition: $450 AWS Academy with Lab License: $400 Registration Fee: $100 TOTAL COST: $950 Start Date: March 25, 2023 Clock hours: 20 Course Tuition: $450 AWS Academy with Lab License: $400 Registration Fee: $100 TOTAL COST: $950 Start Date: April 8, 2023 Clock hours: 12 Course Tuition: $400 Splunk with Lab License: $400 Registration Fee: $100 TOTAL COST: $900Start Date: April 12, 2023 Clock hours: 16 Course Tuition: $400 Splunk with Lab License: $400 Registration Fee: $100 TOTAL COST: $900 Start Date: April 15, 2023 Clock hours: 20 Course Tuition: $800 Registration Fee: $100 TOTAL COST: $900 Education *High SchoolAssociate DegreeBachelors DegreeMasters PhDDo not prefer to answerOtherFamily Income (only used for end of year student statistics) *Under $40k$40K - $60K$60 - $80KOtherRace (only used for end of year student statistics) *WhiteHispanicBlackAsianNative AmericanPacificPrefer Not to AnswerOtherRefund Policy ImpactTek follows State Council of Higher Education for Virginia or SCHEV refund regulation. Students who enroll in any of the ImpactTek programs must pay $100 nonrefundable registration fee. After student pays registration and a tuition fee but withdraws from program without attending the first day of course, ImpactTek will refund student full tuition fee minus the nonrefundable registration fee. Below is the refund policy of a student who enrolls in one of the programs but drops out. 1. If the program is 20 clock hours, and the student pays full tuition and withdraws from course before attending the first day of course, then student will be refunded 100% of paid tuition minus the nonrefundable registration fee of $100. If student completes up to 5 clock hours and then withdraws from course, then student will get a refund of 75% of tuition paid minus $100 nonrefundable registration fee and system access and class material of $400. If the student completes up to 10 clock hours and then withdraws from course, then student will get a refund of 50% of tuition paid minus $100 nonrefundable registration fee and system access and class material of $400. If the student completes up to 15 clock hours and then withdraws from course, then student will get a refund of 25% of tuition paid minus $100 nonrefundable registration fee and system access and class material of $400. If the student attends more than 16 clock hours in the 20-clock hour course, then student is not entitled to any refund. 2. If the program is 40 clock hours, and the student pays full tuition and withdraws from course before attending the first day of class, then student will be refunded 100% of paid tuition minus the nonrefundable registration fee of $100. If student completes up to 10 clock hours and then withdraws from course, then student will get a refund of 75% of tuition paid minus $100 nonrefundable registration fee and system access and class material of $400. If the student completes up to 20 clock hours and then withdraws from course, then student will get a refund of 50% of tuition paid minus $100 nonrefundable registration fee and system access and class material of $400. If the student completes up to 30 clock hours and then withdraws from course, then student will get a refund of 25% of tuition paid minus $100 nonrefundable registration fee and system access and class material of $400. If the student attends more than 31 clock hours in the 40-clock hour course, then student is not entitled to any refund Please see page 22-24 of ImpactTek 2023 Catalog for refund policy and refund table Student Right To Cancel After registration student has 3 business days excluding weekends and holidays to cancel enrollment agreement. In order to avoid additional fees, the applicant has to cancel by _____ Agreement Signature By signing below, I certify that I have been provided access to the school’s electronic or print catalog, bulletin, or brochure. I understand that this is a legally binding agreement. My signature below certifies that I have read, understood and agreed with my rights and responsibilities. Further, I certify that I understand the cancellation and refund policies and I understand and agree to these policies. PRINT YOUR NAME TO SIGN: *DATE: *ImpactTek Administrator Signature *DATE: *Disclosures ImpactTek is certified to operate in Virginia by State Council of Higher Education for Virginia or SCHEV. Below is SCHEV contact information. Phone: (804) 225-2600 Address: 101 N 14th St 10th floor, Richmond, VA 23219 After completion of any of the below programs, the student will receive a certificate of completion. If the student withdraws in the middle of program, they must re-enroll in order to continue with the program. If a student completes a certificate program and wants to transfer, the transferability of the program certificate and credentials earned is at the sole discretion of the receiving school. ImpactTek does not accept the transfers of other education institution certificate program, credits, or credentials. At this time ImpactTek is not offering payment plan. Students that enroll in any other programs will have to pay the tuition, registration fee and if applicable books and learning material at the time of program registration. Since July 2020, ImpactTek has held cybersecurity and cloud computing courses, a total of 300 students have taken our courses and our pass rate is 90%. About 150 our students were successfully placed in IT Jobs. Grievance Process: ImpactTek will provide good quality IT training but understands differences may arise at times. If a student is displeased or feels they are not receiving the training that they were promised, then the student can formally submit a complaint by email to the instructor or Ahmed Adde, ImpactTek president and administrator. The student will be asked to fill out a complaint form. If the student’s complaints have not been addressed then the student can submit a complaint to State Council of Higher Education for Virginia or SCHEV. Please see our complaint process on page 19 on the ImpactTek 2023 Catalog. A new enrollment agreement must be completed in the event that the student (i) delays his start dates, (ii) changes the program of enrollment; or (iii) drops from the program and re-enrolls at a later date. No postsecondary school shall condition the enrollment of a student on: (1) Entering into an agreement that requires the studen to arbitrate any dispute between the student and the school, regardless of whether the agreement permits the student to opt out of the requirement to arbitrate any such dispute in the future; or (2) Entering into an agreement that requires the student to resolve a dispute on an individual basis and waive the right to class or group actions. Enroll Now GRADUATES AT WORK: