I hereby make an adult education application to the Central Pennsylvania Institute of Science and Technology (CPI) according to the policies, rules, and regulations set forth in the school catalog. I wish to be enrolled in the program indicated above and understand the following: I am responsible for providing current copies of a Criminal Records Check and Child Abuse Clearances before entering the program. Clearance forms are available at CPI and the fee is $20 (non-refundable).
Refunds for this program will follow the applicable CPI Refund Policy. CPI is not liable for damage to or theft of any personal belongings brought on the premises. CPI is not responsible for payment of medical expenses or other damages incurred by students during course activities.
As required by the Pennsylvania Department of Education (PDE), I may be contacted by CPI or PDE with regard to completion, placement, satisfaction, or wages related to this course.
If an agency or organization is funding this course on my behalf, in the event that this agency or organization were to withdrawal funding for any reason, I am responsible for all costs associated with enrollment in this course.