Montessori Training

US Upper Elementary (9-12) Student Enrollment Contract

Program Information

Program Title: Montessori Upper Elementary (9-12) Diploma Program

Program Duration: Nine Months (3 components of 12 weeks each). Note: A single contract can not exceed 18 months.

Program Schedule: Part Time Program completed via Distance/Home Study

Program Credential: Montessori Teaching Diploma (Ages 9 - 12 years)

Name of Program Director: Dale H. Gausman, B.Ed., AMI, ECE

This program includes: a full set of NAMC’s Montessori Upper Elementary (9-12) curriculum manuals, program assignments, curriculum support materials on CD, feedback, evaluation, tutoring, the cost of shipping program materials by UPS Courier, and, upon successful completion of your program, your Montessori 9-12 teaching diploma.

Student Information

Required fields marked with an asterisk (*)

Legal First Name and Middle or Given Names:

Legal Surname:

Please Note: When contacting us in any way (email, telephone or mail, etc.) please use the full name above at all times. Your diploma will be issued in the legal name provided above.

Program Tuition Fee Receipt (please make the appropriate selection): *

Issue to student

Issue to school

SELECT WHERE TO SHIP, THEN COMPLETE ALL INFORMATION (Home, School, or Other Mailing Address). FOR SHIPPING INFORMATION, PLEASE PROVIDE PHYSICAL ADDRESS FOR COURIER DELIVERY. BOX NUMBERS ARE NOT ACCEPTED.

Please Note: UPS delivers your materials to the address that you provide us with. They do not require a signature, and will leave the package at the door. UPS does recommend that you provide an address where someone will be available to receive the package. UPS does not deliver to P.O. boxes. Throughout the program it is the student's responsibility to provide us with any updates to their delivery address. There is a fee for redirected packages.

Ship to:*

Home

School

Other Address

	Home Address
Address line 1:
Address line 2:
City:
State:
Zip Code:
Tel #:
Fax#:
Other #:
Email:

School Address

Name:
Address:
City:
State:
Zip Code:
Tel#:
Fax #:
Email:
Director:

Type of School:

Montessori

Public

Private

Other:

Open all year for shipping?*

Yes

only required if school address is provided.

	Other Address
Address line 1:
Address line 2:
City:
State:
Zip Code:
Tel #:
Fax#:
Other#:
Email:

Admission Policy

NAMC welcomes applications from all adults, regardless of age, gender, race, ethnic origin, nationality, or religion. To qualify for admission, you must meet the minimum requirements: a) possess a high school diploma or GED (or foreign) equivalent; or b) be granted admission based upon having experience working in an educational capacity; or c) be granted admission as a mature student (19 years of age or older). Note: the minimum admission requirements cannot be waived by either NAMC or the student.

Please indicate your highest level of education*

I confirm that I meet the minimum admission requirements listed above and grant NAMC permission to verify my eligibility.*

Tuition and Fees - all fees are payable in US dollars ($USD)

Choose one of the Following Two Payment Options: *

1. Payment in three installments, or

$1,058.00

($983 + $75 shipping)

2. Full payment option.

$2,999.00

($2,949 + $150 shipping - $100 full payment savings)

Special Discounts (Note: NAMC will make any necessary adjustments to your payment amount below for any special discounts that apply.)

Graduate Discount: NAMC Graduates paying for the entire program in one payment will receive a $100.00 discount which will be applied to their Total Program Fee. Students paying for their program in three installments will have their discount applied as follows: Installment 1: $33.00, Installment 2: $33.00, Installment 3: $34.00.

Volume Discount: NAMC offers a volume discount of $50.00 per person when two or more people enroll together. This discount will be applied against your first payment.

Full Payment Discount: Students choosing to pay for their entire program in one payment save an additional $100.00 off their Total Program Fees. Please Note: This discount has already been applied to the payment amount shown above.

Payment Policy

The student understands and agrees to pay the Total Payment Due outlined in the Section titled TUITION AND FEES, totaling $2,949.00 (US funds), before any applicable discounts. This includes a non-refundable Registration Fee of $200.00, a Program Tuition Fee of $900.00 and a Curriculum Material Fee of $1,849.00. Additional Shipping fees apply ($150.00 for the full program shipment or $75.00 for each of the three installments/shipments).

If paying in installments, your first installment is due with submission of your contract. Your second installment is due on or before your first Assignment Due Date, and your final installment is due on or before your second Assignment Due Date. NAMC will provide you with your Assignment Due Dates along with your program materials.

The student understands and agrees that if the tuition and fees are paid by a School, the diploma and transcripts will be sent to the School for release to the graduate.

NAMC may adjust the Total Tuition and Fees to accommodate for any applicable Special Discounts (as outlined above).

The Total Tuition and Fees payable is subject to the terms and provisions of the Tuition Refund Policy.

The Total Tuition and Fees is subject to change without notice, but not within the Program Duration.

Payment Being Made by: *		VISA		MasterCard
Please choose type of credit card: *		Credit Card		Debit Card

Name of company issuing credit card *

Name as it appears on card:	Credit Card Number:	Expiry Month/Year:
*	*	/ *

3-Digit V-Code (from the back of your credit card):*

Note: If you would prefer to enroll using one of our other convenient methods of payment, please print out the PDF form and mail it to our center.

Students choosing to pay by credit card on a "per component" basis: Your first payment is due with submission of your contract. Your second payment is due with submission of your first set of assignments. Your third payment is due with submission of your second set of assignments. Credit card payments are automatically processed when your payments are due, unless you provide alternative instructions in advance.

NAMC Policies - Please Read and Acknowledge

Please review the following link for policies regarding dismissal, withdrawal and tuition refund: Review NAMC's Policies. Please note, you will receive a Student Handbook containing these and other standard NAMC Policies.

I have read, understand, and agree with NAMC's Policies on Dismissal, Withdrawal and Tuition Refunds. I have printed a copy of this information for my own records. *

Release of Personal Information:

In accordance with Part 4(10)(1)(a) of the Personal Information Protection Act, we hereby notify you that your name and personal identification information, the name of your program of study, and the amount of the Program Tuition Fee paid will be stored for the purpose of maintaining an academic record archive.

Other uses of personal information may include purposes of identification, statistical reporting, determining Program Tuition Fee refund entitlements, measuring program performance, or other requirements.

STUDENT DECLARATION:

I hereby make application for the North American Montessori Center’s Teacher Training Program. The Educational Institution’s full name offering this program is “Cornerstone Montessori Pre-school Ltd.”, d.b.a. North American Montessori Center (NAMC). I understand the Total Payment Due (before any applicable discounts) is $2,949.00 (US funds). This includes a non-refundable Registration Fee of $200.00, a Program Tuition Fee of $900.00 and a Curriculum Material Fee of $1,849.00. Additional Shipping fees apply ($150.00 for the full program shipment or $75.00 for each of the three installments/shipments). I understand that I have 12 weeks (for each of the 3 components) to submit my assignments by either mail or email.

I certify that I have read, understood, and agree to the terms and conditions of this Student Enrollment Contract, and I understand that I will receive a signed copy of this contract. I certify the information provided by me on this form is true and accurate and that I am 19 years of age or older.

(If you are under 19 years of age, the signature of your parent or legal guardian must be appended as the responsible party of this agreement. Please print a copy of this form and fax it to 604.531.6698.)

I accept this Student Enrollment Contract and will print a copy of it for my own safekeeping. *

INSITUTION DECLARATION:

NAMC agrees to deliver the program according to the terms of this Student Enrollment Contract. NAMC reserves the right to make minor adjustments to the program curriculum and/or delivery. NAMC acknowledges that the student has met the admission requirements for the program of study.

All sections of this contract must be completed and the original contract must be kept in the student’s file at NAMC.

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