Get a Job With Free Training - EIDOS Technologies

Student Application

First Name: *

Last Name *

COVID 19 Effect

Has COVID affected your home?The pandemic did not effect my household financiallyThe pandemic did effect my household financially

Can you provide/submit documentation proving financial hardship?YesNo*The types of documentation that are acceptable include, but are not limited to, a letter or notice from employer, establishing proof of reduction in work hours or proof of employer/ business shut down due to COVID19, medical bills related to a COVID-19 diagnosis or treatment, childcare bills, rent/mortgage bills, etc.

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Upload any supporting documents that show proof of hardship relating to COVID 19

How many people are in your household?

Provide an estimate of your household income.

USD

Please provide the best estimate your household income

Present Address

Present Address:

Apt, Ste, etc.

City:

Zip Code/Postal Code *Must be located in Virginia.

State/Province: *Must be located in Virginia

Permanent Address

If different than current address, please fill out section below.

Permanent Address:

Apt, Suite, etc:

City:

Zip Code/Postal CodeMust be located in Virginia.

State/Province:Must be located in Virginia

Contact Information

Home Phone:

Cell Phone: *

Work Phone:

Date Of Birth: *

Email Address: *

Course List

Attendance, Cancellation and Refund Policy

I, the student, understand the Attendance Policy. *

YesNoAttendance Policy: You cannot miss more than 2 instructional days. On the 3rd absence student will be excused from the course, will forfeit all monies paid, and may be liable of reimbursement of funds provided by this grant. There are no refunds for deposits and payments submitted for the course provided.

I, the student, understand. *

YesNoThe school does not accept credit for previous education, training, work experience (experimental learning), or CLEP. 2. The School does not guarantee job placement to graduates upon program/course completion or upon graduation. 3. the school reserves the right to reschedule the program start date when the number of students scheduled is too small. 4. The school will not be responsible for any statement of policy or procedure that does not appear in the school catalog. 5. The school reserves the right to discontinue the student's training for unsatisfactory progress, nonpayment of tuition or failure to abide by School rules. 6. Information concerning other Schools that may accept the School's credit towards their programs can be obtained by contacting the office of the President. It should not be assumed that any programs described in the Schools catalog could be transferred to another institution. The School does not guarantee the transferability of credits and whether they should be accepted is the decision of the receiving institution. 7. This document does not constitute a binding agreement until accepted in writing by all parties. There are no refunds for deposits and payments submitted for the courses provided.

I, the student, acknowledge. *

YesNo

I, the student, accept this contract. *

YesNoI hereby acknowledge receipt of the School's catalog dated which contains information describing programs offered, and equipment/supplies provided. The School's catalog is included as a part of this enrollment agreement, and I acknowledge that I have/will receive a copy of this catalog. 2. Also, I will carefully read the copy of this enrollment agreement. 3. I understand that the School may terminate my enrollment if I fail to comply with attendance, academic and financial requirement or if I disrupt the normal activities of the School. While enrolled in the School, I understand that I must maintain Satisfactory Academic Progress as described in the School catalog and that my financial obligation to the School must be paid in full before a certificate may be awarded. 4. I also understand that this institution does not gurantee job placement to graduate upon program/course completion or upon graduation. There are no refunds for the deposits and payments submitted for the courses provided.

Signature *

Date: *

Please, click the link below to continue your application.

https://www.eidos-tek.com/covid-19-impact-forms