<p> 1</p><p>SHEPHERD UNIVERSITY 3200 N. San Fernando Rd., Los Angeles CA 90065 Tel.: (323) 550-8888; Fax: (323) 550-1313 School webpage: shepherduniversity.edu</p><p>ENROLLMENT AGREEMENT *Please Print All Information. Student Name(First, Middle initial, Last) Email Address Student ID #</p><p>Address City State & Zip Phone</p><p>The above-referenced student (“hereinafter referred to as student”) and Shepherd University (“hereinafter referred to as Shepherd”) are entering into this agreement where the student will pay tuition and fees as indicated below as well as adhere to Shepherd’s enrollment and refund policies and other important policies as set forth in Shepherd’s Catalog. The school will instruct the student in the curriculum listed below in accordance with the Education Law and Commissioner’s Regulations. </p><p>An Enrollment agreement shall be written in language that is easily understood. If English is not the student’s primary language, and the student is unable to understand the terms and conditions of the enrollment agreement, the student shall have the right to obtain a clear explanation of the terms and conditions and all cancellation and refund policies in his or her primary language from a qualified school officer upon request. This agreement is legally binding when signed by the student and accepted by Shepherd. Your signature on this agreement acknowledges that you have been given reasonable time to read and understand it and that you have been given a written statement of the refund policy including an example of how it applies and a catalog including a description of the program including all material facts concerning SHEPHERD UNIVERSITY and the program which are likely to affect your decision to enroll. Immediately upon signing this agreement, you will be given a copy of it to retain for your records. Do not sign this agreement before you have read pages 1 through 5 thoroughly. You are entitled to an exact copy of this agreement and any disclosure pages that you sign. This agreement and the school catalog constitute the entire agreement between the student and the school. There is no charge paid to an entity other than Shepherd that is specifically required for participation in the education program.</p><p>School Name School of Nursing Program Required Credit Hours</p><p>Program Length Start Date: Completion Date:</p><p>Period Covered From To Enrollment Agreement</p><p>TOTAL CHARGES FOR THE CURRENT PERIOD OF ATTENDANCE : $ ______STRF NONREFUNDABLE CHARGE: $______ESTIMATED TOTAL FOR ENTIRE PROGRAM : $ ______TOTAL CHARGES UPON ENROLLMENT : $ ______</p><p>I understand that this is a legally binding contract. My signature below certifies that I have read, understood, and agreed to my rights and responsibilities, and that Shepherd’s cancellation and refund policies have been clearly explained to me. </p><p>______/_____/______STUDENT’S SIGNATURE DATE mm/dd/yyyy This agreement is accepted by Shepherd University. ______/_____/______OFFICER’S SIGNATURE/TITLE DATE mm/dd/yyyy</p><p>Rev 072014 ______initial</p><p>2</p><p>FINANCIAL INFORMATION</p><p>*As an added convenience for each school, this form is designed for retailing your financial information based on each school’s necessary requirement; however, Shepherd University requires inserting the information found on pages 2-5 for the purpose of this Enrollment Agreement.</p><p>SCHOOL OF NURSING: L V N Certificate Associate Degree in Nursing Bachelor of Science in Nursing (RN Program) (RN to BSN) Tuition Length in Semester: 4 Terms 6 Semesters 3 Semesters (Major only) Total Required Credits: n/a 85 units 122 units Major Required Credits: 1,562 Hours 40 28 Transferable Credits: Up to 45 credits Up to 94 credits Tuition-GE (on campus): $593 per GE unit $593 per GE unit Tuition-GE (E-Learning): $335 per GE unit $335 per GE unit Tuition-Major (on campus): $1,597.50 per Major unit $593 per Major unit $5,360 (term 1/390 hours) $19,968.75 (term 1/12.5units) $5,930 (SP Term/10 units) $5,360 (term 2/390 hours) $15,975.00 (term 2/10 units) $5,337 (SU Term/9 units) $5,360 (term 3/390 hours) $11,981.25 (term 3/7.5 units) $5,337 (FA Term/9 units) $5,360 (term 3/392 hours $15,975.00 (term 4/10 units) ** Term Mean: $5,360 $15,975.00 $5,534.67 General Fees Application fee (one-time fee): $120 $120 $120 Registration fee (Nonrefundable) $20 per term $20 per semester $20 per semester Student Activity fee: $50 per term $50 per semester $50 per semester Student Association fee: $15 per term $15 per semester $15 per semester Student Service Fee: $215 per term $215 per semester $215 per semester Nursing Lab Fee: $500/once $1,000/once n/a Clinical Lab Fee $190 per semester $290 per semester $600/once Science Lab Fee: $1,000 (if applicable) $1,000/once $1,000 (if applicable) NCLEX Test Preparation Fee: $500 n/a n/a *STRF Fee (Nonrefundable): $11/once 1 $50/once 2 $10/once 3 Thesis fees: n/a n/a $200 (if applicable) Graduation (only graduates pay): $200 $200 $300 </p><p>THE ESTIMATED TOTAL AMOUNT INCLUDING ALL FEES BASED ON FULL TIME ENROLLMENT IS: $24,731 $96,505.00 $18,524.00 Misc. Fees Late Registration fee: $100 $100 $100 Late Tuition Fee: 10% of Tuition 5% of Tuition 10% of Tuition (15% after a month) (15% after a month) Lab ID Fee: $10 per case $10 per case $10 per case HESI Package Resource Fee: $219 n/a n/a Kaplan Nursing Resource Fee: n/a $499 n/a Continuation Fee (per program): 1 Unit Tuition 1 Unit Tuition 1 Unit Tuition Class Make-up Fee: $35 per hour $75 per hour n/a TEAS-V Test Fee: $45 per test $45 per test $45 per test Lab Supplies/kits: TBA TBA</p><p>Note All fees listed above including STRF are nonrefundable and costs shown above are subject to change without notice. You are responsible for paying all fees, charges, and services as they are incurred each semester. If you obtain student loan, you are responsible for repaying the loan amount plus any interest. Additional financing charges will be added monthly at a rate 8.25% per annum for any balance remaining after a student becomes inactive or is no longer attending classes. I understand that total program cost may be impacted by approved transfer credits or needed prerequisite coursework. 1,2,&3 The STRFs are estimated based on entire tuition. </p><p>*The student is obligated to pay the Student Tuition Recovery Fund (STRF) which is nonrefundable; residents of California will be charged a $.50 fee per $1,000 of tuition charged for STRF rounded to the nearest thousand dollars from each student; if you are not a resident of California, you are not eligible for protect under, and recovery from, this fund. If the total institutional charge is any amount less than $1,000, round up to $1,000; if charge is $1,499.99 or less, round down to $1,000; if charge is $1,500.00 or greater, round up to $2,000.</p><p>Rev 072014 ______initial</p><p>3</p><p>** The Term Mean is calculated by the following equations: (Total Term Mean =Total tuition/total terms)</p><p>ENGLISH PROFICIENCY/NURSING PROGRAM ADMISSION REQURIEMENTS To enroll in the undergraduate nursing degree programs (LVN, ADN, & BSN program), international students are required to achieve an overall TOEFL score of 60 or higher with speaking score of 18~19 or higher, or an overall IELTS score of 6 with a speaking score of 6.0 or higher. If students have no TOEFL or IELTS score or less than the minimum scores school requires, students must successfully complete the ESL Level 5 at Shepherd ESL program. Completion of Level 5 is one of the admission requirements for students who are admitted under these conditions.</p><p>All LVN and RN students must fulfill the admission criteria of Shepherd University Nursing programs that are approved by the BVNPT and CA BRN, respectively. The admission criteria include achieving a passing score on TEAS (which is a skill- based admission test) 60% or higher in LVN program and RN to BSN program, and 65% or higher in ADN Program. The applicant is responsible to pay any fees incurred in order to meet admission criteria. A student who has weakness in Science content area in the TEAS may require taking Medical Terminology prior to the LVN Certification program. Also the LVN Advanced Placement Option may apply for screening tests in Obstetric & Pediatric Nursing prior to awarding the credits resulted in additional tuition imposed.</p><p>SHEPHERD UNIVERSITY GRADUATION REQUIREMENTS All LVN and RN students must pass the Comprehensive Exit Exam with a minimum score of ABOVE 80% and attend NCLEX Review class offered by the university in order to meet the graduation requirement. All RN to BSN nursing students must pass the Capstone Project in order to complete their graduation requirements. Capstone Projects will be evaluated by the Graduation Committee, effective as of spring semester of 2013. Academic dishonesty will not be tolerated by Shepherd University, and the offending student may be dismissed from the program. Passing scores will not be recorded if cheating is discovered. SCHOOL’S RIGHTS AND RESPONSIBILITIES Right to change of schedule: Shepherd reserves the right to reschedule the period of the program if the student enrollment does not meet the minimum requirement. Right to terminate: Shepherd reserves the right to terminate students for unsatisfactory progress, non-payment of tuition, or failure to conform to Shepherd’s standards of conduct stated in the Catalog. Transferability of credit: Shepherd does not guarantee the transferability of credits earned at Shepherd to another college or university. Any decision on the comparability, appropriateness, applicability, and acceptability of credit depends on the receiving institution. Placement: Although Shepherd provides placement assistance, it does not guarantee job placement to graduates upon program completion or upon graduation.</p><p>NOTICE CONCERNING TRANSFERABILITY OF CREDITS AND CREDENTIALS EARNED AT SHEPHERD The transferability of credits you earn at Shepherd University is at the complete discretion of an institution to which you may seek to transfer. Acceptance of the degree or certificate you earn in your program is also at the complete discretion of the institution to which you may seek to transfer. If the credits, degree or certificate that you earn at Shepherd University is not accepted at the institution to which you seek to transfer, you may be required to repeat some or all of your coursework at that institution. For this reason you should make certain that your attendance at Shepherd University will meet your educational goals. This may include contacting an institution to which you may seek to transfer after attending Shepherd University to determine if your credits, degree, or certificate will transfer.</p><p>STUDENT RIGHT TO CANCEL The student has the right to cancel the enrollment agreement and obtain a refund of charges paid through attendance at the first class session, or the seventh day after enrollment, whichever is later. If the student has completed 60 percent or less of the period of attendance, a pro rata refund will be applied. If the student has completed 60 percent or greater of the term, there will be NO refund. All fees are nonrefundable. If the student receives federal financial aid, the student is entitled to a refund of money not paid from federal financial aid funds. Enrollment Time Weeks Refund On or Before the Last Day of the Add/Drop Date (0-6.6%) 1 100% 6.7%-13.1% 2 93.3% 13.2%-19.8% 3 86.8% 19.9%-26.5% 4 80.1% 26.6%-33.2% 5 73.4% 33.3%-39.9% 6 66.7% 40%-46.6% 7 60% 46.7%-53.3% 8 53.3% 53.4% to 60% 9 46.6% After 60% 10~15 0% Rev 072014 ______initial</p><p>4</p><p>Withdrawal from Shepherd or cancellation of this agreement may be effectuated by the student’s written notice or by the student’s conduct (for example: lack of attendance). If the student decides to cancel the agreement, any payment the student has made shall be returned within 45 days following Shepherd’s receipt of the cancellation notice. In order to cancel this agreement with Shepherd, the student shall mail or deliver a signed and dated copy of a written cancellation notice to: Shepherd University, 3200 N. San Fernando Rd., Los Angeles, CA 90065. If Shepherd gave the student any equipment, it must be returned within 30 days of the cancellation date. If the student does not return the equipment within the 30-day period, Shepherd may charge the cost of the equipment. The amount charged for each item shall not exceed its fair market value. Shepherd shall have the burden of proof to establish the equipment’s fair market value. </p><p>LOANS AND STUDENT RESPONSIBILITY If the student obtains a loan to pay for an educational program, the student will have the responsibility to repay the full amount of the loan plus interest, less the amount of any refund. If the student is eligible for a loan guaranteed by the federal or state government and the student defaults on the loan, both of the following may occur. (1) The federal or state government or a loan guarantee agency may take action against the student, including applying any income tax refund to which the person is entitled to reduce the balance owed on the loan. (2) The student may not be eligible for any other federal student financial aid at another institution or other government assistance until the loan is repaid.</p><p>SATISFACTORY ACADEMIC PROGRESS Federal regulations (CFR 668.34) require that, in order to be eligible for assistance from Title IV student aid, all students (full-time, part-time, undergraduate, and graduate) must maintain satisfactory academic progress toward completion of their degree. All students who receive institutional, federal and state financial aid must meet the academic standards of Shepherd University and the standards of satisfactory academic progress defined by federal regulations as follows. Students must</p><p> complete their degree within a maximum period of 150% of the published length of the academic program;  complete 66.67% of all attempted courses ; and  maintain a cumulative GPA of 2.00 at the end of each term.</p><p>Students not meeting SAP are subject to dismissal from their program of study and are ineligible to receive financial aid, except under special circumstances. When a student’s progress is evaluated as prescribed and his or her academic performance is below either of the thresholds required to maintain SAP, the student’s academic progress will be projected to determine if and when it would be possible for the student to reestablish SAP.</p><p>RETURN OF TITLE IV FUNDS When a student who receives federal financial aid withdraws from Shepherd University, the Financial Aid Office must calculate the amount of financial aid the student and the school must return to federal programs. When the student officially withdraws from the university after the 60 percent point in an enrollment period or term, any federal financial aid received is considered earned and the student is not required to return the financial aid. When the withdrawal happens on or before the 60 percent point, the student must return the unearned portion of the aid to the respective Title IV programs. Unearned aid is calculated by multiplying unearned aid percentage by the amount of aid received. Unearned aid percentage is calculated by dividing the number of days remaining in the term after withdrawing by the total number of days in the term. Return of funds are allocated in the following order: (1) Unsubsidized Federal Stafford Loans, (2) Subsidized Federal Stafford Loans, (3) Federal Perkins Loans, (4) Federal Parent (PLUS) Loans, (5) Federal Pell Grants, (6) Federal Supplemental Opportunity Grants, (7) Other Title IV Programs, (8) Federal or State Programs where a return is required.</p><p>SCHOOL CATALOG AND PERFORMANCE FACT SHEET Prior to signing this enrollment agreement, you must be given a catalog or brochure and a School Performance Fact Sheet, which you are encouraged to review prior to signing this agreement. These documents contain important policies and performance data for this institution. This institution is required to have you sign and date the information included in the School Performance Fact Sheet relating to completion rates, placement rates, license examination passage rates, and salaries or wages, prior to signing this agreement. I certify that I have received the catalog, School Performance Fact Sheet, and information regarding completion rates, placement rates, license examination passage rates, and salary or wage information included in the School Performance Fact sheet, and have signed, initialed, and dated the information provided in the School Performance Fact Sheet. ______(initial)</p><p>STUDENT TUITION RECOVERY FUND (STRF) You must pay the state-imposed assessment for the Student Tuition Recovery Fund (STRF) if all of the following applies to Rev 072014 ______initial</p><p>5 the Shepherd University: (1) You are a student in an educational program, who is a California resident, or are enrolled in a residency program, and prepay all of part of your tuition either by cash, guaranteed student loans, or personal loans, and (2). Your total charges are not paid by any third-party payer such as an employer, government program or other payer unless you have a separate agreement to repay the third party. </p><p>You are not eligible for protection from the STRF and you are not required to pay the STRF assessment if either of the following applies: (1). You are not a California resident, or are not enrolled in a residency program, or (2). Your total charges are paid by a third party, such as an employer, government program or other payer, and you have no separate agreement to repay the third party.</p><p>The State of California created the Student Tuition Recovery Fund (STRF) to relieve or mitigate economic losses suffered by students in educational programs who are California residents, or are enrolled in a residency programs attending certain schools regulated by the Bureau for Private Postsecondary and Vocational Education.</p><p>You may be eligible for STRF if you are a California resident or are enrolled in a residency program, prepaid tuition, paid the STRF assessment, and suffered an economic loss as a result of any of the following: (1). The school closed before the course of instruction was completed, (2). The school's failure to pay refunds or charges on behalf of a student to a third party for license fees or any other purpose, or to provide equipment or materials for which a charge was collected within 180 days before the closure of the school, (3). The school's failure to pay or reimburse loan proceeds under a federally guaranteed student loan program as required by law or to pay or reimburse proceeds received by the school prior to closure in excess of tuition and other costs, (4). There was a material failure to comply with the Act or this Division within 30 days before the school closed or, if the material failure began earlier than 30 days prior to closure, the period determined by the Bureau and (5). An inability after diligent efforts to prosecute, prove, and collect on a judgment against the institution for a violation of the Act. QUESTIONS AND COMPLAINTS Any questions a student may have regarding this enrollment agreement that have not been satisfactorily answered by the institution may be directed to the Bureau for Private Postsecondary Education at 2535 Capitol Oaks Drive, Suite 400, Sacramento, CA 95833 (physical address); P.O. Box 980818, West Sacramento, CA 95798-0818 (mailing address); www.bppe.ca.gov(Web site address); (916) 431-6959 (phone); (916) 263-1897 (fax).</p><p>A student or any member of the public may file a complaint about this institution with the Bureau for Private Postsecondary Education by calling to tall –free at (888) 370-7589 or by completing a complaint form, which can be obtained on the bureau's Internet Web site (www.bppe.ca.gov)</p><p>I understand that this is a legally binding contract. My signature below certifies that I have read, understood, and agreed to my rights and responsibilities, and that the institution's cancellation and refund policies have been clearly explained to me. In addition, I certify that Shepherd University has met the disclosure requirements of the Bureau for Private Postsecondary Education Reform Act, effective January 1, 1998.</p><p>______/_____/______STUDENT’S SIGNATURE DATE mm/dd/yyyy </p><p>Rev 072014 ______initial </p>