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Incident Qualifcation (Red Card) Enrollment Agreement & Student Data Form

SECTION ONE:

COURSE TITLE:

Incident Qualification Course


PROGRAM:
Support for 5 online classes. (L180, S190, S130 (blended), ICS100, and IS700) To complete the blended S130 class, a student will attend one (1) 8 hour field day with direct instruction on wildland firefighting skills and survival. Industry professionals, DNR, and Forest Service will assist in field day operations.


COST:

Tuition, Training Gear, and Field Day to complete S-130 - $400.00


AGREEMENT NOTICE:
This agreement will be binding only when it has been fully completed, signed, and dated by the student and an authorized representative of the school prior to the time instruction begins.

CHANGES TO AGREEMENT NOTICE:
Any changes in the agreement will not be binding on either the student or the school unless such changes are acknowledged in writing by an authorized representative of the school and by the student, or student’s parent or guardian if he/she is a minor.

CANCELLATION AND REFUND POLICY:

  1. The school must refund all monies paid if the applicant is not accepted. This includes instances where a starting class is canceled by the school.

  2. The school must refund all monies paid if the applicant cancels within five business days (excluding Sundays and holidays) before the mandatory online orientation.

  3. If training is terminated after the student enters classes, the school may retain the registration fee.

  4. All refunds must be paid within thirty calendar days of the student’s official termination date.
     

If you have not started training, you may cancel this contract by submitting written notice of such cancellation to the school at its address shown on the contract., the burden to prove service rests on the applicant.

SECTION TWO:

NOTICE TO ENROLLEE:
Do not sign this agreement before you read it or if it contains any blank spaces. This is a legal instrument. All pages of this contract are binding. You are entitled to an exact copy of the agreement, school catalog, and any other papers you may sign.

NOTICE OF FINANCIAL OBLIGATION:
Washington law requires the following information to be supplied to each student enrolling in a private vocational school licensed under Chapter 28C.10 RCW. 

ACKNOWLEDGMENT BY ENROLLEE:

  1. I understand and accept that any contract for training I enter into with the above-named school contains legally binding obligations and responsibilities.

  2. I understand and accept that repayment obligations will be placed upon me by any loans or other financing arrangements I enter into as a means to pay for my training.

  3. I understand that any enrollment contract I enter into will not be binding or take effect for at least five days, excluding Sundays and holidays, following the last date such a contract is signed by the school and me, provided that I have not entered classes.

  4. I understand that I can access at any time the Incident Qualification Course Handbook found at firetechacademy.com. 

SECTION THREE:

HOW TO FILE A COMPLAINT:
Washington law requires private vocational schools to inform students how to file a complaint. By signing this form you acknowledge this process has been provided to you. The steps required for filing a complaint can be found in our school catalog.

ACKNOWLEDGMENT OF COMPLAINT PROCESS BY STUDENT:

  1. I understand the school has provided the process of how to file a complaint.

  2. I understand that the policy can be found in the school catalog.

  3. I know I should first try to resolve a complaint or concern with my instructor or school administrator.

  4. I understand nothing prevents me from contacting the Workforce Board at 360-709-4600 at any time with a concern or complaint, and complaint forms are https://www.wtb.wa.gov/private-career-schools/school-complaints/

  5. I understand that I have one year to file a complaint from my last date of attendance.

  6. I further understand that in the event of a school closure, I have 60 days to file a complaint.

  7. I also understand that complaints are public records.

  8. Finally, I acknowledge that details about the complaint process, my rights, and any restrictions on the time I have to file a complaint can be found at https://www.wtb.wa.gov/private-career-schools/school-complaints/

SECTION FOUR:

 

ACKNOWLEDGEMENT OF SCHOOL CATALOG AND COURSE SYLLABUS:
As a FIRE Tech Academy student, I have reviewed the school catalog and syllabus for this course and understand I can refer back to it at anytime at firetechcademy.com. 

Student Data Collection Form

The Workforce Board (the state agency that regulates this school) requires that we ask you for this information, by law (RCW 28C.10.050). Providing your social security number is voluntary. By law, the information you provide on this form cannot be given out by any state agency as public information. The Workforce Board will not disclose data to anyone except authorized Workforce Board employees or contractors working on specific research activities, who follow strict confidentiality procedures. This format follows the information required to be submitted by the school as part of the annual student data report.

Are you Hispanic in origin?

Hispanic defined as a person of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race.

Are you disabled?

Disability defined as a physical or mental impairment which substantially limits one or more major life activities, such as seeing, hearing, speaking, walking, learning, working, etc.

Are you a military veteran?

Veteran defined as a student that served, is not currently serving, on active duty in the U.S. Army, Navy, Air Force, Marine Corps, or the Coast Guard.

Payment

Course Tuition: $400.00

Thank you for your submission! Please check your email immediately. You will be receiving a confirmation email with important instruction!

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