DOMINION HERBAL COLLEGE 7527 Kingsway, Burnaby, B.C. V3N 3C1 Canada T: 604-526-8835 F: 604-526-1561 Email: herbal@uniserve.com  www. dominionherbal.com

CLINICAL HERBAL THERAPIST DIPLOMA PROGRAM
Full time - In Class - 3 year duration

Student Enrolment Agreement & Contract

Please complete in type or print form using black ink

Name:_______________________________________________________________________________________

Address:_____________________________________________________________________________________

____________________________________________________________________________________________

Telephone:_____________________________________Postal Code____________________________________

Entrance Qualifications:
- High School graduate. Chemistry & Biology or Dominion Herbal College Introductory Chemistry and Anatomy & Physiology.
- On an additional page in about 200 words or more give reasons for taking this course of study and tell us what you plan to do with this course upon completion.
- Complete educational and job resume
- Transcript of education qualifications (photocopy accepted) including:
-evidence of Introductory Chemistry and Biology or
-evidence of Introductory Chemistry and Anatomy and Physiology
- Two Character References

FEE SCHEDULE - for 3 years  Canadian Funds Only

Student Enrolment Agreement & Contract to be signed on a yearly basis.

Year 1 Start Date: ___________________ Year 1 End Date: _______________________

Registration Fee: _____________ ( ) m.o. ( ) cheque ( ) Visa ( ) Master Card ( ) American Express
To be included with "Student Enrolment Agreement & Contract"

Please make all certified cheques or money orders, Credit Cards payable to
Dominion Herbal College, 7527 Kingsway, Burnaby, B.C. V3N 3C1 Canada
( )cheques ( ) Master Card ( ) Visa ( ) American Express
Credit Card #_________________________________________Expiry Date_________
____________________________________________________
Signature of Cardholder

REFUND POLICY:

Refunds before the program of study starts:

(a)    If written notice of withdrawal is received by the institution less than seven(7) calendar
        days after the contract is made, and before the start of a program of study, the institution
        may retain the lesser of 10% of the total fees due under the contract or $100.00.
(b)    Subject to subsection (2)(a), if written notice of withdrawal is received by the institution
        thirty (30) calendar days or more before the start of a program of study, the institution
        may retain 10% of the total fees due under the contract.
(c)    Subject to subsection (2) (a), if written notice of withdrawal is received by the institution
        less than thirty (30) calendar days before the start of a program of study, the institution
        may retain 20% of the total fees due under the contract.

Refunds after the program of study starts:

(a)    If written notice of withdrawal is received by the institution, or a student is dismissed
        within 10% of the program of study's duration, the institution may retain 30% of
        the total fees due under the contract.
(b)    Subject to subsection (3) (a), if written notice of withdrawal is received by the institution
        or a student is dismissed, within 30% of the program of study's duration, the institution
        may retain 50% of the total fees due under the contract.
(c)    If a student withdraws or is dismissed after 30% of the program of study's duration,
        no refund is given.

DISMISSAL POLICY
Certain conditions, including but not limited to the following, will bring on discipline whereby students may be suspended or dismissed from the College: Excessive unexcused absences; failure to complete assignments and to maintain a passing grade over an extended period of time; conduct that interferes with fellow students, faculty, staff or patients, sexual harassment of fellow students, faculty, staff or patients; untreated chemical dependency; dishonesty in admission application; cheating or plagiarism; practising as a Clinical Herbal Therapist before graduation unless qualified at another level of Herbal Education and approved at the discretion of the College. Student Clinic Protocol must be followed at all times, repeated breach of Clinic Protocol is cause for dismissal; students who have been disciplined may appeal by following the dispute resolution policy

DISPUTE RESOLUTION POLICY
The goal of Dominion Herbal College (DHC) is to provide professional training in a setting where the working relationships are co-operative. The administrative staff is available to discuss concerns and to offer assistance. Please report any difficulties that you encounter to the Dean immediately.
DHC has developed a process for resolving disagreements or disputes among employees, instructors and students.

1. Try to resolve your concerns with the involved individual employee, instructor or student of the Campus.
2. If your concerns have not been resolved to your satisfaction put them in writing and forward them to the Dean. The Dean will have two weeks to consider the concerns and will consult all parties to the dispute and may recruit a written opinion from them. The Dean will make recommendations for their resolution in writing to all parties to the dispute.
3. If you are not satisfied with the recommendations of the Dean you may address your concerns in writing to the President of DHC. The President will review your appeal, the recommendations of the Dean and provide his/her decision in writing within ten working days of receipt of these reports.
4. In some cases where there are still some concerns, the President of DHC may engage the services of a mediator/arbitrator. In these cases all parties must agree to accept the mediation process in advance. As we are members of the Better Business Bureau their services may be used for purposes of mediation/arbitration.

Diploma will be issued upon completion of academic, clinic and financial requirements to the College.

I hereby apply for registration:

Signed________________________________________ Date:___________________________
Student name

Parent sign here if student is a minor:_______________________________________________

Accepted:

Registrar:___________________________________Date:______________________________