Ayurvedic Wellness Counselor Program Fall 2020
Welcome to Kerala Ayurveda Academy!
We are happy you have decided to enroll in our programs. Please make sure you download and read the course catalog and enrollment agreement before enrolling. Contact our Enrollment Advisor at admissions@keralaayurveda.us with any questions you may have.
Student Information
Program Information
This agreement is a legally binding instrument when signed by the student and accepted by the school. This agreement is for the course initialed below.
*Preferred location:
Student’s Initials:
Payment Agreement
I hereby certify that I have read and understand the description of the payment options, and agree to the terms of this Agreement. I certify that I am financially responsible to the Kerala Ayurveda Academy and agree to pay the total amount of each monthly installment on or before the due date agreed upon by myself and the Academy for a period of time not to exceed the duration of my payment plan. I understand that the payment option selected is applicable only to tuition and fees, and that all other charges will be due in full by the due date described to me in writing. I understand that my payments are based on a calendar year and not based the completion of course modules.
I understand that the Academy must receive the payment on it's appointed due date(s), and that if full payment is not received by this date(s), the Academy will assess a monthly late payment fee of 5% of the amount past due. I understand that I am responsible for notifying the Academy Administrator if my billing address changes at any time. I understand that I am responsible for any late payment fees resulting from denied charges or delays in the delivery of my payment. Payments must be in US dollars.
I am paying by:
Credit Card provided on the previous screen. Please go back if you have not entered this information.
Check payable to Kerala Ayurveda Academy. Mail to: Kerala Ayurveda Academy, 691 S. Milpitas Blvd. Ste. 206, Milpitas, CA 95035.
PayPal: Please send to paypal@ayurvedaacademy.com
*Please select your preferred AWC Payment Plan:
Reference Code - If provided a code, please insert here:
Total - If provided a total, please type in here (otherwise, leave blank):
I further certify that should my account not be kept current in accordance with this Agreement, any past due amount will be considered an unpaid educational loan/benefit that needs to be repaid as expeditiously as possible. I further understand that the Academy may curtail my ability to register in further programs and/or obtain transcripts or certifications. I acknowledge the Academy’s right to assess collection and legal fees should my student account remain unpaid. I understand that I am obligated to pay any tuition, fees, collection or legal costs on my account.
Name:
Signed:
Date:
Enrollment Agreement & Application
This agreement is a legally binding instrument when signed by the student and accepted by the school. This agreement is for the course initialed below:
Ayurvedic Wellness Counselor Certification
Oct 13, 2020 - Oct 19, 2021
In-Class
A total of 625 hours (includes classroom study, virtual classroom study, online study and assignments) are required to complete the course. The course is offered at:
Kerala Ayurveda Academy and Wellness Center
691 S Milpitas Blvd Ste 206
Milpitas, CA 95035
Live Streaming
Weekend intensives and weekly virtual classes will be live streamed from the Milpitas, CA location above.
Policies & Procedures
Student Complaint Procedure
If a student complaint should arise, they may contact the Academy Manager at (888) 275-9103 or support@keralaayurveda.us. If the student’s complaint is not resolved after speaking to the Academy Manager they may contact the Director of Kerala Ayurveda Academy, Dr. Jayarajan Kodikannath at (888) 275-9103 or director@keralaayurveda.us or at 691 S. Milpitas Blvd. Ste. 206, Milpitas, CA 95035.
State of California
A student or any member of the public may file a complaint about this institution with the Bureau for Private Postsecondary Education by calling (888) 370-7589 toll-free or by completing a complaint form, which can be obtained on the Bureau’s internet web site www.bppe.ca.gov.
Address: 1747 N. Market Blvd, Ste 225, Sacramento, CA 95834
PO Box 980818, West Sacramento, CA 95798-0818
Web site Address: www.bppe.ca.gov
Telephone and Fax #’s: (888) 370-7589 or by fax (916) 263-1897
(916) 574-8900 or by fax (916) 263-1897
State of Washington
If the student’s complaint is not resolved after exhausting the institution’s grievance procedure, the student may file a complaint with the Workforce Training and Education Coordinating Board, 128 Tenth Avenue S.W., P.O. Box 43105, Olympia, Washington 98504-3105, (360) 709-4600. This school is licensed under Chapter 28C.10 RCW in the State of Washington.
Transferring of Credits & Credentials
“NOTICE CONCERNING TRANSFERABILITY OF CREDITS AND CREDENTIALS EARNED AT KERALA AYURVEDA ACADEMY. The transferability of credits you earn at Kerala Ayurveda Academy is at the complete discretion of an institution to which you may seek to transfer. Acceptance of the certificate you earn in the Ayurvedic Wellness Counselor or the Ayurvedic Wellness Practitioner programs is also at the complete discretion of the institution to which you may seek to transfer. If the certificate that you earn at this institution 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 this institution will meet your educational goals. This may include contacting an institution to which you seek to transfer after attending Kerala Ayurveda Academy to determine if your certificate will transfer.” KAA has not entered into an articulation or transfer agreement with any other college or university.
Experiential Credit
There is no credit granted for experiential learning.
Student’s Initials:
Refund and Cancellation Policy
The Student’s Right to Cancel
The student has a right to cancel the enrollment agreement and obtain a refund. A written notice from the student, about the cancellation is required and should be sent to the address below. For specifics related to your refund, refer to the refund table shown below.
Academy Manager
Kerala Ayurveda Academy
691 S. Milpitas Blvd, Ste 206, Milpitas, CA 95035
State of California
The registration fee is nonrefundable. 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. There will be no refund if the student decides to withdraw after 60% of the classes (attendance of the 7th class) or online modules (accessed 7th online module).
Each In-Class Intensives covers the content of one online module. Refund Requests will be processed based on In-Class Intensives and online modules accessed (whichever is greater).
A written notice from the students, about the cancellation will be required. A telephone call about cancellation or absenteeism for the classes will not be considered as true cancellation. In such cases, student will not receive the refund for that period. The refund will be processed within 30 days from the day KAA receives the official written notice of cancellation from the student. The refund check will be mailed to the official address of the student. If original payment is by credit card the refund will be processed on the credit card.
Eligible refunds will not include the applicable interest during the enrollment period.
In case the student decides to withdraw during the program, before the 60% of the classes are over, the following will be the refund calculation:
Refund Calculation Within the first seven days after enrollment or prior to October 31, 2020
Step 1 Deduct $100 (registration) from the total tuition paid
Step 2 Remainder is tuition refund due
Example: Student paid $5600 at the time of enrollment
Step 1
|
$5600 – $100
|
$5400.00
|
Total refund will be: $3342.00
|
Refund Calculation Seven days after enrollment or after October 31, 2020
Step 1 Deduct $350 (registration/manual fee) from the total tuition paid
Step 2 Divide the total tuition paid by 11 (number of modules) = ‘tuition per module’
Step 3 Multiply number of classes attended or modules accessed in elearning by ‘tuition per module’
Step 4 Subtract the amount in step 3 from the amount in step 1. This is the refund amount.
Example: if the student decides to withdraw after completing 4 In-Class Intensives or live streaming and if they have paid the full tuition, the refund will be as follows:
Step 1
|
$5600 – $350
|
$5250.00
|
Step 2
|
$5250 / 11
|
$477.00
|
Step 3
|
4 classes/live streaming * $477
|
$1908.00
|
Step 4
|
$5250 – $1908
|
$3342.00
|
Total refund will be: $3342.00
|
Refunds will be issued within 30 days of the date of student notification, or date of school determination (withdrawn due to absences or other criteria as specified in the school catalog), or in the case of a student not returning from an authorized Leave of Absence (LOA), within 30 days of the date the student was scheduled to return from the LOA and did not return.
Student’s Initials:
Refund Policy – State of Washington
Five-Day Cancellation: An applicant who provides written notice of cancellation within five days (excluding Saturday, Sunday and federal and state holidays) of signing an enrollment agreement is entitled to a refund of all tuition paid. No later than 30 days after receiving the notice of cancellation, the school shall provide a 100% refund of tuition and fees paid.
Other Cancellations: An applicant requesting cancellation more than five days after signing an enrollment agreement and making an initial payment, but prior to entering the school, is entitled to a refund of all monies paid (minus the registration fee of $100).
Rejection: An applicant rejected by the school is entitled to a refund of all monies paid.
Refund Policy Defined - WA
1. The school must refund all money paid if the applicant is not accepted. This includes instances where a starting class is canceled by the school. The school must refund all money paid if the applicant cancels within five business days (excluding Sundays and holidays) after the day the contract is signed or an initial payment is made, as long as the applicant has not begun training.
2. The school may retain an established registration fee equal to ten percent of the total tuition cost, or $100, whichever is less, if the applicant cancels after the fifth business day after signing the contract or making an initial payment. A “registration fee” is any fee charged by a school to process student applications and establish a student record system.
3. If training is terminated after the student enters classes, the school may retain the registration fee plus a percentage of the total tuition as described as follows:
If a student completes this amount of training: |
The school may keep this percentage of the tuition cost: |
One week or up to 10%, whichever is less (attended 1st class or accessed 1st online module) |
10% |
More than one week or 10%, whichever is less but less than 25% (attended 2nd class or accessed 2nd online module) |
25% |
25%-50% (attended 3rd class or accessed 3rd online module) |
50% |
More than 50% (no refund issued after attending 6th class or accessing 6th module or higher) |
100% |
4. When calculating refunds, the official date of a student’s termination is the last day of recorded attendance: (a) When the school receives notice of the student’s intention to discontinue the training program or, (b) When the student is terminated for a violation of a published school policy which provides for termination or, (c) When a student, without notice, fails to attend 2 consecutive in-class sessions or, fails to access online modules for ninety calendar days.
5. All refunds must be paid within thirty calendar days of receiving a completed and signed Kerala Ayurveda official refund request form and the student’s official termination date.
6. Eligible refunds will not include the applicable interest during the enrollment period. Example: if the student decides to withdraw after completing 2 classes or after accessing the 4th online module and if he/she has paid the full tuition, the refund will be as follows:
Step 1
|
$5,600 - $350
|
$5,250.00
|
Step 2
|
4 of 11 classes attended or modules access online is 4/11=
|
36% |
Step 3
|
25% through 50% completion = KAA retains 50%
|
$2,625.00
|
Step 4
|
$5,250 - $2,625
|
$2,625.00
|
Total refund will be:
|
$2,625.00 |
Student’s Initials:
Termination Policy
If the course is terminated after the student begins classes, the Academy may retain a percentage of the total tuition as described in the table below.
1. The official date of termination of a student shall be the last date of recorded attendance when withdrawal occurs in any of the following manners:
a. When the student is terminated for a violation of a published Academy policy which provides for termination; or,
b. When a student, without notice, either fails to attend classes or check out course videos for thirty (30) calendar days.
2. A student will be determined to be withdrawn from the institution if the student has not attended any class for three consecutive class weekends. He/she will be notified by telephone after two missed weekends and their termination will be drafted after the third weekend.
3. For a student who is on authorized Leave of Absence, the withdrawal date is the date the student was scheduled to return from Leave and failed to do so.
Suspension and Dismissal Policy
There are disciplinary guidelines to provide an environment to learn and grow independently, which give students rights and responsibilities.
- Any behavior disruptive to other students or the smooth running of the class will not be allowed.
- Students will have to pay the tuition on time.
- Students have to maintain a passing grade of 70%.
At first incidence, warning will be given. At the second incidence, the student will be suspended for the entire weekend. Student will be readmitted after suspended weekend. If the behavior persists, the student will be dismissed from the program. When the conduct of the student threatens the other student’s safety, KA reserves the right to dismiss a student immediately.
Leave of Absence
Students can take a leave of absence for up to one (1) year with written permission. School may be contacted at +1 (888) 275-9103 x20 or by mail at 691 S. Milpitas Blvd Suite 206 Milpitas, CA 95035. The student may resume classes the following year at the level where he/she took leave. Unless prior arrangements are made with the school about the payment, student is obligated to pay the tuition as per plan.
Financial Aid
Kerala Ayurveda Academy does not offer state or federal financial aid to students. If a 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 has received federal student financial aid funds, the student is entitled to a refund of the monies not paid from federal student financial aid program funds.
If a 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.
“Notice - Any holder of this consumer credit contract is subject to all claims and defenses that the debtor could assert against the seller of the goods or services obtained pursuant hereto or with the proceeds hereof, recovery hereunder by the debtor shall not exceed amounts paid by the debtor hereunder.”
“Kerala Ayurveda Academy does not have a pending petition in bankruptcy, is not operating as a debtor in possession, has not filed a petition within the preceding five years, and has not had a petition in bankruptcy filed against it within the preceding five years that resulted in reorganization under Chapter 11 of the United States Bankruptcy Code (11U.S.C. Sec. 1101 et seq.).”
Student’s Initials:
Student Recovery Fund - State of California
The State of California established the Student Tuition Recovery Fund (STRF) to relieve or mitigate economic loss suffered by the student in an educational program at a qualifying institution, who is or was a California resident while enrolled, or was enrolled in a residency program, if the student enrolled in the institution, prepaid tuition, and suffered an economic loss. Unless relieved of the obligation to do so, you must pay the state-imposed assessment for the STRF, or it must be paid on your behalf, if you are a student in an educational program, who is a California resident, or are enrolled in a residency program, and prepay all or part of your tuition.
You are not eligible for protection from the STRF and you are not required to pay the STRF assessment, if you are not a California resident, or not enrolled in a residency program.
English as a Second Language & Foreign Students
Foreign students are accepted, however, KAA courses are instructed in English and KAA does not offer English as a second language. Foreign students are required to have proof of English proficiency with a passing score of minimum 80% on the TOEFL exam for enrollment. Visa services are not provided and Kerala Ayurveda Academy will not vouch for student status and any associated charges.
Student’s Initials:
Record Retention
All records concerning the Kerala Ayurveda Academy are kept for fifty years after student’s graduation, withdrawal or termination, with the exception of transcripts which are kept permanently. Student records are kept at 691 S. Milpitas Blvd Suite 206 Milpitas, CA 95035. Students requesting copies of these documents must submit a signed letter to the above address to the attention of the Student Services.
Kerala Ayurveda Academy encourages diversity and accepts applications from all minorities. Kerala Ayurveda Academy does not discriminate on the basis of race, creed, color, national origin, sex, veteran or military status, sexual orientation, or the presence of any sensory, mental, or physical disability or the use of a trained guide dog or service animal by a person with a disability. Kerala Ayurveda Academy acknowledges that information pertaining an applicant’s disability is voluntary and confidential, and will be made on an individual basis. If this information is presented, Kerala Ayurveda Academy will reasonably attempt to provide an accommodation to overcome the effects of the limitation of the qualified applicant. All inquiries about accommodations should be made to the admissions administrator upon registration of the program.
I understand and agree that KAA does not guarantee employment or take responsibility for employment or a career in the field of Ayurveda, or any other health related field, upon completion of the course. I also understand and agree that KAA is not responsible for actions of students and graduates in their Ayurvedic career. I certify that I have the ability to finance my education.
This agreement is a legally binding instrument when signed by the student and accepted by the school. 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 examples of how it applies and
1. A catalog including a description of the course or educational service, including all the material facts concerning the school and the program or course of instructions which are likely to affect your decision to enroll. Immediately upon signing this agreement, you will be given a copy to retain, and
2. Debt Acknowledgement Notice (WA)
Prior to signing this enrollment agreement, you must be given a Catalog or brochure. This document contains important policies and performance data for KAA. KAA is required to have you sign and date the information included in the School Performance Facts 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 these documents.
Student’s Initials:
NOTICE TO THE BUYER
Do not sign this agreement before you read it or if it contains any blank spaces. This is a legal instrument. All pages of the contract are binding. You are entitled to an exact copy of the agreement, school catalog and any other papers you sign. You are required to sign a statement acknowledging receipt of those,
If you have not started training, you may cancel this contract by providing written notice of such cancellation to the school at its address shown on the contract. The notice must be postmarked no later than midnight of the fifth business day (excluding Sundays and holidays) following your signing this contract or the written notice may be hand delivered to the school within that time. In the event of dispute over timely notice, the burden to prove service rests on the applicant.
NOTICE: You may assert against the holder of the promissory note you signed in order to finance the cost of the educational program all of the claims and defenses that you could assert against this institution, up to the amount you have already paid under the promissory note.
It is unfair business practice for the school to sell, discount, or otherwise transfer this contract or promissory note without the signed written consent of the student or student’s parent or guardian if he/she is a minor and a written statement notifying all parties that the cancellation and refund policy continues to apply.
Ayurvedic Wellness Counselor – TOTAL CHARGES FOR THE CURRENT PERIOD OF ATTENDANCE: $5,600.00*;THE TOTAL CHARGES THE STUDENT IS OBLIGATED TO PAY UPON ENROLLMENT: $100 + FIRST PAYMENT (SEE PAYMENT PLAN).
The following is a list of additional fees:
Administration Fee (for students new to KAA): $100 upon enrollment
Books and Materials: $250
Equipment: $0
Lab Supplies or kit fees: $0
Uniform or Special Protective Clothing Fee: $0
Learning Media Fee: $0
Tutoring Fees: $0
In-resident housing Fees: $0
Assessment Fee: $0
Transfer or Credit Fee: $0
Student Tuition Recovery Fund fee (nonrefundable): $0
“Prior to signing this Enrollment Agreement, you must be given a catalog (please see link to download), 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, salaries or wages, and the most recent three-year cohort default rate, if applicable, prior to signing this agreement.”
“I certify that I have received the catalog, School Performance Fact Sheet, and information regarding completion rate, placement rates, license examination passage rates, salary or wage information, and the most recent three-year cohort default rate, if applicable, included in the School Performance Fact Sheet, and have signed, initialed, and dated the information in the School Performance Fact Sheet.”
“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 1747 N. Market Blvd, Ste 225, Sacramento, CA 95834 or PO Box 980818, West Sacramento, CA 95798-0818
Website Address: www.bppe.ca.gov
Telephone and Fax #’s: (888) 370-7589 or by fax (916) 263-1897
(916) 574-8900 or by fax (916) 263-1897”
I certify that all the information on this application is true and correct. I understand that any false or misleading information will void this application.
I certify that I have graduated from high school, or equivalent, and can provide Kerala Ayurveda Academy with a copy of my diploma, or equivalent. Copies should be sent to Kerala Ayurveda Academy, 691 S. Milpitas Blvd. Ste. 206, Milpitas, CA 95035.
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 Kerala Ayurveda Academy’s cancellation and refund policies have been clearly explained to me.
Student Signature:
Date of 1st class (tour): Oct 13, 2020
Kerala Ayurveda Academy, in the State of California, is a privately owned institution that is licensed by the Bureau for Private Postsecondary Education under School Code# 72482254. BPPE address: 2535 Capital Oaks Drive, Suite 400, Sacramento, CA 95833, Phone:(888) 370-7589. Kerala Ayurveda Academy, in the State of Washington, is licensed under Chapter 28C.10 RCW. Inquiries or complaints regarding this private vocational school may be made to the: Workforce Board, 128 10th Ave. SW, Box 43105, Olympia, Washington 98504. Web: wtb.wa.gov, Phone: (360) 709-4600, E-mail address: wtecb@wtb.wa.gov.
WA State Debt Acknowledgement Notice
PLEASE READ AND SIGN THE BELOW DOCUMENT
Washington law requires the following information to be supplied to each student enrolling in a private vocational school licensed under RCW 28C.10. One copy of this notice bearing original signatures must be attached by the school as an addenda to that individual’s enrollment agreement and a copy must be provided to the enrollee by the school.
ACKNOWLEDGEMENT BY ENROLLEE
- I understand and accept that any contract for training I enter into with the above named school contains legally binding obligations and responsibilities.
- 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.
- 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 myself, provided that I have not entered classes sooner.
Name:
Signed:
Date:
ACKNOWLEDGEMENT BY SCHOOL
Prior to being enrolled in this school, the applicant whose name and signature appears below has been made aware of the legal obligations he/she takes on by entering into a contract for training. Those discussions included cautions by the school about acquiring an excessive debt burden that might become difficult to repay given employment opportunities and average starting salaries in his/her chosen occupation.
Kerala Ayurveda Academy Photo and Video Release Form
By signing this release form, I authorize Kerala Ayurveda Academy Studios (KAA), to use the following personal information:
(1) My picture – including photographic, motion picture, and electronic (video) images.
(2) My voice – including sound and video recordings.
I hereby grant to KAA, its subsidiaries, licensees, successors and assigns, the right to use, publish, and reproduce, for all purposes, my name, pictures of me in film or electronic (video) form, sound and video recordings of my voice, and printed and electronic copy of the information described in sections (1) and (2) above in any and all media including, without limitation, cable and broadcast television and the Internet, and for exhibition, distribution, promotion, advertising, sale, press conferences, meetings, hearings, educational conferences and in brochures and other print media. This permission extends to all languages, media, formats and markets now known or hereafter devised. This permission shall continue forever unless I revoke the permission in writing.
I further grant KAA all rights, title, and interest that I may have in all finished pictures, negatives, reproductions, and copies of the original print, and further grant KAA the right to give, sell, transfer, and exhibit the print in copies or facsimiles thereof, for marketing, communications, or advertising purposes, as it deems fit.
I hereby waive the right to receive any payment for signing this release and waive the right to receive any payment for KAA use of any of the material described above for any of the purposes authorized by this release. I also waive any right to inspect or approve finished photographs, audio, video, multimedia, or advertising recordings and copy or printed matter or computer generated scanned image and other electronic media that may be used in conjunction therewith or to approve the eventual use that it might be applied.
I acknowledge that I have read the foregoing and I fully understand the contents IN WITNESS WHEREOF, I have executed this release on:
Name:
Signature: