Ayurvedic Health Counselor Program Fall 2023 - All Other Residents
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@keralaayurveda.com
*Please select your preferred AHC Payment Plan
Please choose
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:
October 10, 2023 - October 8, 2024
Period covered by enrollment agreement April 3, 2023 - April 4, 2024
In-Class
A total of 600 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 and Procedures
Student Complaint Procedure
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 P.O. Box 980818, West Sacramento, CA 95798-0818 www.bppe.ca.gov, (888) 370-7589 or by fax (916) 263-1897 (916) 431-6959 or by fax (916) 263-1897.
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.
Termination and Dismissal 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 Refund Policy.
▪ A student will be assessed for dismissal from the institution if the student has not attended any class for the first quarter of their program. They will be notified by telephone and email (with a minimum of 3 phone calls and follow-up emails), and they will be dismissed after the last attempt with no response.
▪ For a student who is on authorized Sabbatical, the withdrawal date is the date the student was scheduled to return from Leave and failed to do so.
▪ For nonpayment issues: verbal and written warnings will be sent from Student Support Services. After a minimum of 3 attempts within 3 months and no response from the student, the student will be immediately dismissed.
Transferring of Credits and 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 Health Counselor program 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. Transfer credit may be awarded for applicable coursework of comparable programs completed at other accredited or state approved/licensed institutions once verified by the Academy Manager and approved by the Director. Up to 70% credit hours for AHC may be transferred. Courses will be considered for transfer credit if relevant to the certificate program and completed with a grade of B or higher, or the equivalent if another grading system was used. Prerequisite and corequisite courses must meet the criteria set forth by KAA. Application and official transcripts must be submitted for all transfer credit approval.
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, and emailed to support@keralaayurveda.us. A telephone call about cancellation or absenteeism for the classes will not be considered as true cancellation. For specifics related to your refund, refer to the refund table shown below.
Kerala Ayurveda Academy and Wellness Center
691 S Milpitas Blvd Ste 206
Milpitas, CA 95035
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
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.
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.
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 the 3rd online module) |
50% |
More than 50% (no refund issued after attending 6th class or accessing 6th module or higher) |
100% |
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.
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.
Eligible refunds will not include the applicable interest during the enrollment period.
Example: if the student decides to withdraw after completing 3 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 $7,600 – $100 = $7,500.00
Step 2 4 of 11 classes attended or modules accessed online 4/11 = 36%
Step 3 25% through 50% completion = KA retains 50% = $3,750.00
Step 4 $7,500 - $3,750 = $3,750.00
Total refund will be: $3,750
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 unauthorized 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:
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:
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.
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:
Ayurvedic Health Counselor
Ayurvedic Health Counselor – Total Amount for all fees, charges, services, the student is obligated to pay is $7,600.00*.
*Students are obligated to pay the $100 registration fee upon enrollment. There are no equipment, lab supplies or kit fees, uniform or special protective clothing fees, or other learning media fees, tutoring fees, in-resident housing fees, assessment fees, transfer of credit fees. The $100 total registration is nonrefundable.
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 the Kerala Ayurveda Academy’s cancellation and refund policies have been clearly explained to me.
TOTAL CHARGES FOR THE CURRENT PERIOD OF ATTENDANCE: $7,400.00*
ESTIMATED TOTAL CHARGES FOR THE ENTIRE EDUCATIONAL PROGRAM: $7,400.00*
THE TOTAL CHARGES THE STUDENT IS OBLIGATED TO PAY UPON ENROLLMENT: $7,400.00*
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.
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 Health Counselor – Total Amount for all fees, charges, services, the student is obligated to pay is $7,400.00*.
*Student is obligated to pay the $100 registration fee upon enrollment. There are no equipment, lab supplies or kit fees, uniform or special protective clothing fees, or other learning media fees, tutoring fees, in-resident housing fees, assessment fees, transfer of credit fees.
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 the Kerala Ayurveda Academy’s cancellation and refund policies have been clearly explained to me.
Any changes in this enrollment agreement will not be binding on either the student or the school unless such changes are ackowledged in writing by an authorized representative of the school and by the student or the student's parent or guardian if she/he is a minor.
Student Signature:
Date of 1st class (tour): October 10, 2023
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 (KAA), to use the following information:
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I understand that my participation in live streamed classes means that my audio, video, and written words could be recorded for future educational purposes by Kerala Ayurveda Academy.
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I hereby give permission for this understanding, and if I do not wish to be recorded, I will refrain from turning on my audio and video. I also will refrain from writing in the chat during class if I do not want it recorded.
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I am also fully aware that I will not receive monetary compensation for my participation.
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I further release and relieve Kerala Ayurveda Academy, employees, and other representatives from any liabilities, known or unknown, arising out of the use of this material.
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: