Ayurvedic Health Counselor Program Spring 2024 CA 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@ayurvedaacademy.com
*Please select your preferred AWC Payment Plan:
*STRF is $0.00 per $1,000 for all payment plans and is non-refundable. STRF is for California Students only.
Program track - Please choose your Program track:
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 Health Counselor Certification
April 9, 2024 - April 7, 2025
Period covered by enrollment agreement November 16, 2023 - April 7, 2025
In-Class
A total of 600 hours (includes classroom study, virtual classroom study, online study and assignments internship in Milpitas, CA and India, Special projects) 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.
Signed:
Date:
Policies & Procedures
Student Complaint Procedure
Any questions a student may have regarding this enrollment agreement that have not been satisfactorily answered
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.
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 Holistic Ayurvedic Coach 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% of credit hours for HAC 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.
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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. 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
Student’s Initials:
Refund Policy
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 4th class) or online modules (accessed 4th online module). Each In-Class Intensive 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. 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 April 29, 2024
Step 1: Deduct $100 (registration) from total tuition paid.
Step 2: Remainder is tuition refund due
Example: Student paid $7,600 at the time of enrollment
Step 1 $7600 - $100 = $7500
Total refund will be $7500.00
Refund calculation seven days after enrollment or after April 29, 2024
Step1: Deduct $100 (registration fee) from the total tuition paid
Step 2: Divide the total tuition paid by 11 (number of Weekend Intensives/online 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 $7,600 - $100 $6,600.00
Step 2 $7,500 / 11 $682.00
Step 3 3 classes / live streaming * $682 $2,046.00
Step 4 $6,600 - 2,046 $5454.00
Total refund will be: $5,454.00
Student’s Initials:
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.
The following is a list of additional fees:
Administration Fee (for students new to KAA): $100 upon enrollment
Equipment: $0
Lab Supplies or kit fees: $0
Uniform or Special Protective Clothing Fee: $0
Learning Media Fee (Manual): $150 (optional)
Tutoring Fees: $0
In-resident housing Fees: $0
Assessment Fee: $0
Transfer or Credit Fee: $0
Student Tuition Recovery Fund fee (nonrefundable): $0.00 for every one thousand dollars
Student’s Initials: <MANFIELD(25,60)
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.
Student’s Initials:
Student Tuition Recovery Fund (STRF) fee (non-refundable) - State of California
“Effective April 1, 2024, the Student Tuition Recovery Fund (STRF) assessment rate will be zero dollars and zero cents ($0.00) per $1,000. Therefore, all institutions required to collect STRF assessments must stop collecting STRF assessments from students.”
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.
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.
"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, 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 rates, placement rates, license examination passage rates, and 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 provided in the School Performance Fact Sheet."
Student’sInitials:
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: $7,600.00*
ESTIMATED TOTAL CHARGES FOR THE ENTIRE EDUCATIONAL PROGRAM: $7,600.00*
THE TOTAL CHARGES THE STUDENT IS OBLIGATED TO PAY UPON ENROLLMENT: $7,600.00*
Name:
Signature:
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: