Application - Community Testing Center CTC

GENERAL INFORMATION:
Name*
First Middle Last
Date of Birth (mm/dd/yy):
Social Security #
Student Email*
Parent Email*
Student Cell*
Parent Phone :*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Who referred you to CTC?*
Who referred you to CTC?
(Please provide name)
Academic experience:
Did you attend a post high school Seminary or Yeshiva?
- Yes
- No
Name of Institute:
Year attended*
Number of credits earned*
Other College Credits:

List college courses taken during/post-high school through other colleges, AP courses with a grade of 3 or higher
Source of credits Course title Credits earned
Please send all unofficial transcripts to:
Community Testing Center
5206 Bellaire Ave.
Valley Village, CA 91607

College Information

Excelsior College

University Ana G. Mendez

College Fees:	$5350
Online course Requirements: (7 credits)	Cornerstone Information Literacy Capstone
Number of High School Credits Allowed:	No maximum
Seminary/Yeshiva Credits Accepted	Yes: case-by-case

College Fees:	$2250
Online course Requirements: (6 credits)	General Ed Capstone Liberal Arts Capstone
Number of High School Credits Allowed:	Maximum 12 credits
Seminary/Yeshiva Credits Accepted	Yes: case-by-case

CTC FEES

Registration (one-time fee)	$600
Installment I - 30 credits	$2500 -$83.33/credit
Installment II - 30 credits	$2500
Installment III - 30 credits	$2500

Registration (one-time fee)

$600

First Payment = $3100

( $2500 Installment I + $600 Registration)

The total cost of CTC credits will be prorated based on the total number of credits taken through CTC

Registration (one-time fee)

$500

Installment IV – 23/24 credits

Excelsior Students: $1916 (23 credits)
UAGM Students: $2000 (24 credits)

High School Installations (21 credits)

$225 ($75/credit) for three-credit course

Note: High School rate is offered through August 15th following high school graduation.

CTC Tuition Calculator - Number of Credits x $83.33 + $600

Excelsior College Example	UAGM Example
Student transferring 39 credits to Excelsior 81 credits remaining to reach 120 credits 7 credits to be taken through Excelsior 74 credits to be taken through CTC 74 x $83.33 = $6166	Student transferring 39 credits to UAGM 81 credits remaining to reach 120 credits 6 credits to be taken through UAGM 75 credits to be taken through CTC 75 x $83.33 = $6250
Plus Excelsior College fees $5350 In this example, total student fees = $11,516	Plus UAGM fees $2250 In this example, total student fees = $8500

Community Testing Center Disclaimers

Please read carefully and initial to indicate your consent.

Community Testing Center hereby known as "CTC", includes any person working for, or representing Community Testing Center and all of its affiliates and location. Although students take courses through CTC and earn their degrees from Excelsior College, CTC and Excelsior College are two separate entities.
Excelsior Enrollment and Fees
- Graduation from Excelsior college is contingent upon successful application, acceptance and enrollment as well as payment of all required fees, and completion of all Excelsior requirements for graduation.
Graduate School/Professional School Acceptance
- CTC does not take any responsibility, nor does it guarantee that students who complete their bachelor's degree through CTC program/ Excelsior College will be accepted into Graduate/Professional schools and/or Programs of their choice, or become gainfully Employed. Students who wish to further their education and apply to Graduate school! Professional programs which require prerequisite courses must complete them and/or any other applicable requirements on their own. The student is responsible to complete the necessary steps for the application and admissions process of the Graduate School of their choice.
Transfer Credit Policy
- CTC cannot guarantee that other schools/programs will accept CTC-earned credits and CTC takes no responsibility for the credit acceptance policies/guidelines of Excelsior College.
Exam Retake
- Students who do not pass an exam (70% pass grade) will be able to retake same exam THREE MONTHS LATER at the current per credit rate.
Code of Conduct Academic Integrity
- Any student who is caught plagiarizing and/or cheating on an exam, will forfeit the fee and the credits for that course, and will be required to pay and enroll for an equivalent course in its place. The student will earn an automatic "F" for the exam, WILL NOT BE ELIGIBLE FOR ANY REFUNDS from CTC and possibly forfeit his/her enrollment in the CTC program.
Refund Policy
- No refund for registration fee.
  Course fee refund:
  Within 7 days of enrollment to CTC (no exams taken) 100%
  Within 14 days of enrollment to CTC (no exams taken) 75%
  Within 21 days of enrollment to CTC (no exams taken) 50%
  Within 28 days of enrollment to CTC (no exams taken) 25%
  Once the first exam is taken there is no refund.
Image Release
- CTC staff often records or photographs activities/students in public and non-public areas, such as classrooms, for use in a variety of media. When you register with CTC you will have an opportunity to indicate whether or not you grant CTC the right to record or photograph you in public/ non-public area, and use your likeness, image, and/or voice in promotional, informational, or other materials.
Tax Form
- CTC, as the provider of college courses, is not in and of itself an educational institution, and therefore does not provide its students with a 1098 form.
CTC Fees (excluding excelsior fees)
- $600 REGISTRATION
Cost is $2,500 for 30 Credits*
- $2500Batch1-30CREDITS
- $2500Batch2-30CREDITS
- $2500Batch3-30CREDITS
- $2250Batch4-30CREDITS
Billing Information:
Select Card Type
Total Fee You Will be Charged
$0.00
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Signature*
I acknowledge that the information I have filled out is true. I understand all the terms and fees as they have been explained to me by an RIJS representative.

GENERAL INFORMATION:

Academic experience:

Other College Credits:

Please send all unofficial transcripts to: Community Testing Center 5206 Bellaire Ave. Valley Village, CA 91607

College Information

CTC FEES

First Payment = $3100

Community Testing Center Disclaimers

CTC Fees (excluding excelsior fees)

Billing Information:

Please send all unofficial transcripts to:
Community Testing Center
5206 Bellaire Ave.
Valley Village, CA 91607