MEDITEC Course Enrollment Extensions

In accordance with your existing Enrollment Agreement, you may purchase up to 12 months of additional time to complete your course by ordering an enrollment extension under the following conditions:

1. You have a maximum of 6 months (grace period) from the date of your original enrollment expiration, to purchase your first enrollment extension block*.
2. Extensions are granted in quarterly blocks (3 months each), with a maximum grant of 4 blocks, or up to 1 year of additional time.
3. After the first extension block has expired, you still need additional time to complete the course, each subsequent block must be purchased within 10 business days (grace period) of the previous block expiring*.
4. Each extension block costs $200.00 and must be paid in full at the time of the order, by credit or debit card only. Extensions may not be added to an existing payment plan or otherwise broken into installment payments.
5. Once you have used the maximum grant of 4 extension blocks, no further extensions will be granted, and you will need to contact the registrar’s office to arrange for a new course enrollment.

Please plan ahead for anticipated needs. Please do not order more blocks than you feel you will need, as unused time within a block or unused blocks will not be credited or refunded.

 

First Name: *
Last Name: *
Daytime Phone: *
Email Address: *
Name of Course: *
Approximate Date of Your Original Enrollment: *
Has your original enrollment already expired? *	No  Yes  Not Sure
Will this be your first request for extension? *	No  Yes
Enrollments are granted in blocks of 3 months each, at a cost of $200 per block, with a maximum grant of no more than 4 blocks (12 months).   Please indicate how many extension blocks you feel you will need:
Enrollment Blocks Needed: *	Please Select 1 Block – 3 Months 2 Blocks – 6 Months 3 Blocks – 9 Months 4 Blocks – 12 Months
Comments: *
Enter the characters in the image *