Truck Driver Training CDL Enrollment Student InformationName First Last Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail Emergency Contact's Name First Last Relationship Emergency PhoneProgram InformationDate of Application MM slash DD slash YYYY Program / Course NameFirst ChoiceSecond ChoiceThird ChoicePreferred Start Date MM slash DD slash YYYY Enrollment Status Full-Time Part-Time Class Schedule Day Evening Financial AidPlease see a Legacy financial aid advisor for the most current information.Refund / Cancellation PolicyStudents who discontinue training will be given the following refund within 30 days of termination: The registration fee of $150 is non-refundable. If the student is rejected for training by the school, the student will receive 100% of all monies paid beyond the non-refundable registration fee. A student may cancel this enrollment agreement prior to the start of training by notifying the school in person or in writing. However, the refund will be percentage-based according to the following schedule: 14 days or more prior to start date – full tuition refund (less the non-refundable registration fee); 7 to 14 days prior to start date – 50% tuition refund (less the non-refundable registration fee); Less than 7 days prior to start date – no tuition refund. No refund will be issued on unusable or non-returnable books or materials purchased by the student in anticipation of completing the course. If the student elects to cancel enrollment, then any useable books or materials may be purchased back by the school at 50% of original cost. All tuition and fees are due prior to training start date.Statement of Quality AssuranceAny graduate of Legacy International that fails to pass a road test given by a motor carrier for the purpose of obtaining employment, and acquired through the services of the school’s job placement department, will be offered remedial training at no additional charge. The no-charge remedial training will be offered on a one-time basis only, and will not exceed more than 10% of training time for the course the graduate was originally enrolled.Notice to StudentDo not sign this agreement before you have read it or if it contains any blank spaces. This agreement is a legally binding instrument and is only binding when the agreement is accepted, signed, and dated by the authorized official of the school or the admissions officer at the school’s principal place of business. Read all pages of this agreement before signing. You are entitled to an exact copy of the agreement and any disclosure pages you sign. This agreement and the school catalog constitute the entire agreement between the student and the school. Any changes in this agreement must be made in writing and shall not be binding on either the student or the school unless such changes have been approved in writing by the authorized official of the school and by the student. All terms and conditions of the agreement are not subject to amendment or modification by oral agreement. Student's Right to CancelThe student has the right to cancel the initial enrollment agreement until 5:00 pm MST of the 3rd business day after the student has been admitted. If the student is admitted 14 days or less before the course start date, then the student will be afforded a 3 day grace period on the applicable refund policy schedule if they should decide to cancel the agreement. Cancellation shoudl be submitted to the authorized official of the school in writing.