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Step 3: Pre-Enrollment Checklist for CIMS
Media
2021-10-19T10:03:43-05:00
Online Form: Pre-Enrollment Checklist
Registration Date
*
Month
Day
Year
Name
*
First
Middle
Last
If you do not have a middle name, place an 'x' in the Middle Name field.
Social Security Number
*
Ministerial Number
Phone Number
*
Email
*
Address
*
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Address Line 2
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I will be studying through:
*
Internet
DVD
Distance Learning Center (DLC)
Distance Learning Seminar (DLS)
Distance Learning Center (DLC) or Distance Learning Seminar (DLS) location
*
Please indicate yes or no that you:
Toured the educational facility?
*
Yes
No
Received an institutional catalog.
*
Yes
No
Was given the time and opportunity to review the institutional policies in the catalog.
*
Yes
No
Has been informed of the length of the program for full-time and part-time students in the academic terms and actual calendar time.
*
Yes
No
Has been informed of the total tuition and other fees of the program.
*
Yes
No
Has been informed of the estimated cost of books and any required equipment purchases such as a stenography machine, computer, specialized tools, art supplies, etc.
*
Yes
No
Has been given a copy of the institutional refund policy.
*
Yes
No
Has been given the address and telephone number of Commission Staff (Tennessee Higher Education Commission, 404 James Robertson Parkway, Nashville, TN 37243-0830, (615) 741-5293) along with a statement that reads: “Any person claiming damage or loss as a result of any act or practice by the Church of God School of Ministry that is a violation of the Title 49, Chapter 7, Part 20 or Rule Chapter 1520-01-02 may file a complaint with the Tennessee Higher Education Commission, Division of Postsecondary State Authorization.”; and
*
Yes
No
Has executed (signed) a Transfer of Credit Disclosure Statement in compliance with T.C.A. § 49-7-144 and understands the specific limitations should the institution have articulation agreements.
*
Yes
No
Has received the most recent withdrawal, completion, and placement data as calculated by the Commission in one of the ways described in Rule 1540-01-02-.13(1)(j). For the program titled Certificate in Ministerial Studies (CIMS), I have been informed that for the period of July 2020–June 2021, the withdrawal rate is 0%, the completion rate is .002%, and the in-field placement rate is .002%. Detailed statistical data for this program may be viewed by going to http://state.tn.us/thec and clicking on the “Authorized Institution’s Data” button.
*
Yes
No
Visit
http://state.tn.us/thec
If applicable has received and understands the institution’s cash discount policy.
*
Yes
No
Additionally, I affirm that the document clearly indicates that it is the Preenrollment Checklist, is paginated pursuant to Rule 1540-01-02-.13(1), and includes the full and correct name and address of the authorized location of the institution. I understand that if DSPA determines in the future that the Preenrollment Checklist is not compliant as described herein, my institution will be subject to adverse action pursuant to Rule 1540-01-02-.22.
*
Yes
No
Hidden
Signature
I, the student, have read and understand this document.
*
Yes
No
Enter your name in the field below, and it will count as your signature.
*
Date
*
MM slash DD slash YYYY
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