Enroll Enroll in the Student Coaching Program to get back on track and succeed academically! "*" indicates required fields HiddenUser Role Name* First Last Email* NOTE: This email address will be used for all communication from us.HiddenEnter your Special Access Code (do not delete the value if already displayed) HiddenSection Break - Coaching Program & Post Coaching ProgramChoose your number of weeks 4 8 12 HiddenSpecial Coupon 4 Choose your number of weeks - all options 2 4 8 12 16 24 HiddenWeeksHiddenStudent Coaching Program Enrollment With Scholarship2 Week Boot Camp - TESTING ONLY* 1 payment of $1 now This option requires full payment now.2 Week Coaching Program* 1 payment of $349.50 now This option requires full payment now.4 Week Coaching Program* 1 payment of $699 now 2 automatic payments of $349.50 4 automatic payments of $174.50 If you choose the 2 automatic payments options you will be billed today and then 2 weeks from now. If you choose the 4 automatic payment options you will be billed starting today for 4 consecutive weeks. 4 Week Coaching Program - Discount* 2 automatic payments of $324.50 2 automatic payments - you will be billed today and then 2 weeks from now.8 Week Coaching Program* 1 payment of $1,119 now 2 automatic payments of $599.50 4 automatic payments of $299.75 For the 2-payment plan, the first payment will be made today. The second payment will be automatically charged to your PayPal account one month from today. For the 4-payment plan, you will make the first payment today and then be automatically charged every 2 weeks until you complete the 4 payments. 12 Week Coaching Program* 1 payment of $1,699 now 2 automatic payments of $849.50 4 automatic payments of $424.75 For the 2-payment plan, the first payment will be made today. The second payment will be automatically charged to your PayPal account one month from today. For the 4-payment plan, you will make the first payment today and then be automatically charged every month until you complete the 4-payments. 16 Week Coaching Program* 1 payment of $2,199 now 2 automatic payments of $1,099.50 4 automatic payments of $549.50 For an automatic payment plan, the first payment will be made today. Subsequent payments will be automatically charged to your PayPal account each month on the same date as today until complete.24 Week Boot Camp* 1 payment of $4600 now 2 automatic payments of $2400 6 automatic payments of $950 For an automatic payment plan, the first payment will be made today. Subsequent payments will be automatically charged to your PayPal account each month on the same date as today until complete.Post Coaching Program Enrollment2 Week Post Boot Camp Support* 1 payment of $700 now This option requires full payment now.4 Week Post Boot Camp Support* 1 payment of $1100 now 2 automatic payments of $625 If you choose the 2 payments option, the first payment will be made today and the second one will be automatically charged to your PayPal account 3 weeks from today. 8 Week Post Boot Camp Support* 1 payment of $1600 now 2 automatic payments of $900 4 automatic payments of $500 For an automatic payment plan, the first payment will be made today. Subsequent payments will be automatically charged to your PayPal account each month on the same date as today until complete.12 Week Post Boot Camp Support* 1 payment of $2200 now 2 automatic payments of $1200 4 automatic payments of $675 For an automatic payment plan, the first payment will be made today. Subsequent payments will be automatically charged to your PayPal account each month on the same date as today until complete.16 Week Post Boot Camp Support* 1 payment of $2900 now 2 automatic payments of $1550 4 automatic payments of $875 For an automatic payment plan, the first payment will be made today. Subsequent payments will be automatically charged to your PayPal account each month on the same date as today until complete.24 Week Post Boot Camp Support* 1 payment of $4200 now 2 automatic payments of $2200 6 automatic payments of $850 For an automatic payment plan, the first payment will be made today. Subsequent payments will be automatically charged to your PayPal account each month on the same date as today until complete.HiddenPayment Calculations Section (hidden)HiddenPaymentHiddenCoaching Program PaymentHiddenPost Coaching Program PaymentHiddenNumber of Payments - 1HiddenNumber of Payments - 2HiddenNumber of Payments - 4HiddenNumber of Payments - 6HiddenNumber of PaymentsHiddenTotal TuitionDesired Start Date* MM slash DD slash YYYY Please enter your desired start date. The actual start date is subject to receipt of your payment and approval by our team. Payment Plan Terms* By checking this box, I agree that all payments will be made according to the plan as selected and that any automatic payments will not be canceled. I agree that failure to make the remaining payments will result in suspension or termination of services and the loss of my scholarship as well as legal action and/or reporting my account to credit bureaus and a collections agency. Total payment due now Confirmation of Payment Amount* I have reviewed the payment options shown above and agree to make all payments as indicated. I understand that all payments are handled by PayPal and that my enrollment is not complete until I successfully complete payment using PayPal and that the initial payment will occur today.Agreement* I agree to the Terms of Service, Coaching Guidelines, and Privacy Policy. I agree that any pause in coaching must be approved in advance as described in the Terms of Service.By checking this box, I have read and hereby agree to be bound by the Terms of Service, Coaching, Guidelines, and Privacy Policy as shown on the company's website. HiddenInternal Use Fields - update the information below after the form is submitted by the clientHiddenStart Date MM slash DD slash YYYY This value will be sent in welcome email to client. MAKE SURE IT IS FORMATTED AS mm/dd/yyyy. Month and day must have 2 digits. Year must have 4 digits. HiddenEnd Date MM slash DD slash YYYY Same format as Start Date above. HiddenSpecial Payment ArrangementIf the client was given special payment terms, type a description of those terms here. This description will be inserted into the email receipt to the client in lieu of standard payment terms above. HiddenSpecial Message to ClientIf you have any special instructions or comments that you want to insert into the welcome email (such as an explanation of the holiday schedule), please enter such text EXACTLY as you want it to appear. It will be inserted as a paragraph just above the closing of the welcome email.HiddenSend notification of enrollment submission to client Send submission email now PLEASE UNCHECK THIS BOX if you are completing this form on behalf of the client so that the client will not receive an email upon submission. Instead wait until updating the enrollment with the assignment of coach and then check the box below labeled Send Welcome Email.HiddenSend Welcome Email Send welcome email now To send the welcome email to the client, coach, support, and CEO, check the box above and click the Update button at right. NameThis field is for validation purposes and should be left unchanged.
