Translate This Page
*MUST BE FILLED OUT COMPLETELY!
FULL NAME (First, M.I., Last, title if applicable):
DATE OF BIRTH (Month, Day, Year):
GENDER (How do you identify?):
ADDRESS (Street, City, State/Province, Postal code, Country)
PHONE NUMBER (Specify day telephone number or cell#)
EMAIL ADDRESS: (must be a valid email address, you will receive a reply to this form and be billed via email)
WHERE DID YOU HEAR ABOUT THE SHOE COLLEGE, UNIVERSITE DES CHAUSSURES?
CHECK CLASSES / PROGRAM(S) DESIRED: (See class listings for current classes/programs) Check all that apply
DATES DESIRED: (See schedule for current dates of classes/programs)
FOOT PROBLEMS? (If yes, explain)
ANY HEALTH LIMITATIONS OR ALLERGIES? (If yes, explain) Pregnant or nursing women are not permitted to participate in lab due to possible exposure to potentially harmful chemicals.
LIST ANY RELATED EXPERIENCE YOU MAY HAVE: (i.e. sewing, carpentry, using power/hand tools, leatherworking etc.)
TELL US what you expect to gain from your potential program at The Shoe College, and tell us about your goals and aspirations.
ARE YOU CURRENTLY A STUDENT? If so, Where and what major?
PLEASE TELL US WHAT MAKES YOU A GOOD CANDIDATE FOR YOUR DESIRED PROGRAM:
PLEASE SELECT FORM OF PAYMENT: (invoice will be sent to above email address to pay from, should you be accepted and wish to confirm enrollment in a class)
LIABILITY WAIVER: I understand that I will be working with and exposed to potentially hazardous tools, machines and chemicals, such as sharp utility knives, abrasives, industriel stitching machines, needles, adhesives and solvents as well as materials that are manufactured with various chemical components. I agree to hold harmless The Shoe College, Université des Chaussures, its employees, owners, contractors and/or associates, for any injury, illness, or other liability that I may incur while at the shoe labs or at any time before or after my enrollment. I agrees to allow photos taken during my attendance to be used by Tamera Lyndsay and/or The Shoe College and or it's parent company for educational and other purposes.
TUITION, ENROLLMENT & CONFIRMATION: Upon acceptance into a class, course or program at The Shoe College, Université des Chaussures, I agree that, to confirm my place in the class, I must remit the full, non-refundable tuition cost . I hereby affirm that have read and understand the Terms as laid out in this ENROLLMENT APPLICATION. Class size is limited to 1-3 students. I understand that my desired class may not be available on the date(s) desired, and that I may not be accepted into my class or program of choice.
TERMINATION: BY THE SHOE COLLEGE: I agree with the following grounds for immediate termination and expulsion (with no refund or exchange) by The Shoe College: Non-Payment of Tuition Insubordination Making false claims or giving misleading information in this application form Hate Speech Disruption of the learning environment including but not limited to texting or use of cell phones in class, inebriation or bringing alcohol into the labs, possessing a fire arm on campus, threats to the school, it's staff and/or other individuals on campus, suicide threats, missing/rescheduling class or being late without proper advanced notice.
TERMINATION BY A STUDENT: A student may cancel or terminate at any time by giving written notice to the director of the program. Students must cancel at least 30 days prior to the 1st day of their program in order to receive credit towards a rescheduled program. No refunds. I agree
CONCLUSION: This agreement is not binding until accepted by the admissions dept. of The Shoe College, Universite des Chaussures and tuition paid in full by student named in this application. The effective date of this agreement shall not precede today's date. PRINT FULL NAME HERE:
TYPE TODAY'S DATE: I verify that I have read and I understand the Application / Agreement. I accept and agree to the terms and conditions herein.
Thank you! The approval process can take up to a week before you hear back from us. Please email us from the contact link to reach us immediately.