ALIC @ Bessemer Course Registration

First Name

Last Name

Email Address

Birthdate (Month, Day, Year)

SSN (numbers only, no dashes or spaces)

Your SSN is necessary for the College to (1) request your higher education transcripts, (2) process your federal, military, and veterans benefits, and (3) send you a 1098-T tax form, which is required for you to claim potential federal education credits such as the American Opportunity Tax Credit and the Lifetime Learning Credit.

Mailing Address

Country

Street

City

Region

Postal Code

Please enter your company name:

Job Title

Refund Policy
Requests for course withdrawal must be made at least 4 days prior to the course start date. Participants making timely withdrawal requests will be eligible for a refund, less a 10% administrative fee. Registrants who are unable to attend may alternatively request course deferral, transferring an existing registration to the next available cohort. Withdrawal or deferral requests made within 4 days of the course start date will not be honored, except in the case of extenuating circumstances, such as illness or family emergency, which will be considered on a case-by-case basis. Registrants who do not attend or otherwise fail to notify ALIC@Bessemer of their absence at least 4 days prior to the course start date will not be eligible for a refund. In the event of course cancellation by ALIC@Bessemer, all registrants will receive a full refund or the option to transfer registration to a future cohort at no additional charge. All requests for withdrawal, refund, or deferral should be submitted via email to ALIC@allegheny.edu.

Acknowledgement of Institutional Policies

Student Agreement
I understand that when I register for any class at Allegheny College or receive any service from Allegheny College I accept full responsibility to pay all tuition, fees, and other associated costs assessed as a result of my registration and/or receipt of services.

I agree

FERPA
The Family Educational Rights and Privacy Act of 1974, (FERPA) mandates that educational institutions maintain the confidentiality of student educational records as defined by FERPA. As a continuing education student at ALIC@Bessemer, your educational records are protected under the Family Educational Rights and Privacy Act (FERPA). This means that the institution cannot disclose information from your records, including your name, grades, and contact details, without your written consent, except in certain limited circumstances as permitted by law. You have the right to access and review your educational records, and may request amendments to inaccurate information.

You may view Allegheny College’s Privacy Policy.

I agree

I do not agree

Title IX
Allegheny College does not discriminate on the basis of sex and prohibits sex discrimination in any education program or activity that it operates, as required by Title IX and its regulations, including in admission and employment. Inquiries about Title IX may be referred to Allegheny’s Title IX Coordinator, the U.S. Department of Education’s Office for Civil Rights, or both. Allegheny’s complete Title IX Office contact information, including Deputy Coordinators, is accessible at Title IX Contact Information.

https://sites.allegheny.edu/title-ix/policy-against-discriminatory-and-sexual-harassment-including-sexual-violence-intimate-partner-violence-and-stalking-policy/

I agree

Photo/Media Consent
I hereby grant to Allegheny College and anyone acting on its behalf the right and unrestricted permission to: 1. record my image, likeness, and/or voice, on a photographic, video, audio, digital, electronic, or any other medium,  whether now known or hereafter existing, controlled by Allegheny College; 2. use, reuse, publish, and republish my image, likeness, and/or voice: in whole or in part; individually or in connection with other material; edited or otherwise altered; in any and all media, including but not limited to print, websites, advertising, signage, social media, and editorial communication about the activities of Allegheny College; 3. use any such recording as stated previously with no compensation to me; 4. use my name and Allegheny class year (if applicable) in connection with any such recordings or uses.

I understand that I shall have no right to inspect or approve of any such recordings and uses as stated previously and that any such recording shall remain the property of the College.

This release shall be binding upon me and my heirs, and my legal representatives, in perpetuity.

Yes

No

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High Priority

Normal Priority

Low Priority

Inactive

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Yes

No

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