Congratulations on your acceptance to the University of St. Augustine!

Steps to Secure Acceptance
Congratulations on your acceptance to the University of St. Augustine!
•
Submit your $500 tuition deposit (see your attached enrollment agreement for tuition
deposit refund details). Make checks payable to University of St. Augustine. To pay by credit
card, complete the following steps:
o
o
o
o
o
•
•
Step 1 – Log on to the myusa portal at http://my.usa.edu/ics using your User Name
and Password.
Step 2 – At the top of the page, you will see a tab labeled “Student Accounting”.
Click this tab.
Step 3 – Go to “My Account Balances”. Although the balance will most likely be
shown as “$0.00 due” – you must make a $500 payment to secure your seat.
Step 4 – Click “Make a Payment” and indicate $500.00 in the “Amount to Pay” box
next to your campus.
Step 5 – Continue on to fill out your credit card information and click continue. Once
you verify your information is correct, click Make Payment. Once your payment is
successful, you will receive an email confirmation.
Review and complete the attached forms:
o Enrollment Agreement (initial each page where indicated)
o New Student Information Form
o Essential Functions acknowledging your ability to meet the essential functions
necessary to complete the OT and PT programs at the University.
o Admissions Policies
Please return completed forms in one .pdf file by scan to [email protected]
Financial Assistance Information
Although our financial counselors are campus based, they are available to assist you at any
point in the process. For information on financial assistance, please contact:
Eloisa Augustus, Miami &Texas Campus: [email protected] or 512-394-9766, ext.
3106
• Erica Kelly, Florida Campus: [email protected] or 904-826-0084, ext. 1241
• Angela Valentin, Florida Campus: [email protected] or 904-826-0084, ext. 1208
• Jazmin Garcia, California Campus: [email protected] or 760-591-3012, ext. 2442
Mary Grawl, California Campus: [email protected] or 760-591-3012, ext. 2441
•
Page 1 of 13
__________________________
Student Initials
Date
Admissions Office
1 University Blvd.
St. Augustine, FL 32086
800-241-1027; Fax: 904-810-3819
Master of Occupational Therapy Degree Program – Florida Campus
Enrollment Agreement 2016-2017
USA ID#:_______________________
SSN#:_________________________
Name:________________________________________________________________________________________
Address:______________________________________________________________________________________
City/State/Zip:_________________________________________________________________________________
Mobile Phone:__________________________________
Email: _______________________________________
The University of St. Augustine for Health Sciences, (USA) has established specific policies, procedures and
guidelines defining its relationship with its students. The student relationship is outlined in this enrollment
agreement which is included with the admission acceptance packet.
I understand and agree to the following:
1. I agree to abide by the academic policies outlined in the University Catalog and Student Handbook which
are readily available on the Admissions tab of University website: www.usa.edu.
2. I will register and begin the Master of Occupational Therapy (MOT) degree program on the start date of the
term for which I was accepted: September 1, 2016. Estimated program completion date is August 15,
2018. Under extenuating circumstances, including undertaking a reduced load or repeating coursework, an
extension of up to one year may be granted.
3. Classes are scheduled weekdays from 8am to 6pm on the trimester format as detailed on the academic
calendar. In addition to regularly scheduled Monday through Friday classes, there will be times when
students will be required to attend weekend and/or evening activities between the hours of 8am and 9pm.
The campus is available seven days a week for classes.
4. I agree to complete the 109 credit hour program in two years at the following estimated costs.
The student is responsible for the following fees and charges:
Item
Application Fee
Tuition Deposit
Tuition*
Books
Campus fees
Associated school
expenses***
Clinical Education
Costs**
Detail
Non-refundable
Deducted from first trimester tuition – see
refund policy below for deposit refund
information
$12,546** per trimester x 6 trimesters
$600 per trimester x 6 trimesters
$160 per trimester x 6 trimesters – includes
wellness center fee and campus access fee
Includes but is not limited to: lab attire,
professional association membership dues
Non-refundable – includes background check,
fingerprinting, CPR training, travel and
lodging*** – costs vary by clinic location
Cost
$00.00
$500.00
$75,276.00
$ 3,600.00
$960.00
$1,000.00
$8,145.00
Page 2 of 13
__________________________
Student Initials
Date
Graduation fee
Transfer Credit Process
Fee***
Estimated living
expenses***
Health insurance
Living expenses:
Total Program Expenses
Health insurance***
Room and board***
Transportation***
Personal***
*Based on 2016-2017 tuition **Subject to change
***These expenses may or may not be incurred by a student.
5.
6.
7.
8.
$150.00
$75.00
Non-refundable
Non-refundable
Single
Married
$2,452.00
$28,262.00
$5,454.00
$9,080.00
$126,084.00
$3,266.00
$33,200.00
$5,454.00
$9,080.00
$131,836.00
Methods of payment: A tuition deposit of $500 is due at the time the signed enrollment agreement is
submitted. Tuition and fees for the first trimester, less the $500 tuition deposit, is due on the established
registration date per the academic calendar for the applicable trimester. Thereafter, tuition and fees are
paid on a trimester basis on the established registration dates per the academic calendar. Tuition and fees
are payable by cash, check or credit card.
Credit from the University of St. Augustine for Health Sciences, may or may not be transferable to other
institutions. The option to accept credit by a graduate institution lies with that institution. The University
actively pursues a policy of requesting other graduate occupational and physical therapy schools to accept
USA credit transfer.
The University of St. Augustine does not guarantee employment. Completion of the degree program is not
a guarantee of employment. The University provides students with job postings located on the MyUSA
portal, students are required to participate resume writing and interviewing skills as part of their
coursework. The University holds on-campus job fairs twice a year, supplies a career guide to students
before each job fair, and provides students with information on recruiting services.
Clinical education placement is based on availability of sites under contract. There is no mileage limitation
for any one-day or full-time placements.
Please complete, sign, date and return this to the Admissions office within thirty (30) days of the date of
your acceptance letter to secure your admission to the Master of Occupational Therapy degree program.
I acknowledge that I have read and understand the Academic Policies, Refund Policy, Code of Conduct, and
my financial responsibilities to the University.
Notice: Do not sign this contract before you read it or if it contains any blank spaces. You should keep a
copy of the contract to protect your legal rights. This agreement, along with the catalog, constitutes a
binding contract between you and the University of St. Augustine, upon acceptance by the school. All signers
have read and received the binding document and catalog.
_________________________________________
Student Signature
Signature of School Official
_________________________________________
Print name
________________________________
Date
_________________________________________
Date
Page 3 of 13
__________________________
Student Initials
Date
Enrollment Agreement Cancellation policy: Should a student voluntarily decline acceptance, fail to
complete the terms of admission, withdraw or be dismissed from the University for any reason, this
agreement will be terminated. All refunds will be made according to the University refund policy which
is attached to this agreement.
Page 4 of 13
__________________________
Student Initials
Date
Tuition Refund Policy for Florida and California Campuses
This refund policy follows the standards set out by the Accrediting Commission of the Distance
Education and Training Council, and additionally for the California campus, the Bureau for Private
and Post-Secondary Education (California).
If notification to withdraw from the University is submitted within the one (1) week (seven-day
grace period) of acceptance and submission of the tuition deposit, a full refund of the tuition
deposit will be returned to the student.
A partial refund of the deposit will be given if a student provides notification to withdraw from the
University prior to the start of the trimester courses and after the initial seven-day grace period. This
partial refund will be $400 (the University retains $100 as an administrative fee).
If a student submits notification to withdraw from a course (or the program) after the stated term
start date, the following formula will be used to determine the tuition refund.
Published Length of Course
1-6 weeks
7-10 weeks
11-15 weeks
Refundable Tuition Due After 1st week = 70%
3rd week = 20%
2nd week = 40%
4th week = 0%
1st week = 80%
4th week = 20%
2nd week = 60%
5th week = 0%
3rd week = 40%
1st week = 80%
6th week = 30%
2nd week = 70%
7th week = 20%
3rd week = 60%
8th week = 10%
4th week = 50%
9th week = 0%
5th week = 40%
Trimester fees, sales tax and Student Activity Fee are 100% refundable if said notification is received
up to three (3) weeks for a one to six week course, four (4) weeks for a seven to ten week course
and eight (8) weeks for a eleven to fifteen week course after the first day of a trimester. There is a
$100 administrative fee for all course and trimester withdrawals.
If notification to withdraw is received after the eighth week, there will be no refund of tuition.
For students who receive federal financial aid and who withdraw from a course on or before 60% of
the term has elapsed, USA will calculate according to federal regulations, any disbursed amounts
that must be returned to the Title IV programs.
If a student obtains a loan to pay for an educational program, the student will have the responsibility
to repay the full amount of the loan plus interest, less the amount of any refund, and that, if the
student has received federal student financial aid funds, the student is entitled to a refund of the
monies not paid from federal student financial aid program funds.
Rev. 2-2014
Page 5 of 13
__________________________
Student Initials
Date
Student Code of Conduct
Admittance to the University of St. Augustine for Health Sciences carries with it an obligation and
responsibility to abide by federal, state and local law, respective county and city ordinances, as well as all
University rules, regulations and procedures. Admission to the University is a privilege, not a right’ and it
extended to those individuals who meet all admission criteria. All students, faculty and staff of the
University have a responsibility to report violations of the Student Code of Conduct to the appropriate
officials. As a student, you must read and acknowledge this as part of the enrollment process.
The following behaviors are to be adhered to at all times while on University facilities or when associated
with the University in any manner:
•
The University of St. Augustine for Health Sciences is a smoke and tobacco free environment. The
University maintains a drug-free policy.
•
Profane language is not acceptable.
•
Students should not be under the influence of any intoxicants.
•
Firearms are not permitted.
•
Violence, or the threat of violence in any form, is not tolerated.
•
Sexual or other forms of harassment will not be tolerated.
•
The Internet Acceptable Use Policy must be adhered to at all times.
As a student of a Distance Education Accrediting Commission (DEAC) accredited institution, I recognize
that in the pursuit of my educational goals and aspirations I have certain responsibilities toward my fellow
distance learners, my institution, and myself. To fulfill these responsibilities, I pledge adherence to this
Code of Conduct.
I will observe fully the standards, rules, policies, and guidelines established by my institution, the Distance
Education Accrediting Commission, the State Education Agency, and other appropriate organization(s)
serving an oversight role for my instruction. The following behaviors are to be adhered to at all times
while enrolled in a course or program, regardless of physical location:
I will adhere to high ethical standards in the pursuit of my education, and to the best of my ability will:
•
Conduct myself with professionalism, courtesy and respect for others in all dealings with
institution staff, faculty and other students.
•
Present qualifications and background truthfully and accurately for admission to the institution.
•
Observe the institutional policies and rules on submitting work, taking examinations, participating
in online discussions and conducting research.
•
Never turn in work, or present another person’s ideas or scholarship as my own.
•
Never ask for, receive, or give unauthorized help on graded assignments, quizzes and
examinations.
•
Never use outside books or papers that are unauthorized by a course instructor’s assignments or
examinations.
•
Never divulge the content of or answers to quizzes or examinations to fellow students.
•
Never improperly use, destroy, forge, or alter the institution’s documents, transcripts or other
records.
•
Never divulge my online username and password.
•
Always do my best to observe the recommended study schedule for program studies.
Page 6 of 13
__________________________
Student Initials
Date
•
Always report any violations of this Code of Conduct to the appropriate institution official, and
report any evidence of cheating, plagiarism or improper conduct on the part of any student of the
institution when there is direct knowledge of these activities.
The following ethical behaviors are expected of all students:
Students are expected to conduct themselves in a professional manner according to their respective
profession’s code of ethics. They should respect the dignity of each individual with whom they are
associated. The following considerations are intended to supplement, not replace, any code of
professional conduct that might exist.
•
Confidentiality of a patient's medical/personal history must be fully maintained at all times.
•
The behavior of a patient should be considered in the context of the patient's illness and be
handled accordingly.
•
Students should not upset patients by words, actions or demeanor.
•
Students should not display a conflict of personality or opinion with other clinical personnel in
the presence of patients.
•
Students should be respectful of other health care professions.
The student should be respectful of and responsive to authorized University personnel and guests, and
should observe the defined line of authority with respect to any activities including clinical assignments.
Students should use appropriate titles and surnames when addressing authorized University personnel.
Failure to observe these and other basic principles of ethics is professionally unacceptable and could be
potentially compromising (see "attitude" statement in the Student Handbook under Student
Interpersonal Skills).
The following interpersonal behaviors are expected at all times:
Of paramount concern is that students and graduates of the University display and present a positive
and respectful attitude to their patients, colleagues, supervisors, faculty, staff, community, and to the
University. This "attitude" is a key ingredient to successful completion of studies at the University and to
excel as health care professionals. Students will endeavor at all times to:
•
Respect the worth and individuality of every person; e.g., listen/pay attention while others are
speaking and promote constructive feedback.
•
Refrain from disruptive behavior.
•
Refrain from proselytization. Proselytization is defined as aggressively and/or harassingly trying
to convert, recruit, or induce someone to join one’s own political cause or to espouse one’s own
doctrine.
•
Respect confidentiality.
Page 7 of 13
__________________________
Student Initials
Date
New Student Information Form
Please print or type all information. Please do not leave any areas of the form blank.
Date ___________________ Social Security Number_______________________________________________
First Name__________________________
Middle Name_______________________________________
Last Name__________________________________________________________________________________
Preferred First Name/Nickname_________________________________________________________________
(This name will be used on class rosters, advisor assignments, student IDs, student mailboxes, etc.).
Hometown___________________________________________________
______________________
City
State
Email Address________________________________________________________________________________
Please check all that apply:
_____
American Indian or Alaska Native
_____
Asian
_____
____
_____
Black of African American
Hispanic of any race
Native Hawaiian or Other Pacific Islander
_____ Nonresident Alien
_____ Two or more races
____
____
Unknown
White
Permanent Mailing Address (Note: All official University correspondence will be sent to this address):
_____________________________________________________________________________________
Street Address or P.O. Box
_____________________________________________
City
Permanent Phone Number____________________________
_________________
State
________________
Zip
Cell phone______________________________
***************************************************************************
You will receive a University t-shirt (approved for lab wear) at New Student Registration. Please indicate your
t-shirt size (please circle):
S
M
L
XL
XXL
Please select one of the following regarding your tuition deposit:
□ Paid online □ Enclosed a check
Would you like to be included on the roommate list:
□ YES □ NO
Page 8 of 13
__________________________
Student Initials
Date
Essential Functions
The Essential Functions you must meet to successfully complete the Occupational Therapy and Physical Therapy
programs at the University of St. Augustine for Health Sciences are listed below. The Essential Functions are
representative of requirements placed on our students and practicing clinicians.
Read each function and check the corresponding box to indicate you have read and understood the essential
function and that you are able to meet the function now or will be able to after regular instruction or
accommodation.
A. Motor Skills
□ 1. Ability to perform an assessment/evaluation and intervention through the execution of the following
motor movements:
□ a. Stand for 30 minutes;
□ b. Lift 40 pounds;
□ c. Kneel, crawl, roll, and bend backward and forward;
□ d. Assume prone, supine, and side-lying positions;
□ e. Exhibit independent control of upper and lower extremity joints;
□ f. Independently climb on and off of a three-foot table;
□ g. Balance on one leg;
□ h. Grasp and release items of various sizes in both hands;
□ i. Have grip strength of 20 pounds; and
□ j. Open and close doors one-handed.
□ 2. Demonstrate sufficient strength and balance to transfer, move, and/or assist patients/clients while
walking and/or completing their daily occupations without injury to patient/client or yourself.
□ 3. Demonstrate coordination of gross and fine motor upper extremity movement patterns to perform
therapeutic activities, daily life occupations, and use of a mouse and keyboard for computer input.
□ 4. Ability to perform a technique with proper positioning, hand placement, direction of force, amount of
force, etc., based upon visualization of a picture, video, or live demonstration.
□ 5. Ability to position yourself in front of a screen for typing, viewing, reading, and using a computer for
up to 50-minute intervals.
B. Visual Ability
□ 1. Ability to observe and interpret patient/client movement and/or occupational performance.
□ 2. Ability to observe a patient/client at a distance greater than 20 feet or closer to note verbal and
nonverbal signals.
□ 3. Ability to visually monitor and assess physical, emotional, and psychological responses, equipment
settings, dials, and instructions.
□ 4. Ability to determine and comprehend dimensional and spatial relationships of structures (e.g.,
differentiating right and left, up and down).
□ 5. Ability to view video, graphics, and written word on a computer screen or a monitor.
C. Tactile Ability
□ 1.
Ability to perform a physical assessment through hands-on application that may include palpation of
anatomical structures, noting surface characteristics, assessment of tone, temperature, depth, etc.
Page 9 of 13
__________________________
Student Initials
Date
D. Hearing Ability
□ 1.
Auditory ability sufficient to monitor and interact with patients, professionals, and patients’ family
members.
□ 2.
Ability to hear and react appropriately to alarms, emergency signals, timers, and cries for help.
□ 3.
Auditory ability sufficient to hear verbal instructions, audio, video, or computer media in the
classroom, lab, or clinic.
E. Mobility Skills
□ 1. Ability to move physically from room to room and maneuver in small places around patients and
equipment.
□ 2. Ability to administer CPR.
□ 3. Ability to walk up and down stairs and ramps.
□ 4. Ability to travel to clinical education sites locally and nationally as assigned.
F. Coping Skills
□ 1.
□ 2.
□ 3.
Ability to perform in stressful environments or during impending deadlines.
Ability to complete timed written, oral, and laboratory practical examinations.
Agreement to follow the Student Code of Conduct and other policies as stated in the Student
Handbook that include but are not limited to:
□ a. Maintain academic honesty at all times;
□ b. Exhibit dependability by arriving to class on time, attending all assigned classes, and following
through with commitments and responsibilities;
□ c. Display professionalism , follow the university dress code, and display a positive attitude; and
□ d. Obey university, local, state, and federal laws, policies and procedures, and rules and
regulations.
G. Critical Thinking Skills
□
□
□
□
1.
2.
3.
4.
Use sound judgment and apply safety precautions as appropriate.
Analyze and synthesize data from a variety of sources in a timely manner.
Put research findings into practice.
Exhibit a positive, interactive response to feedback.
H. Interpersonal Skills
□ 1. Interact appropriately with individuals, families, and groups from a variety of social, emotional, cultural,
and intellectual backgrounds.
□ 2. Establish rapport with clients, patients, and colleagues.
□ 3. Use responsive, empathetic listening skills.
□ 4. Direct and supervise support personnel.
□ 5. Actively participate and contribute to group projects.
I. Communication Skills
□ 1. Communicate effectively with patients/clients and their family members, faculty, other health care
professionals and/or members of community and professional groups in verbal and written form.
□ 2. Elicit information from patients/clients in a timely manner.
□ 3. Complete written work at a professional level in a timely manner.
□ 4. Document patient/client assessment/evaluation, intervention plans, and progress notations succinctly
and in a time frame similar to clinical constraints.
□ 5. Achieve basic competency in word processing, email, and use of the Internet.
Please contact a Student Success Advisor with any questions about the Essential Functions or the process for
requesting reasonable accommodations. There are certain physical requirements that the OT and PT programs
cannot accommodate. In addition, there are standards of performance that cannot be accommodated, including
requirements in the areas of safety and judgment.
Page 10 of 13
__________________________
Student Initials
Date
Essential Functions for Occupational Therapy and Physical Therapy
The checked boxes on the preceding pages and my signature below indicate that I have read, understood, and can
perform the Essential Functions with or without accommodation. I understand that I must meet these Essential
Functions to be successful in my program. I understand that I should contact the Director of Disability Services if I
require further clarification about the Essential Functions or if I would like to request reasonable accommodations. I
understand that failure to meet the Essential Functions will lead to termination of my enrollment at the University of
St. Augustine for Health Sciences.
Print Name: ______________________________________________________________________________________________________
Signature: _________________________________________________________
Date: _____________________________________
Degree Program: ______________________________ Term: __________________ Campus: ____________
Page 11 of 13
__________________________
Student Initials
Date
**IMPORTANT**
Admissions Policies
Prerequisite coursework:
You must complete all prerequisite coursework with a grade of ‘C’ or higher prior to your
Orientation date at the University of St. Augustine. You must also provide evidence prior to the
first day of classes to the Admissions Office that indicates prerequisite course completion. This
may be: letter from course instructor, letter from Registrar’s office, or copy of unofficial transcript
(that shows the grade, not just registration). You have until the end of the fourth week of the
trimester to provide official transcripts to the Admissions Office that document successful
completion of all required coursework. You will not be eligible for any financial aid refunds until
you meet this requirement. If you do not supply a final transcript by the due date noted above,
you will be at risk of being asked to withdraw from the University. University tuition refund
policies will apply in such cases.
Undergraduate Degree:
You must successfully complete your undergraduate degree/degree requirements prior to the
first day of classes. You must also provide evidence to the Admissions Office that indicates
degree completion. This can be done by getting a letter from your Registrar’s Office stating you
have completed all your degree requirements. You have until the end of the fourth week of the
trimester to provide the official transcripts to the Admissions Office that document successful
completion of your degree. You will not be eligible for any financial aid refunds until you meet
this requirement. If you do not supply a final transcript by the due date noted above, you will be
at risk of being asked to withdraw from the University. University tuition refund policies will apply
in such cases.
Criminal Background Check, Drug Screen and Fingerprint Report:
On the Admission forms, a disclaimer will read: “ In general, the majority of field experience
sites and employers require that students’ and applicants’ criminal background checks be
clear of any significant incidents and require a negative drug screen. In the interest of
ensuring that University students will be eligible to participate in required field experiences
and eligible to apply for state licensure, all admissions to the University are considered
contingent until the University has received the results of an approved criminal background
check, 10 panel drug screen, and fingerprint report. A background check that includes any
significant incidents, including a felony conviction, or any positive drug test will disqualify an
applicant for admission to the University. All applicants are expected to disclose all arrest
and or conviction histories on the admission application. Failure to report this information
may lead to denial admission. Applicants will be provided a list of approved testing providers
and all checks and screens will be completed at the student’s expense.”
Students provisionally accepted into a first professional program will be required to obtain a
criminal background check, 10 panel drug screen, and fingerprint report through an approved
Page 12 of 13
__________________________
Student Initials
Date
provider, and full admission will depend on satisfactory results. Students will also be required
to obtain updated checks prior to participating in any of the required
fieldwork/internship/rotation courses in the curricula. Costs associated with these updated
checks are the responsibility of the student.
Admission will be denied to any student with a felony conviction reported on a criminal
background check* and or fingerprint report. If a background check and or fingerprint report is
returned with a misdemeanor, a meeting with the program director may be necessary to
discuss the nature of the misdemeanor and its possible impact on clinical site placement, prior
to full admission being granted.
Students must disclose arrest and or conviction histories on their application. Upon acceptance,
the student will have a continued obligation to report any criminal arrests or convictions to the
Department Head of Clinical Education within 30 days of its occurrence.
A 10 panel drug screen** is expected to be completed prior to full acceptance into the
program. A failed drug screen or one not completed when scheduled will result in denial of
admission. Students who are denied acceptance due to a failed drug screen may re-apply for
the following available term.
The $500 deposit fee will be fully refunded if admission is denied due to an adverse report on
the background check, drug screen or fingerprint report.
*List of background screens performed: County criminal search, nationwide sex
offender search, Office of Inspection General (OIG) and US General Services Administration
(GSA).
**List of tested substances: Amphetamines, barbiturates, benzodiazepines, cocaine,
methadone, methaqualone, opiates, phencyclidine, propoxyphene and marijuana.
This policy will take effect for the January 2016 cohorts
Approved by Management Committee 7/16/2015
I have read and understand the above admissions policies.
Print Name:____________________________________________________________________
Signature: _______________________________________
Date: ___________________
Witness: ________________________________________
(Notary not required)
Date: ___________________
Please return completed in one .pdf file by scan to:
[email protected]
Page 13 of 13
__________________________
Student Initials
Date