Course Registration

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Webform Generated

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Lead Id

Select your course of interest*

Course Location*

Remote Class Location

I will need to attend classes via Zoom.

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SF Account Location

A Division of Agudath Israel of America In Conjunction with Fairleigh Dickinson University MS in Accounting Program

Name*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Home Phone

Cell Phone*

Email*

Enter Email Confirm Email

Date of Birth*

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Today

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Age

Gender*

Are You a U.S. Citizen?*

Yes

Country of Origin*

City of Origin*

Marital Status*

High School Attended*

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Number of Years Married

Number of Children*

Spouse's First Name*

Wife's Maiden Name*

Spouse's Phone

Spouse's Email

Have you completed the aptitude test?

Yes

I live out-of-town and will be joining this course remotely.

Yes

EMPLOYMENT INFORMATION

Current Employment Status*

Employed

Unemployed

In Kollel/Yeshiva?*

Yes

Number of Years in Kollel/Yeshiva

Current Employment Status*

Kollel

Yeshiva

Employed

Unemployed

Number of Years in Kollel*

LETTER OF RECOMMENDATION

Drop files here or

Accepted file types: jpg, gif, png, pdf, doc, Max. file size: 450 MB.

For students under the age of 28. Please upload a letter of recommendation from your Rosh Yeshiva. This letter will need to be written on the yeshiva letterhead and state that you have spoken to your Rosh Yeshiva and that he approves of your enrollment in this course.

How long have you been unemployed?*

Now

6 Months

1 year+

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Employment Information

Company Name*

Occupation*

Work Address

City State / Province / Region ZIP / Postal Code

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Work Phone*

Work Email*

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Where did you hear about this course (please check all that apply)?*

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Lakewood Scoop

PCS Emails

Yeshiva World

Friend

Other

Friend (name)*

Other*

Preferred Method of Communication

Communication regarding course information (including policies, schedules, cancellations, etc…) is generally done via email. For those who are unable to communicate through email we offer a text option. Please check the method of communication that you prefer.*

I check my email on a daily basis and prefer to only communicate through email.

I prefer to be sent a text alerting me to check my email in addition to email.

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PCS Recording Policy*

Classroom recordings are to be used solely for the personal use of the student. PCS prohibits the distribution and sharing of classroom recordings in any manner.

I have read the PCS Audio-Recording Policy and fully understand and agree to the terms

PCS Recording Policy*

If a student is unable to attend a given session due to extenuating circumstances, he/she may request a recording from PCS. A maximum of four recording requests per student are allowed. PCS strictly prohibits the copying and sharing of classroom recordings in any manner.

I have read the PCS Audio-Recording Policy and fully understand and agree to the terms

Tuition Information

Tuition for the entire course is $7200.00. We do offer a partial scholarship of $700.00 for students who need it. The scholarship fund is financed by a group of baalei batim who help fund the programs for students who cannot afford the tuition costs. If a student requires the scholarship, the fee for this course will be $6500.00. Registration for the course is $300.00. It will be deducted from tuition and is due upon registration. This payment is non-refundable unless the program is cancelled, or the results of the PCS survey determine that this program will be unsuitable for a particular student. Curriculum adjustment will be left to PCS discretion. PCS does not claim responsibility for finding employment for graduates upon completion of this course.

Cost is either a full payment of 2500 or 600 a payment plan of 475 for 4 months.

The price of the course $15,000 ($13,000 with scholarship)
Any student that needs it, can request the scholarship.

Price per semester $3,750. ($3,250 a semester with scholarship)

In order to obtain the scholarship, one is required to maintain an 80% average.
There will be an additional $300 academic scholarship. Conditions will be given to students in the beginning of semester one.
The $200 deposit is to be paid in full at time of registration, in order to reserve a space in the course. This fee is non-refundable unless the program is cancelled. The $200 deposit will go towards the tuition of the first semester.
Curriculum adjustment will be left to PCS discretion.
PCS does not claim responsibility for finding employment/ internships for graduates upon completion of this course.

As a student of the Internet and Software Development Course given by Professional Career Services (PCS), I agree to all the above statements.

Signature*

Date*

Optional:

Bachelors of Science in Computer Programming and Technology.

Students have the opportunity to earn an optional bachelor’s degree, incorporating the PCS Software Course, minimizing additional coursework. There is an additional fee for this as well as additional course work and online classes.

Tuition for the Computer Course is $675.00 for the beginner student and $600.00 for the intermediate student. PCS will determine your computer level based on the responses that you will provide to us on the computer knowledge survey. You will be notified of your level closer to the start date. Tuition is to be paid in full at the time of registration, in order to reserve a space in the course. This fee is non-refundable. Curriculum adjustment will be left to PCS discretion. PCS does NOT claim responsibility for finding employment for graduates upon completion of this course.

Scholarship

I am requesting the $500.00 scholarship.

Tuition for the course is $1700.00. We do offer a partial scholarship of $400 for the students who need it. The scholarship fund is paid for by a group of baalei batim who help finance the programs for students who cannot afford the tuition costs. If a student requires the scholarship, the fee for this course will be $1300.00. A $600.00 deposit is required at time of registration in order to reserve a space in the course. The deposit is only refundable if course commencement occurs after February 15th. Curriculum adjustment will be left to PCS discretion. PCS does NOT claim responsibility for finding employment for graduates upon completion of this course. This course is designed to teach job seekers/entrepreneurs the skills they need to succeed in today’s workforce. As a student of the Business Enrichment Course given by Professional Career Services (PCS), I agree to the following terms of acceptance: • If I, the student miss more than 5 classes and/or • I, the student fail to complete course assignments I will no longer be able to participate in this program. If I am receiving scholarship monies, I will forfeit my scholarship in addition to being unable to continue the program, and will be required to pay the scholarship amount of $400.

Tuition for the course is $1200.00 (We do offer a partial scholarship of $300.00 for the students that need it. The scholarship fund is paid for by a group of baalei batim that help finance the programs for students that cannot afford the tuition costs. In the case that a student requires the scholarship, the fee for this course will be $900.00.) Tuition is to be paid in full at time of registration, in order to reserve a space in the course. This fee is only refundable if course commencement occurs after June 1st. Curriculum adjustment will be left to PCS discretion. PCS does NOT claim responsibility for finding employment for graduates upon completion of this course; this course is designed to teach job seekers/entrepreneurs the skills they need to succeed in today’s workforce.

I agree to all the above statements regarding tuition information

PCS Policies, Terms and Agreements for Students

Early Course Withdrawal Policy*

I understand that I am responsible for payment of all classes unless I officially leave the course and receive approval to stop payment from PCS. Once I leave the course, I will still be responsible for all classes that took place while I was enrolled in the course.

Early Withdrawal

Time of Withdrawal	You are Liable for:
Before course start date	50% of deposit ($300)
After session one	100% of deposit ($600)
After session two	Deposit plus $100 ($700)
After session three or four	50% of total tuition
After session five	100% of total tuition

Early Withdrawal

Time of Withdrawal	You are Liable for:
Before course start date	50% of deposit
After session one	50% of deposit
After session two	50% of deposit plus $100
After session three	50% of total tuition
After session four	100% of total tuition

• Tuition for the PCS prerequisite is $2,500. We do offer a partial scholarship of $600.00 for students who need it. The scholarship fund is paid for by a group of baalei batim who help finance the programs for students who cannot afford the tuition costs. With the scholarship the cost is $1900.00.

• The non-refundable deposit for the course is $500.00. It will be deducted from tuition and is due upon registration.

• There will be a separate charge of $1000.00 to be paid directly to FDU for the prerequisite credits.

• PCS reserves the right to suspend the program at any time due to unforeseen circumstances. In that event, students have the option to continue the program on FDU’s campus. If sessions have not yet begun, students will be eligible for a refund of their deposit.

• PCS reserves the right to adjust the course curriculum/schedule at any point of the program.

• FDU and PCS have the final word regarding any refunds/monetary issues.

• Students must maintain a ‘B’ average to remain in the program.

• PCS will assist students who have successfully completed course assignments and exams with job/internship placement, however, job/internship placement is never a guarantee.

Early Withdrawal

PCS Withdrawal Date	Credit Amount
During the 1st week	800.00
During the 2nd week	500.00
During the 3rd week	300.00
During the 4th week	100.00
After the 5th week	None

Placement/ Internship Policy*

PCS is able to provide internships/ placement assistance only to the students of this course that satisfactorily complete all the work including homework and tests. Additionally, placement is only available in the tristate area, and placement and internship is not guaranteed.

Authorization granted by PCS to students to utilize company facilities is contingent upon students honoring the no smoking policy anywhere in the building. I agree to abide by the State of New Jersey Building Code and restrict all smoking activities to outside the building. I understand that failure to abide by these terms will result in a forfeiture of permission to use PCS classrooms.

I agree to all the above statements regarding the no smoking policy.

We were happy to assist you with the scholarship. Please understand that the scholarship fund is comprised of donations to PCS to help those that need tuition assistance. We ask that in the future you please prioritize your tzedekahs for the amount of the scholarship that you received. This will enable us to assist others in their parnasah pursuits. “Helping someone with their Parnassah, is the highest form of Tzedaka (Rambam).”

I am requesting the $700 scholarship and agree to all the above statements regarding the scholarship agreement.

I am requesting the $600 scholarship and agree to all the above statements regarding the scholarship agreement.

Scholarship

I am requesting the $400 scholarship and agree to all the above statements regarding the scholarship agreement.

Graduation*

I will bli neder try to attend the course graduation and PCS Networking events.

Time of Withdrawal	You are Liable for
After session one	100% of deposit ($600)
After session two	100% of deposit plus $200 ($800)
After session four	50% of total tuition
After session ten	100% of tuition

PAYMENT OPTIONS

Pay in full - Please charge my credit card the full $1200.00 now.

Payment plan - Please charge my credit card the $600.00 deposit now. The remaining $600.00 will be paid over the next 3 months, at $200.00 monthly.

Pay in full with scholarship - Please charge my card the full $900.00 now.

Payment plan with scholarship - Please charge my credit card the $600.00 deposit fee now. The remaining $300.00 will be paid over the next 3 months, at $100.00 monthly.

PAYMENT OPTIONS*

Pay in full - Please charge my credit card $7000.00 now.

Payment plan - Please charge my credit card the $300.00 deposit fee now. The remaining $6700.00 will be paid over the next 7 months, at $957.00/$958.00 monthly.

Pay in full with scholarship - Please charge my card the full $6300.00 now.

Payment plan with scholarship - Please charge my credit card the $300.00 deposit fee now. The remaining $5900.00 will be paid over the next 7 months, at $842.00/$843.00 monthly.

PAYMENT OPTIONS*

Pay in full – Please charge my credit card the full $1700.00 now.

Payment plan – Please charge my credit card the $600.00 registration fee now. The remaining $1100.00 will be paid over the next 4 months, at $275.00 monthly.

Pay in full with scholarship – Please charge my card the full $1300.00 now.

Payment plan with scholarship – Please charge my credit card the $600.00 registration fee now. The remaining $700.00 will be paid over the next 4 months, at $175.00 monthly.

PAYMENT OPTIONS*

Pay in Full - Pay in full – Please charge my credit card $15,000.00 now.

Initial payment of $200.00 and $3700 per quarter for 4 quarters

Initial payment of $200.00 and $1233.34 per month for 12 months

Initial payment of $200.00 and $822.23 per month for 18 months

[Note: if you choose the pay over 18 months option, you will still be making payments after graduation, that you will be responsible for.]

PAYMENT OPTIONS*

Pay in Full - Pay in full – Please charge my credit card $13,000.00 now.

Initial payment of $200.00 and $3200 per quarter for 4 quarters

Initial payment of $200.00 and $1066.67 per month for 12 months

Initial payment of $200.00 and $711.12 per month for 18 months

[Note: if you choose the pay over 18 months option, you will still be making payments after graduation, that you will be responsible for.]

PAYMENT OPTIONS NP*

Pay in Full - Pay in full – Please charge my credit card $2500 now.

Initial payment of $600.00 and $475.00 per month for 4 months

PAYMENT OPTIONS*

Pay in full - Please charge my credit card the full $2500.00 now.

Payment plan - Please charge my credit card the $500.00 deposit fee now. The remaining $2000.00 will be paid over the next 10 months, at $200.00 monthly.

Pay in full with scholarship - Please charge my card the full $1900.00 now.

Payment plan with scholarship - Please charge my credit card the $500.00 deposit fee now. The remaining $1400.00 will be paid over the next 7 months, at $200.00 monthly.

PAYMENT OPTIONS*

Pay in full - Please charge my credit card the full $2400.00 now.

Payment plan - Please charge my credit card the $500.00 deposit fee now. The remaining $1900.00 will be paid over the next 7 months, at $271.43 monthly.

Pay in full with scholarship - Please charge my card the full $1800.00 now.

Payment plan with scholarship - Please charge my credit card the $500.00 deposit fee now. The remaining $1300.00 will be paid over the next 5 months, at $260.00 monthly.

Recording of any kind is prohibited. PCS will be recording each session and will allow students to listen to the recordings at the PCS office only. PCS prohibits the copying and sharing of classroom recordings in any manner.

Recording Policy*

I agree to all the above statements regarding the recording policy.

Computer Knowledge and Skills

General Computer Knowledge*

I have never used a computer

I use ONLY for email and web browsing

I use only for writing basic documents

I use in a limited way beyond just basic documents and/or email

Use extensively, very comfortable using

Select all the computer/Windows features you are familiar with (if you are not sure what it is, do not select it)

For the following questions, either check “Never used” or check all the features that you have used (they can be in any column)

Microsoft Outlook Knowledge:

Never used

Beginner

Send / receive mail

Send / save attachments

Text formatting

Intermediate

Multiple email accounts

Manage contacts

Manage Calendar

Advanced

Manage tasks

Schedule appointments and meetings

Microsoft Excel Knowledge:

Never used

Beginner

Use to write simple spreadsheets

Text formatting

Cell formatting (borders, color)

Simple formulas: multiplication, sum, average, sub-totals

Intermediate

Cell formatting (data types, merging cells, orientation)

Multiple spreadsheet referencing

Logical functions

Financial functions

Advanced

Table filters

Charts

Absolute/ Relative cell references

Conditional formatting

Professional

What-if analysis

Importing data

Protected worksheets

Microsoft Word Knowledge:

Never used

Beginner

Use to write simple documents

Text formatting

Find/replace

Spell check

Intermediate

Bullets and numbering

Page setup (orientation, margins)

Templates

Headers/Footers

Advanced

Formatted tables

Graphics & images

Styles and themes

Professional

Multi-formatted, multi-page documents

Table of Contents

Mail merge

Letters of Recommendation

If you are under the age of 28, and are either learning during the day, or have learned in kollel for less than 5 years, you will need to obtain a letter of recommendation from your Rosh Yeshiva. This letter will need to be written on the yeshiva letterhead and state that you have spoken to your Rosh Yeshiva and that he approves of your enrollment in this course.

EMERGENCY CONTACT INFORMATION

Emergency Contact Name*

Emergency Contact Phone*

Emergency Contact Email*

Second Emergency Contact Name

Second Emergency Contact Phone

Second Emergency Contact Email

References (not relatives)

Name

Phone

Name

Phone

Signature*

Date*

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Upon submission, you will be automatically directed to the payment page to finalize your registration.

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Credit Card*

American Express

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MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

CAPTCHA *

Course Registration

EMPLOYMENT INFORMATION

Employment Information

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Preferred Method of Communication

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Tuition Information

PCS Policies, Terms and Agreements for Students

Computer Knowledge and Skills

Letters of Recommendation

EMERGENCY CONTACT INFORMATION

References (not relatives)

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PCS is funded in part by The Lightstone Group & The Dovid Lichtenstein Family Foundation

Professional career services

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Main Branch - Lakewood, NJ

Brooklyn, NY