APPLICATION FOR ADMISSION

Consider each question carefully. Answer each question and return it promptly to HCOTG-MTC's Administrative Office at 2401 Sate Blvd., Meridian, MS 39301. Please submit the application along with the application fee of fifty dollars ($50.00) and Registration Fee of Fifty dollars ($50.00). If you have an HS diploma or GED certificate, you can send it with the application. (PLEASE PRINT LEGIBLY). Application and Registration Fees are Nonrefundable.

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Note: Health Care On The Go-Medical Training Center is an Equal Opportunity School which does not select students on the basis of their sex, marital status, ethnic origin, or religious preference. The following information is voluntary and used for reporting and identification purposes only and does not affect admission.
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Secondary Education: List all high schools or other secondary schools attended

Dates From - To School Name City and State Diploma

Post-Secondary Education: List all formal education beyond high schools.

Dates From - To School Name City and State Major: Credit(s) Earned Degree

Employment: List all work experience, full-time and part-time, since high school, beginning with the most recent.

Dates From - To Position City and State Major: Credit(s) Earned Degree

Signature: I certify that, to the best of my knowledge and belief, all of my statements are true, correct and complete. I understand that any false or incomplete statements are grounds for deinal of admission or dismissal from the Health Care On The Go-Medical Training Center without a complete or partial refund.

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HEALTHCAREONTHEGO MEDICAL TRAINING CENTER

4500 Highland Park Ave

Meridian MS 39307

FINANCIAL STATEMENT AND PAYMENT POLICY

STUDENT FINANCIAL AGREEMENT

This Financial Statement outlines the payment terms, obligations, and consequences for students enrolled at HealthCareOnTheGo Medical Training Center. By enrolling in our programs, you agree to the following terms and conditions:

PAYMENT REQUIREMENTS

1. Payment in Full Requirement:

  • All program fees must be paid in full prior to graduation.
  • Students with outstanding balances will not be permitted to graduate until full payment is received.

2. Weekly Payment Plan Option:

  • Students may opt for a weekly payment plan of $200.00 due each Monday.
  • Weekly payments are required if no other payment source is in place.
  • All scheduled payments must be made on time to maintain good financial standing.

3. Third-Party Payment Authorization:

  • Students expecting payment from MCCSA must obtain approval documentation prior to graduation.
  • Written confirmation from MCCSA must be provided to the financial office.

CONSEQUENCES OF NON-PAYMENT

1. Graudation Eligibility:

  • Students with outstanding balances will not be eligible to graduate.
  • No exceptions will be made for appointments scheduled after graduation day.

2. Default Consequences:

  • Students who default on payment will be held financially responsible for the full amount.
  • Wage garnishment proceedings may be initiated to recover unpaid balances.
  • Academic records and certificates may be withheld until payment is complete.

3. Deferred Graduation:

  • Students unable to pay in full by their scheduled graduation date may:
    • Defer graduation to the next available class upon approval
    • Continue making payments according to the agreed payment schedule
    • Complete all academic requirements with the subsequent class

PAYMENT METHODS

HealthCareOnTheGo Medical Training Center accepts the following payment methods:

  • Cash
  • Credit/Debit Cards (subject to a 3-5% processing fee)
  • Certified Checks
  • Money Orders
  • Approved Third-Party Payments

All payments should be made to the Financial Services Office during regular business hours or through our secure online payment portal. Please note that all credit/debit card transactions will incur a 3-5% processing fee added to the payment amount.

FINANCIAL ASSISTANCE

Students experiencing financial hardship are encouraged to meet with a Financial Aid Advisor to explore possible assistance options. Limited scholarship opportunities and payment arrangements may be available based on need and circumstances.

ACKNOWLEDGMENT

By signing below, I acknowledge that I have read, understand, and agree to the financial terms and payment policy of HealthCareOnTheGo Medical Training Center. I understand that failure to fulfill my financial obligation may result in my inability to graduate and possible wage garnishment.

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