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Thank you for considering DermaTech Permanent Cosmetics for your fundamental training. To enroll, fill out pages 2- 9 and return with 500.00 deposit to: DermaTech Permanent Cosmetics, llc 123 Ohme Garden Road Ohme Garden Business-Park Suite D Wenatchee, WA 98801 OR: Scan and email all completed pages to: MaryTanneberg@gmail.com Option:

Call or text cell # 509-670-1042 or call and leave a message on salon landline # 509-884-1865. OR: Return completed and signed: DermaTech Permanent Cosmetics Payment Plan with $500.00 deposit.

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DermaTech  Student  Application   Name:________________________________________________________________________________ First Name MI Last Name

Address:__________________________________________________________________________________ Street Apt. No. City/State/Zip______________________________________________________________________________ Date of Birth______/_____/______ Social Security # _______-______-_______ Month Day Year Phone Numbers ( )_______-____________ ( )_______-____________ ( )_______-____________ Cell Work Evening E-Mail __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Education: Name of High School or GED diploma_______________________________ Year grad ______ List any Degree(s) or Certificate(s) College OR Vocational School:___________________________________ _________________________________________________________________________________________ Have you ever worked or had experience in the Beauty Industry? Yes__ No__ If Yes, in what capacity? ____________________________________________________________________________________________________________________________________________________________________________________ Have you ever worked or had experience in the Medical Field? Yes__ No__ If Yes, in what capacity? __________________________________________________________________________________________ __________________________________________________________________________________________ What is your current or most recent occupation? __________________________________________________________________________________________ Do you have any physical challenges that could make it difficult for you to learn how to do permanent cosmetics? Yes__ No__ If Yes, please explain __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________

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Are you able to see close up with or without glasses and/or contacts? Yes___ No___ If no, please explain ____________________________________________________________________________________________________________________________________________________________________________________

How did you hear about DermaTech Permanent Cosmetics? __________________________________________________________________________________________ __________________________________________________________________________________________ Do you have any Permanent Cosmetics on your face? Yes__No__ If Yes, are you happy with the result? Yes__ No__ What single procedure are you most interested in having done to you by the instructor in class? Brows___ Eyes___ Lips___ If you checked lips, and have ever had a fever blister/cold sore, you will need a prescription for Valtrex to be taken 2-3 days before you arrive to avoid an outbreak during class. Have you ever attended permanent cosmetics training(s) before? Yes__ No__ If yes, provide copy(s) of certificate(s). Have you had any hands on experience since your original training? Yes__ No__ If you answered “yes,” why do you feel you need additional training? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Why are you interested in a career in Permanent Cosmetics? _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ Additional comments:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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Requested Days of Class: Training can be attended 6 consecutive days, or divided into 2 sessions: Session 1-Theory and Classroom AND Session 2-Practical-Work on live models- Combined: Monday ________/___/______ thru Saturday _________/___/______

-OR-

Session 1-Theory-Classroom: 1st 3 days - Theory: Monday ________/___/______ to Wednesday _________/___/______

-Then return for 2nd half of training- (must be completed within 30 days of start date) Session 2-Practical-Work on live models: 2nd 3 days- Models-select which days works best for you:

Monday ___/___/______ Tuesday ___/___/______ Wednesday ___/___/______ Thursday ___/___/______ Friday ___/___/______ Saturday ___/___/______ Applicant Signature:_____________________________________________________ Date ___/___/________

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ENROLLMENT  AGREEMENT   This Enrollment Agreement is between the above named school and: STUDENT’S NAME _________________________________________________________________________ Address ____________________________________________________________________________________ Cell Phone: ( )_______________ Evening Phone:( )________________ Day Phone: ( )__________________ E-Mail:__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ The school agrees to provide the following training: Course Title: DermaTech Permanent Cosmetics Fundamental Training Start date: __________________________________ Completion date: _________________________________ Program consists of 40 hours home study+60 hours class work and practical = 100 total hours. Training costs: Registration/home study kit and book fee (applied towards tuition)……………………………….............$500.00 Tuition, supplies and practice materials…………………………………………………………………….$3950.00 Books..………………………………………………………………………………………………………included Supplies and Materials……………………………………………………………………………………....included TOTAL COST FOR THE COURSE……………………………………………………………………….$3950.00 Agreement is Binding: This agreement will be binding only when it has been fully completed, signed, and dated by the student and an authorized representative of the school prior to the time instruction begins. Changes in the Agreement: Any changes in the agreement will not be binding on either the student or the school unless such changes are acknowledged in writing by an authorized representative of the school and by the student or the student’s parent or guardian if he/she is a minor.

123 Ohme Garden Rd Ohme Garden Business Park- Suite D

Wenatchee, WA 98801 Cell: 509-670-1042

MaryTanneberg@gmail.com www.DermaTechPermanentCosmetics.com

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Effective Date of Acceptance: I certify that I have read and understand the cancellation and refund policy and the complaint procedure; I have received a copy of the course outline or brochure; and I am entitled to an exact copy of this Enrollment Agreement, course outline, and any other papers I sign. Cancellation of Classes: DermaTech Permanent Cosmetics reserves the right to cancel a class due to illness or any unforeseen event or emergency . Such a cancellation will be considered a rejection by the school and will entitle the student to a full refund of all money paid. Undamaged books may be returned for refund. Due to the nature of this training, live models provided by the school must be screened, scheduled, and secured to ensure hands on practice for the student. Consideration of the time and arrangements necessary by DermaTech Permanent Cosmetic’s involvement of outside parties is a factor when a cancellation occurs. Cancellation and Refund Policy for DermaTech Permanent Cosmetics Training Program: Due to the nature of this limited class size of 1-2 students and 1 on 1 coaching and mentoring with live models, if you have any reservations about the ability to be present, read our policy below: 1. DermaTech Permanent Cosmetics will refund all money paid if the applicant is not accepted. This includes instances

where a starting class is canceled by the instructor. 2. DermaTech Permanent Cosmetics will refund all money paid if the applicant cancels within five days after the day the

contract is signed (excluding Sunday and Thanksgiving, Christmas and New Years Day) and initial payment is made, provided the applicant has not begun training. All books and study materials must be returned unopened and un-used. If home study materials have been opened, 40 hours are automatically considered in training.

3. The school may retain registration fee, if cancellation by applicant happens less than 1 month prior to start of class. A “registration fee” is any fee charged by a school to process student applications and establish a student record system.

4. If training is terminated after the student begins class no refunds are given. If termination is due to medical reasons provided by physician or excused absence at instructor’s discretion, follow table below:

If the student completes this amount of training at DermaTech Facility:

The school may keep this percentage of the tuition cost:

1-2days 75%+ tattoo kit returned 3 + Model days 100%

5. When calculating refunds, the official date of a student’s termination is as follows:

(a) When the school receives notice of the student’s intention to discontinue the training program; or, (b) When the student is terminated for a violation of a published school policy which provides for termination; or, (c) When a student, without notice, fails to attend class.

6. All refunds must be paid within thirty calendar days of the student’s official termination date.

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123 Ohme Garden Rd

Ohme Garden Business Park- Suite D Wenatchee, WA 98801

Cell: 509-670-1042 MaryTanneberg@gmail.com

www.DermaTechPermanentCosmetics.com Notice to Buyer: Do not sign this agreement before you read it or if it contains any blank spaces. This is a legal document. All pages of this agreement are binding. Read both sides of all pages before signing. You are entitled to an exact copy of the agreement, school catalog, and any other papers you may sign and are required to sign a statement acknowledging receipt of those. Cancellation of Contract: If you have not started training, you may cancel this contract by submitting written notice of such cancellation to the school at its address shown on the contract, which notice shall be submitted not later than midnight of the fifth business day (excluding Sundays and holidays) following your signing this contract or the written notice may be personally or otherwise delivered to the school within that time. In event of dispute over timely notice, the burden to prove service rests on the sender. Washington law requires the following information to be supplied to each student enrolling in a private vocational school licensed under RCW 28C.10. One copy of this notice bearing original signatures must be attached by the school as an addendum to that individual’s enrollment agreement and a copy must be provided to the enrollee by the school. ACKNOWLEDGMENT BY ENROLLEE 1. I understand and accept that any contract for training I enter into with the above named school contains legally binding obligations and responsibilities. 2. I understand and accept that repayment obligations will be placed upon me by any loans or other financing arrangements I enter into as a means to pay for my training. 3. I understand that any enrollment contract I enter into will not be binding or take effect for at least five days, excluding Sundays and holidays, following the last date such a contract is signed by the school and myself, provided that I have not entered classes sooner. Name (Please print) _____________________________ Signed: ______________________________________ Dated: ________/_____/___________________

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ACKNOWLEDGMENT Prior to being enrolled in this school, the applicant whose name and signature appears below has been made aware of the legal obligations he/she takes on by entering into a contract for training. Those discussions included cautions by the school about acquiring an excessive debt burden that might become difficult to repay given employment opportunities and average starting salaries in his/her chosen occupation. Signed by Student: ______________________________________ Dated: ________/_____/___________________ Unfair Business Practices: It is an unfair business practice for the school to sell, discount, or otherwise transfer this contract or promissory note without the signed written consent of the student. Student’s Name ____________________________________________________________________________________ (Please print) _________________________________________________________________________________________________ Signature Date As the authorized representative of the school, I hereby agree to the conditions set forth herein: Authorized School Representative ______________________________________________________________________ (Please print name) ___________________________________________________________________________________________ Signature Date This school is licensed under Chapter 28C.10 RCW. Inquiries or complaints regarding this private vocational school may be made to the:

Workforce Board, 128 – 10th Ave. SW, Box 43105, Olympia, Washington 98504 Web: wtb.wa.gov

Phone: 360-753-5662 E-Mail Address: wtecb@wtb.wa.gov

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DermaTech  Permanent  Cosmetics  Payment  Plan   On this ____day of____________,_________, Student has agreed to pay the sum of 3950.00 to DERMATECH PERMANENT COSMETICS, llc. Cash Amount_____ Check(s)_______________ or Credit Card___ payable to DermaTech Permanent Cosmetics on or before commencement of class: VISA/MasterCard#___________________________________3digit code_____ Expiration date___/_____ Billing Address__________________________________________________________________ Name on card ____________________________________________________________ Card holder’s signature_____________________________________________________

Or : DermaTech payment plan (1/2 down and 4 consecutive monthly installments billed (at additional 6% administrative fee)or charged to your debit or credit card on agreed day(s) with additional 3% monthly administrative fee) on balance due. Early pay off will not include remaining administrative fees. Late payments will be charged an additional 10% on balance due, accruing monthly. Non-payment of a period of 60 days will be considered in default and all expenses incurred by the school will be paid by the student. Arrangements MUST be made prior at least one week before start of class. No exceptions. Certificate will be awarded when final payment is received. Applicant Signature______________________________________________ Date:___/___/_____ Address _______________________________________________State_______ Zip___________

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123 Ohme Garden Road – suite D . Ohme Garden Business Park . Wenatchee, WA 98801

(509) 670-1042 or (509) 884-1865

Volume 23 2015-2016 DermaTech Permanent Cosmetics Fundamental Class Catalog

Founded in 1988 by Mary Tanneberg-Hisel, CPCP-Nationally Certified Permanent Cosmetics Professional, Washington State licensed Permanent Cosmetics Artist and Instructor. In addition to training, coaching and mentoring students with a desire to learn, Mary has a large Permanent Cosmetics practice. For more information on Mary, please visit www.DermaTechPermanentCosmetics.com This  school  is  licensed  under  Chapter  28C.10  RCW.    Inquiries  or  complaints  regarding  this  private  vocational  school  may  be  made  to  the:  

Workforce Training and Education Coordinating Board 128 10th Avenue SW

PO Box 43105 Olympia, WA 98504-3105

Telephone: (360) 709-4600 or 753-5662 E-mail: workforce@wtb.wa.gov  

Web:  wtb.wa.gov   Calendar and class schedule The following holidays are observed and no classes will be held: New Year’s Day, Easter, Memorial Day, Labor Day, Independence Day, Thanksgiving and Christmas. Class size is limited to 2 students, therefore, classes are scheduled on a first come-first serve basis. Home study is required to prepare for the class and therefore, class is scheduled a month or more after registration so you have time to complete necessary assignments prior to your first day. Class dates are flexible and are generally held monthly. Call for open dates. Depending on the student, the following days may begin as early as 8am and end as late as 8pm. This is determined by the student’s experience, previous training and knowledge of each section. Be flexible. Please do not plan other activities during your first 3 days. You will need all your attention, energy and focus on the tasks and training here. Rest is important. Theory portion begins on Monday and run thru Wednesday. Part 2- is the hands on experience with live practical practice on models. Most students prefer to complete both parts of the program within the week but arrangements for the models can be made to accommodate the student’s schedule. The models also have busy lives and schedules and are excited to have their procedures performed. There is much planning and logistics involved ensuring your live models are available when needed. This is an exciting experience for both you and your models.

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Facility- DermaTech Permanent Cosmetics is inside of Professional Skin Solutions Medical Spa. The reception area is calm and peaceful, with a water wall, and self serve keurig coffee and tea bar, comfortable seating and complimentary wi-fi. All staff here are professionals and independent. All rooms are private. In house, we offer many different types of services such as; cosmetology services, facials, light therapy, waxing, massage, cranial sacral therapy, acupuncture, and medical aesthetics.

Parking: Private parking lot for all business clients located in the Ohme Garden Business Park Training Requirements: Students MUST be 18 or over. Tattooing in Washington State is prohibited on any person under 18. Students must be able to see up close (glasses or visual aids are ok). Must understand and speak the English language. (No interpreter provided or allowed) High School or Equivalent is required. Attendance Requirements: DermaTech Permanent Cosmetics instruction requires the student to physically be present for designated time for theory and models. If the student does not show up for theory or is more than 2 hours late, and cannot pass the exam(s) for that particular missed segment, additional time may be required. If the student notifies Mary or the front desk of an excusable absence, all efforts to accommodate lost training time will be made. If student doesn’t show up for a model’s scheduled appointment time, and the student cannot trade with another student’s scheduled models, a new model procedure will need to be rescheduled for the student. Additional expense for adjustments in the program, model and instructor time may be incurred by the student. Developing good work ethics is an important part of training here at DermaTech Permanent Cosmetics. Every case of absenteeism will be assessed by the instructor. Code of Conduct and Conditions for Dismissal: This course is limited to only 2 students at a time to maximize yours and one other student’s education. Respect and understanding of each other significantly improves learning. 1. Any illegal activity on premises or during class time, including but not limited to theft, damage to premises or property of another person during course week. 2. Unexcused absence more than 1 day. 3. Physical or verbal acts or threats of violence or verbally abusive language. 4. Behavior that prevents and/or disrupts any student’s ability to learn in a safe environment, or prevents or disrupts the instructor’s ability to teach. 5. Not meeting financial responsibilities to DermaTech Permanent Cosmetics.

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Re-entry Policy: Request in writing to the instructor for re-entry. To appeal, student must include concerns and reason for requesting re-entry in writing. The case will be evaluated and the student will be notified within 5 days either by phone, writing or in person. The decision of the instructor is final. Testing and Grading System- Testing is a measure of competence and knowledge. Here at DermaTech Permanent Cosmetics, testing is not used to fail a student, but rather, used as a tool to ensure the student is provided with the knowledge and understanding necessary to be successful. Failure is not an option. Three tests are given. 1. Bloodborne Pathogens-taken at the beginning of class on the first day 2. Proper Procedures for Permanent Cosmetic Application-taken on the second or third day 3. Color Theory-taken on the second or third day Missing 6 or more questions will require re-learning and re-testing until 80% is achieved. Re-testing usually includes retaking the test, or orally quizzing and hands on evaluation after re-teaching, or reviewing material. Instructor Evaluation: You will be given a form to evaluate your training and education received. Your input and comments are taken seriously and a very important part of the program. Cancellation and Refund Policy: Much time and effort is dedicated to setting up a successful program for the student. The time blocked out for the class is a large amount of professional time by the instructor that otherwise would take another student or schedule clients during regular business hours. Models that otherwise would be available for another student must also be cancelled. Therefore serious commitment by the student must be made before submitting the application and enrollment forms with registration fees. For full description of refund policy, please read the cancellation and refund policy on the enrollment form. Cancellation of Classes: DermaTech Permanent Cosmetics reserves the right to cancel a class due to illness or any unforeseen event or emergency. Such a cancellation will be considered a rejection by the school and will entitle the student to a full refund of all money paid. Undamaged books may be returned for refund. Due to the nature of this training, live models provided by the school must be screened, scheduled, and secured to ensure hands on practice for the student. Consideration of the time and arrangements necessary by DermaTech Permanent Cosmetic’s involvement of outside parties is a factor when a cancellation occurs. Cancellation and Refund Policy for DermaTech Permanent Cosmetics Training Program: Due to the nature of this limited class size of 1-2 students and 1 on 1 coaching and mentoring with live models, if you have any reservations about the ability to be present, read our policy below: 6. DermaTech Permanent Cosmetics will refund all money paid if the applicant is not accepted. This includes

instances where a starting class is canceled by the instructor. 7. DermaTech Permanent Cosmetics will refund all money paid if the applicant cancels within five days after

the day the contract is signed (excluding Sunday and holidays) and initial payment is made, provided the applicant has not begun training. All books and study materials must be returned unopened and un-used.

8. The school may retain a registration fee of $100 if the applicant cancels after the 5th business day after signing the contract or making an initial payment. A “registration fee” is the fee charged by a school to process student applications and establish a student record system.

9. If training is terminated after student starts training, the school may retain the registration fee established under #3 above, plus a percentage of the total tuition as described in the following table:

If the student completes this amount of training The school may keep this

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at DermaTech Facility: percentage of the tuition cost: 1-2days 75%+ tattoo kit returned 3 + Model days 100%

10. When calculating refunds, the official date of a student’s termination is as follows:

(d) When  the  school  receives  notice  of  the  student’s  intention  to  discontinue  the  training  program;  or,  (e) When the student is terminated for a violation of a published school policy which provides for

termination; or, (f) When a student, without notice, fails to attend class.

6. All refunds paid within thirty calendar days of the student’s official termination date. Notice to Buyer: Do not sign this agreement before you read it or if it contains any blank spaces. This is a legal document. All pages of this agreement are binding. Read both sides of all pages before signing. You are entitled to an exact copy of the agreement, school catalog, and any other papers you may sign and are required to sign a statement acknowledging receipt of those. Cancellation of Contract: If you have not started training, you may cancel this contract by submitting written notice of such cancellation to the school at its address shown on the contract, which notice shall be submitted not later than midnight of the fifth business day (excluding Sundays and holidays) following your signing this contract or the written notice may be personally or otherwise delivered to the school within that time. In event of dispute over timely notice, the burden to prove service rests on the sender. Tuition and Additional Costs: Training  costs:  Registration  and  administrative  fee  (applied  towards  tuition  and  non  refundable)-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐$500.00          Tuition,  books,  supplies  and  practice  materials-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐$3950.00                                      Discount  if  paid  in  full  when  application,  and  enrollment  agreement  is  signed  and  returned-­‐-­‐-­‐-­‐-­‐-­‐  ($200.00)  Books  and  Home  Study  Kit  given  when  registration  is  paid-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐        included  Supplies  and  Materials-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐      included  Take  home  Permanent  Cosmetics  Kit  with  machine  and  tattoo  equipment-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐      included  Certificate  awarded  after  paid  in  full  upon  successful  completion  of  course-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐      included  GRAND  TOTAL  COST  FOR  THE  COURSE-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐-­‐$3950.00  

Financial Aid Assistance: For information or help with financial aid: Contact your local Work Source office or any agency that you are affiliated with

that may assist with financial aid https//fortress.wa.gov/esd/worksource

or http://www.dshs.wa.gov/dvr/

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2015-2016 Catalog

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