STUDENT ENROLLMENT APPLICATION

By signing this Enrollment Form, you acknowledge that you have received, read, understood, and agree to be bound by the terms and conditions on this page and on its reverse side (including, without limitation, the credit disclosures),

as well as any enclosed information describing your program selection. This Enrollment Form is not a valid contract until it has been accepted by an authorized representative of Penn Foster. Please keep a copy for your records.

Student’s Signature________________________________________________________________________Date_____________________

If you are under 18 and you are not in Military Service, your parent or guardian must sign below:

Signature of Guarantor:_________________________________________ Name of Guarantor (please print):__________________________________________

(Relationship to Student):_______________________________________ Address of Guarantor:________________________________________________

Signature of Parent or Guardian (if other than guarantor listed above): ________________________________________________________________________

PARENT OR GUARDIAN VERIFICATION

By signing this Agreement, I certify that as parent or guardian, the student is of mandatory school age and that I have contacted school authorities and have been informed that participation in the Penn

Foster Career School will not interfere with the student’s current curriculum.

Please make any necessary

corrections to your name

and address.

A new and rewarding learning experience awaits you. Complete and return this agreement today!

Penn Foster Career School

P.O. Box 1900, Scranton, PA 18501-1900 U.S.A.

FAX: (570) 702-8380

ITELAPP8-1111

Welcome... and congratulations on your Enrollment! This is your official Penn Foster Enrollment Agreement. The information you

provided to us is reflected below. Please verify and as necessary, correct and complete the information below. Then sign, date and return

this agreement in the postage-paid envelope provided. You can also fax this form (both sides) to 570-961-4030. This completes your

enrollment.

00736105 PENN FOSTER HIGH SCHOOL (105 LESSONS)

00000285 70717854 E1 03648 999 001 001 20220413

IINU18G 650 NS105

Yoichi Yamaguchi

4f, 6-82 Otamachi

Naka-KU

Yokohama-City, Kanagawa

231-0011

Japan

Based upon the information you provided, our records show that your birth date is 01/01/2006, your phone number is () - and

your Social Security Number is ___________________________.

The last grade you completed was 9..

Your e-mail address is YOICHI.Y@AJ-ACADEMY.JP.

Internet Access is required to complete this program.

You chose our Full Payment Plan. Total Price is $1,139.00.

$1139.00 has been charged to your MASTERCARD. Thank you.

Credit Card Information

Your credit card number is XXXXXXXXXXXX1020 and 05/22 is the expiration date that appears on your card.

1. STUDENT INFORMATION:

2. PAYMENT PLAN:

4. YOUR SIGNATURE:

3. METHOD OF PAYMENT:

STUDENT ENROLLMENT APPLICATION

MU007605

This Student Enrollment Form was created on 04/25/2022 and is valid for thirty days from the creation date.

Page 1 of 2

TAHFCF1

SAMPLE

Penn Foster High School Tuition Protection Agreement

Your tuition to Penn Foster High School includes study materials,

instructional support, and exams.

Payment Plan:

Unless you (the student) select the Full Payment Plan Option, the first monthly

payment will become due approximately twenty-eight (28) days after the

Enrollment Agreement has been processed. In the event a monthly payment is ten

days late, a $15.00 late fee will become due. If the default is not covered within

forty (40) days of the institution’s notice, we reserve the right to call the total

program price due immediately plus any related collection or attorney fees. Should you

ide

to cancel, the amount due is based on the cancellation policy. International students

assume payment of custom duties and difference in exchange rates.

Graduation:

Upon successful completion of your program and full payment of tuition and

fees, you will be awarded a Diploma. Students must complete 21.5 credits

either in transfer or through Penn Foster High School in order to be awarded a

diploma. A minimum of 5.5 credits must be taken with Penn Foster. You will have thirty-

six months to complete your program. You may request two six-month extensions at

any time provided that your program is completed within four years. The fee for each

six-month extension is $95.00. Penn Foster reserves the right to academically cancel any

student who fails to demonstrate satisfactory progress toward their Diploma. Job place-

ment is not guaranteed to graduates upon program completion. We reserve the right to

update or substitute course materials. You may be charged for replacement books and/

or materials.

Cancellation Policy:

In the event you cancel or withdraw from Penn Foster High School,

a refund of tuition will be provided as follows (to view online visit

www.pennfosterglobal.com/refund-policy.html):

. If you withdraw within seven (7) days after midnight of the day you sign the Enrollment

Agreement, you will receive a refund of all monies paid to Penn Foster;

2). If you withdraw after seven (7) days, but before submitting a completed

assignment, you will receive a refund of all monies less the non-refundable

registration fee of 15% of the tuition or $150.00, whichever is less;

MU007606-2204

Page 2 of 2

3). If you withdraw after completing at least one lesson but less than 50% of the

program assignments, in addition to retaining the non-refundable registration fee, your

uit

ion obligat

ion is as follows:

a). Up to and including 10% of the program, Penn Foster will retain 10% of the refundable

tuition; b). If you withdraw after 10% and up to and including 25% of the program, Penn

Foster will retain 25% of the refundable tuition; c). If you withdraw after 25% and up to

and including 50% of the program, Penn Foster will retain 50% of the refundable tuition.

The percentage of the program completed shall be determined by comparing the number

of completed lessons received for services by the school to the total number of lessons

in the program.

If you complete more than 50% of the program, Penn Foster shall be entitled to the

entire program tuition and any applicable fees. No refunds will be made after 18 months.

You may cancel or withdraw in any manner, but we recommend confirmation in writing be

sent to Student Service Center, P.O. Box 1900, Scranton, PA 18515-1900 U.S.A. A reinstate

ment fee of $25.00 will be charged for reactivation of a previously cancelled enrollment if

ivated within 180 days of cancellation.

GI Bill Students:

Students taking programs under the GI Bill have a 7-day waiting period. If

you cancel within the initial 7-day period, you will receive a full refund of all

monies paid. If you cancel after the 7-day period, but before completing any

assignment, your tuition will be refunded, less a registration fee, not to exceed

10% of your tuition or $50.00 dollars, whichever is less. If you cancel after

completion of less than 25% of the program assignments, we will retain 25%

of the

uit

ion. If you cancel after completing 25%, but less than 50% of the

program assignments, we will retain 50% of your tuition. If you cancel

after completing 50% or more of your program assignments, you will be responsible for

he t

al program tuition, plus any applicable fees.

We make your information available to other organizations offering

products and services that may interest you. However, we do not share our email

addresse

s. If y

ou wi

sh us not to disclose this information, please mail your name and

address requesting to “OPT OUT” to Penn Foster, Dept. PRP001, 925 Oak Street,

Scranton, PA 18515-0700 U.S.A.

TRUTH IN LENDING DISCLOSURE

a) Standard Payment Plan price of $1495 includes: Tuition $1,255, Registration Fee $140, Administrative Fee $60, and Shipping and Handling Charge $40.

b) Automatic Payment Plan price of $1420 includes: Tuition, Registration Fee, and $25 of the Administrative Fee.* c) Full Payment Plan price of $1395 includes: Tuition and Registration Fee.*

* Fees will be re-applied in the event either of these plans is cancelled, or you cancel or withdraw from the program.

tandard Payment Plan price of $xxx.xx includes: Tuition $xxx.xx, reis

Payment Schedule:

29 $49

Transfer Credits: Penn Foster reduces tuition by $40 for each High School course transferred. To receive transfer credits, an official transcript from an accredited institution recognized

by Penn Foster must be submitted for evaluation. Transfer credits will only be awarded for comparable High School subjects where a full credit has been earned. Since High School pro

grams vary, only an evaluation by Penn Foster will determine the actual number of transfer credits to be awarded. The

maximum number of transfer credits allowed is 16. Half credit courses are not transferrable. Upon our acceptance of your transfer credits, an adjustment to your financial obligation will be

made

. P

ase submit transcripts within 60 days of enrollment to Penn Foster High School, P.O. Box 1900, Scranton, PA 18515-1900 U.S.A.

NOTICE TO GUARANTOR — You are being asked to guarantee payment to Penn Foster for the tuition and fees of the student listed on this agreement, who is under the

age of eighteen (18). Think carefully before you do so. Be sure you can afford to pay, and that you want to accept responsibility.

BASIC GUARANTY — To induce Penn Foster to enter into a payment plan for the tuition and fees of the student listed on this agreement, I/we guarantee prompt and full

payment of all tuition and fees as outlined in the Penn Foster High School Tuition Protection Agreement and agree to be bound by its terms and conditions.

Complaints: Any questions or problems not satisfactorily answered by the Student Services Department or the Chief Certification &

Licensing Officer at Penn Foster High School (570-342-7701) should be directed to the State Board of Private Licensed Schools, PA

Department of Education, 333 Market Street, Harrisburg, PA 17126 U.S.A.

Any holder of this consumer credit contract is subject to all claims and defenses which the debtor could assert against the seller of goods

or services obtained pursuant hereto or with the proceeds hereof. Recovery hereunder by the debtor shall not exceed amounts paid by the

debtor. (FTC Rule effective 5-14-76.)

Number of Payments Amount of Payments When Payments Are Due

Monthly. First payment is due 28 days after your enrollment is processed.

$45 Final monthly payment.

Code of Conduct: I will abide by all the standards and policies outlined in the Penn Foster High School Student Handbook.

ANNUAL

PERCENTAGE RATE

The cost of your credit as a

yearly rate.

00.00%

FINANCE

CHARGE

$00.00

AMOUNT

FINANCED

The amount of credit

provided to you or on your behalf.

$1,466.00

TOTAL OF

PAYMENTS

The amount you will have paid after you have

made all payments as scheduled.

$1,495.00

TOTAL

SALE PRICE**

The total cost of your purchase on credit,

including your down payment:

$$1,495.00

SAMPLE