Homepage Fill Out Your Saco River Education Form
Article Structure

For those seeking education in personal support, the Saco River Education form serves as a gateway to an interactive and flexible learning experience. This comprehensive form contains essential documentation that prospective students need to enroll in the Personal Support Specialist course. Within its pages, you'll find the Registration Form, Student Enrollment Contract, and various guidelines for payment along with other critical policies. The course, designed to be completed primarily online, incorporates a mix of virtual classrooms, quizzes, and hands-on reassessments, allowing students to absorb information in a way that suits their learning styles. Moreover, Saco River Education is committed to accessibility; its open enrollment policy allows learners to join the course at any time, ensuring that no one misses the opportunity to further their education and career. Included in the packet are clear instructions for filling out necessary forms, payment guidelines that outline the tuition structure and refund policies, as well as contact information for support. Whether someone is entering the course independently or via an agency's sponsorship, this form illuminates the path forward with clarity and purpose.

Saco River Education Example

Saco River Education

P.O. Box 69

Waterboro, ME. 04087

(207)247-9000 option 5

SRE@SACORIVEREDUCATION.COM

Dear Student,

Thank you for your interest in Saco River Education. Our online training course for Personal Support Specialist is an innovative way for you to learn. The majority of the Course is taken online, through SRE’s website, and consists of the virtual classroom, handouts, quizzes, homework questions and onsite re-demonstrations/final exam.

Included in this packet are the Payment Guidelines, a Registration Form, the Student Enrollment Contract a Payment Information Form, a Release of Information Form and the Course Policies and Procedures.

Saco River Education has an open enrollment policy; a student can enroll at anytime! Simply fill out and return pages 3 thru 6 to Saco River Education and retain pages 2 and 7 for your records. Once Saco River Education has received all necessary forms and payment, a confirmation email is sent with all necessary information to access the web site. If there is a third party involved with funding the cost of the Course, the student will need to sign and return the Permission to Release Information Form as well. Saco River Education does have payment plan options, for more information and to set up a payment plan, please call Saco River Education or reference the Payment Information Page.

Should you have any questions regarding this material, or questions about the Course, please feel free to contact Saco River Education by phone or e-mail.

Once again thank you for your interest in Saco River Education and we look forward to working with you soon!

Saco River Education

P.O. Box 69

Waterboro, ME. 04087

(207)247-9000 option 5

SRE@SACORIVEREDUCATION.COM

PAYMENT GUIDELINE FOR PSS COURSE

Payment Policies: Payment in full, or the first installment in a payment plan ($100), is due upon registration. Access to the website will be granted for a period of six months. Saco River Education reserves the right to suspend access to any student who has not complied with a payment plan. Certificates are not issued for those who have not paid in full.

Level I: Individual

Cost: $200.00/Individual

Level II: Agency

Cost varies depending on Agency. Please refer to your contracted price. Agency must pay for the course, not the student.

**If a student does not complete the Course a refund may be available. Please see our Refund Policy in the Student Enrollment Contract. Email a request for refund to billing@sacorivereducation.com.

Rev. 4/2011

- - 2 --

SA C O R IV ER ED U C A T IO N

802 Main Street, P.O. Box 69 Waterboro, Maine 04087 Phone: (207) 247-9000 opt 5 Fax: (207) 247-6109 SRE@sacorivereducation.com

WWW.SACOR I VER EDUCAT I ON .COM

Registration Form

Name: ___________________________ Mailing Address: ____________________________________

City: _________________________________ State: __________________ Zip: __________________

Phone Number: _______________________________ Cell Phone: _____________________________

E-Mail Address: (mandatory, you MUST have an E-mail address for routine correspondence):

__________________________________________________________________ (please write clearly)

Last 4 Social Security #: ________________________ Date of Birth: ___________________________

Employer Name:_______________________________ Phone Number: _________________________

Contact Person at Agency (if applicable): __________________________________________________

Current Position: ______________________________ Highest Grade Completed: _________________

Computer Experience: [ ] None

[

] Minimal

[

] Average

[

] Above Average

Do you have experience with E-mail? [

] None

[

] Minimal

[

] Average

Do you have experience working with: [

] Internet

[

] Microsoft Word

 

 

Internet Access Type: [ ] Dial up (not recommended)

[ ] Cable / DSL

 

 

In planning for the re-demonstration and final exam, which site is closest to you?

(These are offered on a regular basis and you will see upcoming dates and times in the Student Update)

[ ] Presque Isle [ ] Waterville [ ] Saco (Portland Area) [ ] Bangor

What date does the Agency require you to have your final exam by? ____________________________

A letter of class confirmation and all materials needed to access the web site is sent as soon as all forms necessary have been filled out and payment received. Please allow 7 to 10 business days from receipt to process registration.

-----------------------------------------------------------------------------------------------------------------------------

For Office Use Only

User Name: ________________ Password: _________________ Tested: [

] Invoice # ____________

Control # _________ Expiration Date: ______________ Pay Plan: [ ] no [

] 2 ______ By: ________

Rev. 4/2011

- - 3 --

SA C O R IV ER ED U C A T IO N

802 Main Street, P.O. Box 69 Waterboro, Maine 04087 Phone: (207) 247-9000 opt 5 Fax: (207) 247-6109 SRE@sacorivereducation.com

WWW.SACORI VEREDUCAT I ON .COM

Student Enrollment Contract

The Personal Support Specialist Course is a 50-hour online (computer-based) Certificate Course. Tuition: $200.00 or otherwise negotiated

Instructors: Joyce S. Segee, RN, MSN, & Elizabeth S. Sjulander, RN, BSN

Student Expectations: Each student must have a valid email address that they will check regularly for correspondence. Our students are responsible for keeping SRE updated as to their contact information while they are enrolled in the course. Please provide us with your email address below. This is mandatory:

________________________________________________________________________

Refund Policy: All refund requests must be made in writing, utilize the refund request form available online, within six months of enrollment and sent to SRE.

100% refund available for requests received within three business days of enrollment.

$50 registration fee and a prorated charge for each class taken will be issued after three business days up to a period of six months.

No refund requests will be honored after six months of enrollment. Refunds are issued to the person that made the payments.

Please allow 4-6 weeks for your refund to process.

Payment Expectations: Full payment is expected upon registration, prior to starting the PSS Course. Saco River Education will accept payment in the form of cash or check, Visa, MasterCard or Discover. Checks should be made payable to Saco River Education. Access to the course will not be granted until full payment is received, UNLESS a payment plan has been established and agreed upon by the billing department of Saco River Education. A confirmation of registration and all materials necessary to access the web site classroom will be sent within 7- 10 business days after receipt of all completed registration forms and payment. All billing inquires, including refunds, should be directed to our billing department at billing@sacorivereducation.com. Expiration/Reinstatement: There will be a six (6) month expiration date on all user names and passwords. This may be extended to one year upon request. There is a one year inactivation policy, and, if after one year of enrollment, a student would like to continue with the course there will be a $50.00 re-activation fee. Complaints: All concerns or complaints related to the PSS Course should be directed to Elizabeth Sjulander via email (esjulander@sacoriver.net) or sent to Saco River Education, at P.O. Box 69 Waterboro, ME 04087. Payment Plan: If the student has elected the payment plan option, a $100.00 payment is due at the time of registration which will grant access to the website for a six month time frame, a second payment of $50 is due within 30 days, and the remainder of the balance is due within 60 or prior to re-demonstration, whichever comes first. SRE reserves the right to suspend the password at anytime for NON-payment. Certificates of completion will be held until verification of all funds has occurred and no student will be allowed to attend a final exam until full payment is received.

Tech Support: Is available by emailing srss@sacoriver.net or by phone during regular business hours of Monday thru Friday 9:00am to 3:00pm, or by appointment. As this is a very limited time frame you are encouraged to fully read the Welcome Packet as most technical support issues can be easily solved by following the simple instructions. Before calling, the student should be connected to the internet and on the SRE Website. It is essential that the student be able to work on the computer and speak with technical support at the same time in order for SRE to provide the best possible customer service. After hours technical support is available upon request, by appointment.

Student Signature __________________________________ Date __________________

Rev. 4/2011

- - 4 --

SA C O R IV ER ED U C A T IO N

802 Main Street, P.O. Box 69 Waterboro, Maine 04087 Phone: (207) 247-9000 opt 5 Fax: (207) 247-6109 SRE@sacorivereducation.com

WWW.SACOR I VER EDUCAT I ON .COM

Payment Information

Reminder: For all payment methods Tuition is due upon registration. Acceptable payment methods are cash, checks, Visa, Mastercard and Discover. No student will be allowed to attend a final exam prior to full tuition being received.

Payment Plan Options: $100 down then [ ] $50 (2 pay option) [ ] Please invoice my remaining balance.

[] I am paying by CHECK or MONEY ORDER.

Please make payable to Saco River Education and mail to:

P.O. Box 69

Waterboro, Maine 04087

[] I am paying by CREDIT CARD. (please fill out the information below)

I authorize Saco River Education to charge my credit card for the full tuition payment of

$__________. Or

[ ] I would like a payment plan and authorize the initial tuition payment of (minimum of $100.00) $___________. And subsequent payments of: [ ] $50 (2 pay option)

_________________________________________

______________

_________________

(account number)

 

(exp. date)

 

(card security code)

_________________________________________________

_______________________

(signature)

 

 

(date)

 

____________________________________

Billing Address: ________________________________

(name on card)

 

 

 

 

 

______________________________________________

[] I am paying by CASH. (Please, do NOT mail cash)

If you wish to pay by cash, please come to our location at: 802 Main Street

Waterboro, Maine.

This is the Saco River Health Services office and you may pay by cash and get a receipt for payment.

[ ] Please BILL MY PROVIDER. Provider’s Signature: ________________________________

Rev. 4/2011

- - 5 --

SA C O R IV ER ED U C A T IO N

802 Main Street, P.O. Box 69 Waterboro, Maine 04087 Phone: (207) 247-9000 opt 5 Fax: (207) 247-6109 SRE@sacorivereducation.com

WWW.SACORI VEREDUCAT I ON .COM

PERMISSION TO RELEASE INFORMATION

As a student who is participating in this class, funded by an agency / facility, you MUST give permission for Saco River Education to release information to that agency / facility.

I, ____________________________________, hereby give permission for Saco River Education to

disclose information to______________________________________(please fill in the name of the

agency / facility) about any of the following:

1.All Attendance

2.General Progress Reports with detail available upon request

3.All correspondence between Student and SRE

The above information will be released with my full consent. I understand that this authorization remains in effect until a written request is sent to revoke this authorization.

___________________________________________________________________________

Signature of Student Allowing Release of InformationDate

-----------------------------------------------------------------------------------------

TO PROVIDER, please provide SRE with an email address that is checked frequently so SRE can send you progress Updates and any other necessary information.

Email Address: ______________________________________

Contact Name: _______________________________________

Saco River Education – 802 Main Street - P.O. Box 69 - Waterboro, Me.04087

Phone 207-247-9000 option 5 Fax 207-247-6109 www.sacorivereducation.com

E-mail SRE@sacorivereducation.com

Rev. 4/2011

- - 6 --

SA C O R IV ER ED U C A T IO N

802 Main Street, P.O. Box 69 Waterboro, Maine 04087 Phone: (207) 247-9000 opt 5 Fax: (207) 247-6109 SRE@sacorivereducation.com

WWW.SACORI VEREDUCAT I ON .COM

POLICIES AND PROCEEDURES OF THE COURSE

Student Attendance: Each student is responsible for their own progress. Each student must have an email address to which we may send progress reports. Progress reports (with a signed Permission to Release) will also be sent to any Agency that is funding the training.

Length of Course: The Course is accessed through a 24-hour website therefore class length is the amount of time it takes the student to complete the required materials. Saco River Education (SRE) sets no time limit on the completion of the course, yet we reserve the right to discharge students due to inactivity. An expiration date of 6 months is given for completion. An extension is easily obtained by contacting Saco River Education via phone or email.

Independent Study: Each student who is enrolled in SRE’s online training is an independent study student. We expect that our students will take responsibility for initiating activity on our learning website. We are available via email and through our website contacts, and will respond to your questions as soon as we can. We will provide details regarding how to contact your Instructor upon registration.

Student Learning Expectations: Each student is expected to independently complete all of the required classes including viewing/listening to the class, reading any associated handouts, completing homework questions on the syllabus via the link in the classroom, and submitting an accepted quiz. Our Instructors will contact students if homework is not complete/accepted. Students may contact their Instructor for further clarification if needed. Students may call our administrative office during business hours and we will assist them over the phone. The student will also be required to attend an onsite re-demonstration and final exam.

Partial Completion: Any student who completes the initial “core” curriculum (classes 1-6) can receive a partial certificate of completion. This may be credited towards the Certified Nursing Assistant Curriculum in Maine for a period of two years.

Educational Materials: The online program is the primary text, and the handouts printable. We will provide printed handouts for the entire class for a charge of $35.00. Students are NOT required to purchase any text for this Course. The classroom/curriculum material however, is ONLY available online and not available to be printed, for any fee.

Testing: Students complete homework questions (found on the syllabus and via the homework questions link at the bottom of the classroom. These are NOT the “discussion questions” located at the end of the slides in the virtual classroom). Quizzes are taken at the end of each class and may be taken up to 3 times if a score of 80% is not achieved. Once a quiz is taken more than once, a maximum grade of 80% is assigned. The student must achieve an average of 80% on all testing to successfully complete the course. If you need a quiz reset, please email srss@sacoriver.net. A re-demonstration of skills onsite is required after all classes have been completed. A secured final exam is given on the re-demonstration day. A score of 75% must be achieved on the Final Exam. After successful completion of all classes, re-demonstration skills and the final exam, certificates are requested from the State of Maine. You may print your certificate from www.maine.gov/dhhs/dlrs in approximately six weeks from completion of final exam.

Required Materials: A windows based computer in which you are the administrator (i.e. not a “guest”), a working email address that you check regularly (i.e. at least 5 times a week) and access to the internet (preferably high speed).

Rev. 4/2011

- - 7 --

Form Characteristics

Fact Name Description
Contact Information Saco River Education can be reached at (207) 247-9000, option 5, or via email at SRE@SACORIVEREDUCATION.COM.
Course Delivery The Personal Support Specialist Course is primarily offered online, with components including a virtual classroom, handouts, quizzes, and onsite re-demonstrations.
Payment Guidelines Tuition is $200, due upon registration. Options for a payment plan are available, starting with a $100 initial payment.
Governing Law This form and the associated agreements adhere to regulations set forth by the state of Maine.

Guidelines on Utilizing Saco River Education

Filling out the Saco River Education form can seem daunting, but with a little guidance, you can navigate it with ease. This process will lead you towards enrollment in the Personal Support Specialist course, opening up new opportunities for training and personal development.

  1. Begin by locating the Registration Form. You will find it included within the application packet.
  2. Carefully fill in your Name, Mailing Address, City, State, and Zip Code at the top of the form.
  3. Provide your Phone Number, Cell Phone, and an Email Address. Write clearly, as the email is mandatory for communication.
  4. Enter your Last 4 digits of your Social Security Number and Date of Birth.
  5. If applicable, fill out details for your Employer Name and the associated Contact Person at Agency.
  6. Indicate your Current Position and the Highest Grade Completed in the designated spaces.
  7. Assess your Computer Experience and check the appropriate box: None, Minimal, Average, or Above Average.
  8. Answer the questions regarding your experience with Email and other computer programs by ticking the specified boxes.
  9. Select the type of Internet Access you have from the provided options.
  10. Identify the closest site for your final exam by marking your choice.
  11. Complete the required question about the Date your Agency requires for the final exam.
  12. Go through the Student Enrollment Contract and ensure all details align with your provided information. Sign and date where required.
  13. Fill out the Payment Information Form included, indicating your payment method, whether that’s cash, check, or credit card.
  14. After double-checking your forms and ensuring everything is filled out accurately, submit the completed pages (3 to 6) to the Saco River Education address listed on the form.

Keep in mind that once your forms are received and processed along with the payment, a confirmation email will follow. This email will provide you with all the essential information needed to access the easy-to-use online training platform. If you have any questions during this process, don’t hesitate to reach out for support!

What You Should Know About This Form

1. What is the Saco River Education form used for?

The Saco River Education form is essential for enrolling in the Personal Support Specialist online training course. It includes various documents such as the registration form, student enrollment contract, and payment information. These forms help gather vital information about the student and set the framework for the course structure, payment guidelines, and policies.

2. How can I enroll in the Personal Support Specialist course?

Enrollment is open at any time. To register, fill out the necessary forms included in the materials and return pages 3 through 6 to Saco River Education. Keep pages 2 and 7 for your records. Once your forms and payment are received, you will get a confirmation email with instructions to access the course.

3. What payment options are available for the course?

Students can pay in full or set up a payment plan. The initial payment for a payment plan is $100, which gives six months of access to the online course. Payment can be made via cash, personal checks, Visa, MasterCard, or Discover. Ensure that payments are made on time to prevent suspension of website access.

4. What should I do if I need to request a refund?

If you need a refund, submit a written request using the refund request form available online. You must do this within six months of enrollment. For refunds made within three business days of enrollment, the entire amount will be refunded. After this window, a $50 registration fee will apply along with a prorated charge for classes taken.

5. Is technical support available if I encounter issues during the course?

Yes, technical support is available via email or phone during regular business hours. For the best assistance, be ready to be online and on the SRE website while you communicate with support. After-hours support can also be arranged by appointment if needed.

Common mistakes

Filling out the Saco River Education form can seem straightforward, but there are several common mistakes that individuals often make. One prevalent issue is neglecting to provide a valid email address. Since this is the primary method of communication with the organization, failing to include it can result in delays or missed information regarding the course.

Another common error is not writing clearly. When it comes to contact information, legibility is crucial. Illegible handwriting can lead to misunderstandings, making it hard for the staff to reach you. Always take the time to write neatly or consider printing your responses to avoid confusion.

Some people overlook the importance of completing all fields in the registration form. Leaving sections blank can trigger a delay in processing your application, especially if crucial information, such as your date of birth or social security number, is missing.

It's easy to get caught up in the details and forget about signatures. Skipping a signature means the registration form may be deemed incomplete. Ensure that you’ve provided your signature at the end of the Student Enrollment Contract to validate your commitment to the course.

Another mistake involves understanding the payment guidelines. Many individuals either miss or misinterpret the payment structure, leading to confusion about deadlines and amounts due. It's vital to read the Payment Policies thoroughly and calculate your payment plan accurately for timely access to course materials.

While the option to invoice a provider may seem convenient, some applicants do not secure the necessary approval from their provider in advance. This oversight can complicate payment processing. Always confirm these arrangements ahead of time to ensure a smooth registration experience.

Individuals should also avoid assuming that all forms can be submitted without a double-check. It is advisable to review each page before sending off your application. Missing forms, or failing to send the entire packet at once, can cause unnecessary delays in enrollment.

Additionally, another frequent error is not paying attention to deadlines. Some applicants fail to account for processing times, which can lead to disappointment if they expect immediate access to materials. A solid approach is to allow ample time for the processing of all forms.

Lastly, ensure that you understand how to access the online course materials once registered. Sometimes, students get confused about where to find the course on the website, which can be avoided by familiarizing themselves with the instructions provided in the confirmation email.

By taking care to address these common pitfalls when filling out the Saco River Education form, you can help ensure that your registration process goes as smoothly as possible.

Documents used along the form

The Saco River Education form serves as a vital component in the enrollment process for students interested in the Personal Support Specialist Course. However, several other documents complement this form, ensuring a smooth registration and course experience. Below are descriptions of these forms frequently used alongside the Saco River Education form.

  • Payment Information Form: This form outlines the payment methods available for tuition, including cash, check, or credit card options. It includes details about payment plans and emphasizes that payments must be completed before a student can attend the final exam.
  • Registration Form: Students provide essential personal information on this form. It includes details such as name, contact information, and previous experience. This information is crucial for the administration to properly register and support students throughout their coursework.
  • Student Enrollment Contract: This contract spells out the expectations for students enrolled in the course. It includes information on tuition, refund policies, and communication requirements. Signing this document indicates a commitment to the course and its policies.
  • Permission to Release Information Form: If a third party is funding the course, students must complete this form. It grants Saco River Education permission to communicate with that third party regarding payment and enrollment status.

These documents create a framework that supports students, helps to clarify course requirements, and protects both the students and the institution. It ensures that all parties are informed and prepared for a successful educational experience.

Similar forms

  • Registration Form: Similar to the Saco River Education form, the Registration Form collects personal information from the student, including name, address, phone number, and email. Both documents ensure that students provide necessary details to facilitate their enrollment.

  • Student Enrollment Contract: Like the Saco River Education form, this contract details the expectations, payment requirements, and refund policies relating to a specific course. Both documents emphasize the importance of understanding one's obligations before joining a program.

  • Payment Information Form: This document, akin to the Saco River Education form, outlines payment methods and deadlines. Both forms aim to clarify financial obligations for students so they can plan accordingly and avoid disruptions in their course access.

  • Release of Information Form: Similar to the Saco River Education form, this document allows students to authorize the sharing of their personal information with external parties, like funding agencies. Both ask for consent to ensure compliance with privacy regulations while facilitating financial support.

Dos and Don'ts

When filling out the Saco River Education form, follow these guidelines to ensure a smooth process:

  • Do use a valid email address. Routine correspondence will be sent there.
  • Do double-check all information for accuracy before submission.
  • Do include the last four digits of your Social Security number.
  • Do sign and date the Registration Form to validate your application.
  • Do keep copies of the submitted forms for your records.
  • Don't leave any required fields blank. Incomplete forms will cause delays.
  • Don't forget to provide your employer’s information if applicable.
  • Don't submit cash through mail. Cash payments should be made in person.
  • Don't ignore the Payment Guidelines; understand your payment obligations.

Misconceptions

  • Misconception 1: Many believe that enrollment is only available at specific times during the year. In reality, Saco River Education has an open enrollment policy, allowing students to enroll at any time.
  • Misconception 2: Some think that payment for the course must be made in full upon registration. While full payment is expected, there are also payment plan options available to assist students financially.
  • Misconception 3: It is commonly assumed that students cannot access course materials until payment is complete. However, if a payment plan is established, students can access the course materials right away with an initial payment.
  • Misconception 4: Many people believe that they will receive a certificate of completion regardless of their payment status. In fact, certificates are only issued once all payments have been made in full.
  • Misconception 5: There is confusion around the refund policy, especially regarding non-completion of the course. Refunds may be available, but students must request them in writing and follow specific guidelines outlined in the enrollment contract.
  • Misconception 6: Lastly, some individuals think that technical support is always available. While Saco River Education offers support during business hours and by appointment, after-hours help is limited and should be arranged in advance.

Key takeaways

Here are key takeaways for filling out and using the Saco River Education form:

  • Open Enrollment: Students can enroll at any time by filling out and returning the specified pages of the form.
  • Payment Requirements: Full payment or the first installment of a payment plan is required upon registration to access course materials.
  • Confirmation Process: Expect a confirmation email, including access details, within 7 to 10 business days after all required forms and payment are received.
  • Refund Policy: Refund requests must be made in writing within six months of enrollment. A 100% refund is available if requested within three business days.
  • Technical Support: Tech support is available via email or phone during business hours, and it is advisable to have troubleshooting information ready before contacting support.