March 24, 2009 AA-1410.3

DAY ONE GUARANTEE RETRAINING AGREEMENT

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - To be completed by Graduate/Completer - - - - - - - - - - - - - - - - - - - - - - - -

Graduate/Completer’s Full Name: _______________________________________ Today’s Date: ______________

Degree/Certificate/Technical Diploma/TCA Earned: __________________________ Graduation Date: _________

Academic Division and Program: ___________________________________ Student ID # ____________________

Local Mailing Address: ___________________________________________________________________________      

City:________________________  State:__________ Zip Code:____________ Contact Phone #: ________________

- - - - - - - - - - - - - - - - - - - - - - - - - - - To be completed by Graduate’s Initial Employer - - - - - - - - - - - - - - - - - - - - -  

Supervisor’s Name: _________________________________________ Contact Phone #: ____________________                        

Organization: ____________________________________________ Graduate’s Full-time Hire Date: __________

Local Mailing Address: __________________________________________________________________________      

City: _______________________________  State: ______________________ Zip Code: _______________

List specific competencies in which you are requesting the graduate be retrained:

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

 _______________________________________________  ____________________

 Supervisor’s Signature          Date

- - - - - - - - - - - - - - - - - - - To be completed by Division Dean (or Appropriate College Official) - - - - - - - - - - - - - - - -

Division Dean’s Signature: ______________________________________________  Date: ________________

I agree to the terms of Delgado’s Day One Guarantee policy. I understand I must earn a ‘C’ or better to fulfill the requirements this agreement and the last grade awarded will stand as my final grade for the course(s) above. I further understand a lower final grade may affect the transferability of that course to another program or institution. Delgado will waive all tuition, related lab, and student fees for the course(s) above, excluding fees legislatively mandated to be paid by ALL students.

Graduate/Completer’s Signature: ________________________________________  Date: ________________

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Approvals and Processing - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Approval:  _______________________________________________     Date: __________       Vice Chancellor for Academic Affairs    

Processed:    Registrar’s Signature: ______________________________________  Date: __________

  Original agreement maintained by College Registrar; Copies to Graduate/Completer, Division Dean, VCAA, Bursar

Form 1410/009 (6/12)

Back to top

1