Refund Request Form

First Name*

Last Name*

PBSC Student ID*

Which program did you graduate from?*

Registered Nursing

Dental Hygiene

Respiratory Care

Heating, Air Conditioning, and Refrigeration Mechanics and Installers (HVAC)

Residential and Commercial Electrical Technician

Welding Technology

Have you successfully completed the entire program with at least a 2.50 grade average?*

Yes

No

Are you in good financial standing with PBSC?*

Yes

No

Are you legally eligible for employment in the U.S?*

Yes

No

Have you met the minimum attendance requirements (e.g. 85% attendance rate unless approved with an excused absence such as a loss of a family member, significant illness, etc.)?*

Yes

No

Do you have a criminal background that prevents employment within the program career field?*

Yes

No

Have you been willing to travel or relocate to a new market to obtain employment within the field?*

Yes

No

Do you have a documented job search of at least 20 company applications that are related to the program of study?*

Yes

No

Have you worked directly with Career Services for resume/employment assistance within three months of completing the PBSC program of study?*

Yes

No

Did you pass all embedded credential exams required of your program?*

Yes

No