New CDA-Nationwide Program

Theoria Technical College

5857 Owens Ave, Ste. 300, Carlsbad, CA 92008

CDA-Nationwide Program

Enroll In

Enrollment Process

Dear Applicant,
In order to enroll in a program at Theoria Technical College, we need the following information.

1. Copy of current State of California ID or DL or Passport

Copy of Social Security Card “ Or Social Security Identifying document

2. High School Diploma or Equivalent Documentation such as G.E.D, University, or Community College Transcripts or Diplomas

Application to Enroll

We are glad you have decided to become a Theorian!
In order to assist us in better serving your needs, please take a few minutes to complete this application. Your answers will be kept confidential. Please complete all the information requested.

If at anytime during this application process you have any questions, please contact us at (760) 487-8436 Monday - Friday from 9:00 am - 3:00 pm. Of you can email us at info@theoriatechnical.com.

Personal Information

Please provide your personal information

First Name

Middle Name

Last Name

Maiden

Initial

Street

City

State/Province

Zip/Postcode

Country

Phone

Cell Phone

Gender

Ethnicity

Driver's License #

Social Security No

Disability

Yes No

Disability Description

Learning Difficulties

Yes No

Learning Difficulties Description

How Can We Better Serve You?

Where did you hear about our school?

Were you helped by a staff member at Theroia?

Yes No Not Selected

If you answered, yes, you were helped, who helped you at Theoria?

What is your educational goal?

Educational Background:

Please indicate the highest grade achieved.

Name of School:

School Address:

High School:

Did you graduate?

Yes No Not Selected

Date Received:

GED:

Please type N/A if not applicable.

Date Received:

Distance Education Students

Please answer the following questions if you will be participating in class via Virtual Learning.

Are you a Distance Education Student?

Yes No Not Selected

Are you comfortable using technology?

Yes No Not Selected

Do you have access to

WIFI

互联网

Do you have access to:

台式电脑

笔记本电脑

智能手机

平板电脑

Employment Information:

Do you currently work in the Early Childhood industry?

Yes No Not Selected
Trabaja actualmente en la industria del cuidado infantil temprano? Si o no

Are you taking classes to accept a position in Early Education? (yes or no)

Yes No Not Selected
Estás tomando clases para aceptar un puesto en Educación Inicial? Si o no

Name of Employer:

Employer Address:

Employer Telephone

Employer Fax Number:

Position:

Hrs/Wk:

Hourly Wage:

References:

Reference Name:

Reference 1 Address:

Reference 1 City, State, Zip Code:

Reference 1 Phone:

Reference 2 Name:

Reference 2 Address:

Reference 2 City, State, Zip Code:

Reference 2 Phone:

Acknowledgement

Our School prides itself on its commitment to helping our students succeed in their chosen professions. We support you in your career quest. All information is given voluntarily to meet the requirement of the “Privacy Act of 1974.” Please sign indicating that you have been apprised of your rights.
I Understand That By Completing This Application, The School Is Under No Obligation To Accept Me. It is agreed and understood that the answers to the foregoing questions have been supplied by me and are true and correct to the best of my knowledge, and that any misrepresentation of information given above shall be considered an act of dishonesty.

Signature of Applicant:

Third Party Payer / Director Information

Third Party Payer Name

Third Party Payer Address

Third Party Payer City

Third Party Payer State

Third Party Payer Zip

Third Party Payer Telephone

Third Party Payer Email

Consents:

Courses cannot be exchanged or transferred.

Initial

Course components must be completed within the 3 months (90 days) from date of the scheduled completion date. If it is not completed within the agreed time length, students must re-register and re-submit their registration fees and tuition.

Initial

All rescheduling of courses must be requested in writing one week prior to the lecture date, a $75.00 rescheduling fee.

Initial

School Refund Policy: School will retain all registration fees and return only the tuition fees minus the attendance rate and the $47.50 processing fee; 45 days from the date the agreement is canceled in writing

Initial

I, student, give my consent for my third party payor to having access to my student education records.

Initial

School Performance Fact Sheet 2019 Calendar Year

On-Time Completion Rates:

Program	Number of Students Who Began the Program¹	Students Available for Graduation²	Graduates³	Completion ⁴ Rate
ECE-100 Child Growth and Development	297	272	237	78%
ECE-200 Child, Family, and the Community	393	382	321	82%
ECE-300 Curriculum Theories, Methods, and Materials	349	337	274	79%
ECE-400 Infant/Toddler Development and Care	383	377	315	82%
ECE-500 Early Childhood Program Administration and Management	154	149	121	79%
ECE-600 Preventive Health, Safety, and Nutrition with Pediatric First Aid and CPR	65	61	53	82%

Initials

Placement Rates:

Program	Number of Students Who Began the Program¹	Number of Graduates³	Graduates Available for Employment⁷	Graduates Employed in the Field⁸	Placement Rate Employed in theField⁹	Graduates Employed in the Field an avg. of < 32 hrs/per/week	Graduates Employed in the Field an avg. of ≥ 32 hrs/per/week
ECE-100 Child Growth and Development	297	272	237	176	74%	75	34
ECE-200 Child, Family, and the Community	393	382	321	244	76%	110	44
ECE-300 Curriculum Theories, Methods, and Materials	349	337	274	210	76%	102	34
ECE-400 Infant / Toddler Development Care	383	377	315	239	76%	132	27
ECE-500 EC Program Administration and Management	154	149	121	96	79%	50	8
ECE-600 Preventive Health, Safety, and Nutrition	65	61	53	39	74%	22	8

Initials

Salary and Wage Information (includes data for the 1 calendar year prior to reporting)

Calendar Year

Graduates Available for Employment⁷

Graduates Employed in the Field⁸

Annual Salary and Wages Reported Graduates Employed in the Field¹⁴
$15,000 to $20,000	$20,001 to $25,000	$25,001 to $30,000	$30,001 to $35,000	Students not Reporting Salary

ECE-100 Child Growth and Development

237

N/A

ECE-200 Child, Family, and the Community

321

N/A

ECE-300 Curriculum Theories, Methods, and Materials

274

N/A

ECE-400 Infant/Toddler Development and Care

315

N/A

ECE-500 Early Childhood Program Administration and Management

121

N/A

ECE-600 Preventive Health, Safety, and Nutrition with Pediatric First Aid

N/A

Initials

Student Loan Information:

THEORIA TECHNICAL COLLEGE DOES NOT PARTICIPATE IN FEDERAL FINANCIAL AID PROGRAMS:

Students at Theoria Technical College are not eligible for federal student loans. This institution does not meet the U.S. Department of Education criteria that would allow its students to participate in federal student aid programs.

This fact sheet is filed with the Bureau for Private Postsecondary Education. Regardless of any information you may have relating to completion rates, placement rates, starting salaries, or license exam passage rates, this fact sheet contains the information as calculated pursuant to state law.

Any questions a student may have regarding this fact sheet that have not been satisfactorily answered by the institution may be directed to the Bureau for Private Postsecondary Education at P.O. Box 980818, West Sacramento, CA 95798-0818, www.bppe.ca.gov, toll-free telephone number (888) 370-7589 or (916) 431-6959or by fax (916) 263-1897.

I have read and understand this School Performance Fact Sheet. The School Performance Fact Sheet was reviewed and discussed with a school official prior to signing an enrollment agreement.

Initials

Definitions

1“Number of Students Who Began the Program” means the number of students who began a program who were scheduled to complete the program within the reporting calendar year.
2“Students Available for Graduation” is the number of students who began the program minus the number of students who have died, been incarcerated, or been called to active military duty.
3“Graduates” is the number of students who completed the program within 100% of the program length.
4“Completion Rate” is the number of Graduates divided by the Number of Students Available for Graduation.
5“150% Graduates” is the number of students who completed within 101%-150% of the program length.
6“150% Completion Rate” is the number of students who completed the program in the reported calendar year within 101%-150% of the published program length, divided by the Number of Students Available for Graduation in the publishes program length period.
7“Graduates Available for Employment” means the number of graduates minus the number of graduates unavailable for employment. “Graduates Unavailable for Employment” means the graduate who, after graduation, die, become incarcerated, are called to active military duty, are international students that leave the United States or do not have a visa allowing employment in the United States, or are continuing their education in an accredited or bureau-approved postsecondary institution.
8“Graduates Employed in the Field” means graduates who are gainfully employed in a single position for which the institution represents the program prepares it graduates within six months after a student completes the applicable educational program. For occupations for which the state requires passing an examination, the six months period begins after the announcement of the examination results for the first examination available after a student completes an applicable educational program.
9“Placement Rate Employed in the Field” is calculated by dividing the number of graduates gainfully employed in the field by the number of graduates available for employment.
10aNumber of Graduates Taking Exam is the number of students who completed the program within 150% of the published program length and for whom the reported exam is the first exam is the first exam that was available after their completion of the program.
10bNumber of Graduates Taking Exam is the number of students who completed the program within 150% of the published program length and who took the exam in the reported calendar year for the first time.
11Exam Date is the date for the first available exam after the students completed the program.
12Passage Rate is calculated by dividing the number of students who passed the exam by the number of graduates who took the reported licensing exam.
13Number Who Passed First Available Exam is the number of students who took and passed the licensing exam in the reported calendar year on the first attempt.
14Salary is as reported by student. Not all graduates report salary.

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Theoria Technical College

CDA-Nationwide Program

Enrollment Process

Application to Enroll

Personal Information

How Can We Better Serve You?

Educational Background:

Distance Education Students

Employment Information:

References:

Acknowledgement

Third Party Payer / Director Information

Consents:

School Performance Fact Sheet 2019 Calendar Year

On-Time Completion Rates:

Placement Rates:

Salary and Wage Information (includes data for the 1 calendar year prior to reporting)

Student Loan Information:THEORIA TECHNICAL COLLEGE DOES NOT PARTICIPATE IN FEDERAL FINANCIAL AID PROGRAMS:

Definitions

Student Loan Information:

THEORIA TECHNICAL COLLEGE DOES NOT PARTICIPATE IN FEDERAL FINANCIAL AID PROGRAMS: