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VRCE GP Student Information

This form must be completed within 7 days of purchase. Please fill out in its entirety.

Student First Name

Student Last Name

Student Email

Student Phone Number

Hospital Name

Hospital Address

Who can we contact at your hospital for local check-ins?

Why would you like your student to become a VRCE graduate?

IGNITE Success Coach Program

IGNITE is pleased to offer a new VRCE student success program designed to provide CSR students and their hospitals all the tools they need to complete the VRCE Program in 13 weeks. The IGNITE Success Coach Program is applicable to both the VRCE General Practice and VRCE Specialty-Emergency Programs and provides each enrolled student a personal success coach and a defined program training schedule.

IGNITE believes so much in VRCE and the “done for you” Success Coach Programs that we are offering a conditional money-back guarantee! To qualify for the IGNITE money back guarantee, VRCE students and their hospitals agree to the following terms.

VRCE Success Coach Program Terms and Conditions

1.        VRCE purchasers agree to fully complete the required VRCE Success Coach Program enrollment form and submit to IGNITE within 15 days of purchase, which includes providing student information and identifying a hospital contact.

2.        VRCE Students agree to complete the weekly course work requirements as outlined in the VRCE Success Coach Graduation Timeline Checklist, which outlines a 13 week work schedule. The 13 week program guarantee begins once the student has completed all VRCE Program enrollment criteria.

3.         Students agree to complete all required VRCE Program assignments including workbooks, quizzes, and exams.

4.         VRCE Students agree to attend all scheduled check-ins with their Success Coach.

a.        If circumstances require a student to reschedule a check-in, they agree to provide a

new availability date rescheduling within 48 hours of the originally scheduled time.  

5.        Students must achieve passing scores for each VRCE course.

VRCE Success Coach Program Money Back Guarantee

If the VRCE student and their hospital contact fulfill all VRCE Success Coach Program Terms and Conditions and the VRCE student does not graduate in the allotted 13 week program period, purchasers may request a full money back guarantee including both the cost of the VRCE Program and the Success Coach Program.   

Your signature below confirms that you agree to the terms and conditions of the Success Coach Program

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