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Financial Aid

PELL Grant
A PELL Grant may be available for students who meet the Federal guidelines for this type of financial aid.
NOTE: This is a federal grant, not a loan. It is provided to qualifying students to help with school costs such as: material fees, books, supplies, and transportation. It is not intended to pay household bills

You may NOT qualify for a PELL Grant if:
  • Your income is too high.
  • You are a male who did not register for Selective Service by their 26th birthday.
  • You already have a degree (BA, BS, or higher).
  • You were recently convicted of a felony drug charge for sales or possession of a controlled substance while receiving financial aid.
  • You have defaulted on a student loan.
  • You do not have a high school diploma, GED, or an Ability to Benefit test (ATB)
  1. Go to the government’s official FAFSA application form at
  2. Fill out the form using our school code of 042081 where applicable.
  3. Upon successful submission, you will receive a confirmation page and an FSA ID. Make sure you write this down and keep it in a safe place because you will need it for future use or PRINT THE PAGE FOR YOUR RECORDS.
To apply for Veterans Affairs educational & training benefits, go to
Policies and Restrictions:

Awardees may receive up to:
  • Vocational Nurse Scholarship -- $4,000
  • Licensed Vocational Nurse to Associate Degree Nursing Scholarship -- $8,000
  • Licensed Vocational Nurse Loan Repayment Program -- $6,000
For applications, guidelines, or funding information about the Vocational Nurse Education Programs, please visit us on the website or call us at either (800) 773-1669 or (916) 326-3640

Coursey Nursing Scholarship
1) $250 Spring scholarship - Apply between Sept. 1st through Dec. 1st
2) $250 Spring scholarship - Apply between Feb. 1st through May 1st
Visit Coursey's website for more information.

California Indian Manpower Consortium
Apply in person before classes start at 776 S. State Street, Suite 103, ​Ukiah, CA 95482
Josie Loomis, Eligibility Certifier
(707) 462-9418

​The Elmer Albertson Student Loan Program
This program was made possible by the late Mabel Albertson through the establishment of the Elmer Albertson Trust Fund in memory of her husband. This is a private Student Loan Program with no affiliation to any U.S. Government Guaranteed Student Loan Program. The program is administered by the Fund's Trustees with the cooperation of the Savings Bank of Mendocino County. For more information, contact Kim Max at 707-462-6613 x1295.

​American Legion Post 437
Eligibility Requirements: Lake County Residents Only

Dennis J. Alexander, Chairperson

​14770 Austin Road
Clearlake, CA. 95422
(707) 994-0851
(707) 295-0454 Cell
CareerPoint Mendocino and Lake Counties
2550 N. State St. #3
Ukiah, CA 95482
(707) 708-3828
55 First Street, Suite 113, Box F
Lakeport, CA 95453
(707) 708-3826


Primary qualification: Must have a significant disability that has a significant impairment to employment.
Attend an orientation to become an existing client.

​625 Kings Court, Suite A
Ukiah, CA 95482
(707) 463-4791

CampusRN Nursing Scholarships

​CampusRN has $15,000 in Scholarships available to Nursing & Allied Health Students
F.A. Davis Nursing Scholarship
F.A. Davis offers a $1,500 nursing scholarship annually to an undergraduate nursing student studying in the US or Canada.
Application Deadline: May 15th, 2020
Financial Assistance Opportunities

Ukiah Adult School is Approved by the California Department of Veterans Affairs, which is the California State Approving Agency for Veterans Education. Veterans can apply to this agency for tuition assistance.

Live Your Dream Scholarship:
Applications are available on the website 
All students who meet the following criteria are eligible for Admissions. Certain course programs may have varying requirements.

Program applicants must be at least 18 years of age. Good physical and mental health, good eyesight, and hearing are required. If accepted, immunizations, including the hepatitis series, and annual TB skin test, must be current before the program begins. The applicant must be interested in people, have a pleasant personality, and be able to work well with others. Most important is a willingness to follow directions, a mature attitude, and good practical judgment. Dependability is a must.

The nurse should be an example to others in health practices, it is expected that the vocational nursing student attempt to maintain good health. This will be achieved by following principles of healthful living including proper diet, adequate rest, adequate exercise, weight control, stress control, and avoidance of harmful agents (smoking, drugs and alcohol). It is recommended that steps be taken prior to entrance into the program to overcome any smoking, drug, alcohol, or weight problems. Random drug tests will be performed.
Admission Requirements
  • 18 years of age.
  • High School Diploma or passing score on the GED Test.
  • Application/Personal Information Form completed and returned.
  • Three employer/educational references.
  • A passing score of 50 (basic) or more on the TEAS test.
  • Personal interview.
  • Physical examination, laboratory tests, and immunizations as required.
  • Possess and maintain a current Child/Adult CPR card
  • Pass drug screening.
  • Pass a criminal background check.
Licensed Vocational Nursing Program:

Application/Personal Information FormComplete the two-sided Application/Personal Information form in your own handwriting. Return the form, either in person or by mail, to Ukiah Adult School. The application fee must be included at this time.

Application Fee: There is a $50.00 (non-refundable) application fee. Cash, Checks or Money Orders payable to Ukiah Adult School are acceptable forms of payment.
Transcript Request Form:
Official high school graduation transcripts or documentation of a passing score on the GED Test are required. College transcripts and/or certificates received for pertinent training should also be included. Mail, email, or fax the Transcript Request Form to the schools you have attended. Copying the original form is acceptable. Transcripts must be sealed and mailed directly to Ukiah Adult School. Be advised that it may take several weeks to receive transcripts. All foreign transcripts must be accompanied by an official English translation.

Employer Reference Form:
Applicants must provide three (3) references. Reference forms should be sent to your current and/or previous employers. References may be obtained from immediate supervisory personnel. If you do not have three employer references, personal references from someone who knows you in a professional capacity (teacher, minister, etc.) may be substituted. Reference letters from family members are not acceptable. Please use the attached Employer Reference Forms (additional forms are available at the school office). Completed forms must be mailed directly to Ukiah Adult School by the employer to: Ukiah Adult School 1056 North Bush Street, Attn; Andria Castro, Ukiah CA 95482. If the Employer Reference form is emailed to [email protected], the applicant is not to be included in the email. Including a stamped envelope addressed to Ukiah Adult School along with the reference request may insure that your references are sent to us promptly. All applicants must take an Entrance Exam (information attached). A drug test and a criminal background check will also be administered at a later date prior to final program acceptance.
According to Federal regulations, (34 CFR 668.16(e), 34 CFR 668.32(f), 34 CFR 668.34), and institutional regulations, financial aid recipients must meet all Satisfactory Academic Progress (SAP) standards prior to the awarding, and/or distribution of any financial aid funds. SAP will be reviewed at the end of each term. The Satisfactory Academic Progress Policy at Ukiah Adult School is measured using two standards: Qualitative and Quantitative.

Qualitative Standard: All Federal financial aid recipients must maintain a minimum of a "C" (75%) average in class and a satisfactory clinical performance to continue in the program. Theory and clinical are evaluated separately throughout the entire licensed vocational nursing program. At the conclusion of each term if the student does not have a minimum of a 75% average, the student will be placed on SAP warning and will eligible for financial aid during the warning period. At the next SAP measurement (at the end of the next term) if the student’s cumulative average remains below 75%, the student will be placed on SAP Suspension and will be ineligible for aid. Student who previously have been on suspension or warning will be placed on suspension if not meeting the 75% requirement when the SAP review is conducted.

The student may appeal the SAP status for extenuating circumstances. See the appeal process below.

Quantitative Standard: All federal financial aid recipients must adhere to the standards set forth in the Vocational Nursing Program Student Handbook. Students are expected to attend all scheduled classes, clinical instruction at approved facilities, and field trip assignments. Vocational Nursing (VN) Students must have completed at least 90% of the 530 hours by the end of the first term, 90% of the1074 hours by the end of the second term, and a minimum of 1612 upon completion of the program. All absent hours will require make-up assignments.

Maximum Time Frame: The maximum time frame allowable for students to complete the academic program cannot exceed 150% of attempted clock hours. Students that reach the maximum time frame will automatically be placed on financial aid suspension. For example, the Ukiah Adult School Vocational Nursing Program requires a student to complete a minimum of 1612 clock hours. Multiply 1612 hours x 150% = 2418 is the maximum number of clock hours that you can complete using financial aid.
Appeal: Ukiah Adult School understands that mitigating circumstances may prevent a student from meeting SAP standards. Mitigating circumstances may include, but not limited to: death of an immediate family, illness, or other unusual situations. Students who fail to meet the standards may submit a written appeal outlining the mitigating circumstances to the Financial Aid Review Committee for financial aid reinstatement. The written appeal must be in writing. The Financial Aide Review Committee will address all appeals on a case-by-case basis. If you are ineligible because of a completion rate of less than 67%, documentation of extenuating circumstances is required for each term in which the minimum standards were not met. Students will receive an Appeal Decision Letter, via mail, after a decision has been made. If the appeal is successful, certain conditions for academic progress will be set and monitored. A probationary period will be included in the monitoring process.

If you have exceeded the 2418 clock hour limit but still have required classes needed to complete your goal, you may file an Appeal for Extension of 2 months from the end date of the regular program time. You must explain why you need more time to complete your goal. The number of additional clock hours/terms required to complete the program will be taken into consideration when evaluating your request for an extension.

Financial aid suspension is SERIOUS and appeals are not automatically granted. You may not appeal in person. The completed appeal form along with supporting documentation is reviewed. This, along with your overall progress toward your goal and your past academic performance will be evaluated. You will be notified by email of the results of the appeal.

If the appeal is approved, you will be placed on probationary status and your grades will be reviewed each term. While on probation, you will eligible to receive financial aid for the semester in which your appeal was approved. However, you MUST meet the minimum standards each semester for continued eligibility. Students must maintain a minimum of a "C" (75%) average in class and a satisfactory clinical performance to continue in the program. Theory and clinical are evaluated separately.

If the appeal is denied, you may regain eligibility for future terms by bringing your academic record up to the Financial Aide SAP standards (a minimum of a "C" 75% average in class and a satisfactory clinical performance) while enrolled in the program for one complete term without financial aid. Theory and clinical are evaluated separately. If additional information becomes available that was not considered during the initial review, you may appeal the decision by submitting the additional information and/or documentation to the Financial Aid Office. The Secondary Appeals Committee will review this appeal and make a final determination.
Federal regulations require that this policy apply to all students whether or not financial aid was received. Even if you have NEVER applied for, or received financial aid, your overall history in college will be reviewed before you are awarded financial aid to make sure you are meeting these standards. Academic Renewal is not recognized for financial aid academic progress purposes. All grades and units including repeated courses will be used in the SAP calculation. Please note that not all programs are eligible for financial aid funding, particularly short-term programs.
Title IV funds are awarded to a student under the assumption that he/she will attend school for the entire period for which the assistance is awarded. When a student withdraws from all his/her courses, for any reason including medical withdrawals, he/she may no longer be eligible for the full amount of Title IV funds that he/she was originally scheduled to receive.

If a student withdraws completely or fails all courses (or any combination of the two), the Higher Education Amendments of 1998, Public Law 105-244. requires post-secondary educational institutions to determine how much aid must be returned (repaid). Students could be required to return (repay) all or a portion of Federal grants if they earned zero credit hours for the term.

If a student withdraws from all his courses prior to completing over 60% of a semester, he/she may be required to repay a portion of the federal financial aid that he/she received for that term.

The return of funds is based upon the concept that students earn their financial aid in proportion to the amount of time in which they are enrolled.

Students will be notified in writing within 45 days from the date Ukiah Adult School determines that the student withdrew to return all unearned funds for which it is responsible if they must return (repay) Federal financial aid funds to the Federal Department of Education. Failure to repay this, or to make satisfactory arrangements for repayment, will result in becoming ineligible for Federal Financial Aid funds at any institution. Post-withdrawal disbursement must occur within 120 days of the date the student withdrew.

In addition, this regulation requires post-secondary institutions, like us, to return a portion of Financial Aid funds originally used to pay charges at Ukiah Adult School. When this occurs, students will then owe Ukiah Adult School for the amount of tuition, fees, books, etc. paid for by the aid the school had returned to the Department of Education. Students will receive a statement if they owe Ukiah Adult School.

The R2T4 policy applies to students who completely withdraw, are expelled or stop attending all classes or any combination thereof, (indicated by -0- academic activity). A student’s withdrawal date is:
  • The date as determined by Ukiah Adult School, the student began the withdrawal process prescribed in the official withdrawal process above;
  • The date as determined by Ukiah Adult School otherwise provided official notification to the Ukiah Adult School office of his or her intent to withdraw;
  • If the student ceased attendance without providing official notification ( unofficial withdrawal), the mid-point of the term;
  • The student’s last date of attendance based on documented academically related activity;
  • If Ukiah Adult School determines that the student did not begin the withdrawal process or otherwise provide official notification (including notice from an individual acting on the student’s behalf) to Ukiah Adult School of his or her intent to withdraw because of illness, accident, grievous personal loss, or other such circumstances beyond the student’s control, the date that Ukiah Adult School determines is related to that circumstance.
In accordance with Federal regulation, unearned Title IV financial aid is returned by Ukiah Adult School in the following order: Direct Unsubsidized Stafford loans, Direct Subsidized Stafford loans, PLUS, Pell grants, ACG grants, FSEOG, other title IV assistance.

It is the student’s responsibility to return unearned aid that was disbursed directly to the student. Unearned loan proceeds paid directly to the student must be repaid under the terms and conditions of the promissory note. Unearned grant proceeds paid directly to the student must be returned by the student to the Department of Education. The amount of grant proceeds a student must repay is limited to the amount by which the grant overpayment exceeds half of the original grant funds but does not have to be repaid if the overpayment is $50 or less. The student must make arrangements with Ukiah Adult School office or Department of Education to return such grant proceeds.

Failure to make repayment arrangements within 14 days of the date of the notice of overpayment will cause the student to be reported to the National Student Loan Data System (NSLDS) and will result in the loss of any further financial aid eligibility at any institution.

In the event that a student received less aid than the amount he/she earned at the time of withdrawal, the student is eligible to receive those funds. Ukiah Adult School will notify the student of his/her eligibility of this post-withdrawal disbursement offer to which the student has 14 days to accept or decline these funds.
Steps to Calculate the Percentage Earned of the term’s Financial Aid award:
Step 1: Determine percentage of enrollment period student completed:
Number of days completed/Number of days in term = Percentage completed (A) > 60% = 100%
Step 2: Determine the amount of financial aid earned:
Percentage completed (A) x Total aid = Earned Aid (B)
Step 3: Determine the amount of INSTITUTIONAL charges assessed:
Percentage completed (A) x Total Institutional charges = Assessed charges (C)
Step 4: Determine the amount of financial aid that must be refunded:
Total aid – Earned aid (B) = Unearned aid that must be returned (D)
Unearned aid (D) > assessed charges (C) = unearned aid to be returned by the student
Unearned aid (D) < assessed charges (C) = unearned aid to be returned by Ukiah Adult School.
Example of Return of Title IV, State and Institutional funds Calculation:
This example is for illustration purposes only. Actual charges and refund amounts will vary. The following is an example of a return of funds for a student who actually withdrew from classes on the 25th day of an 80 day fall term (25/80 = 31.25%). The student would have earned 31.25%of the financial aid for the fall term. The remaining amount would have to be returned to the appropriate source.
  Original Earned/Revised
Direct Loan $2,833.00 $1,635.00
Pell $1,000.00 $1,000.00
IAVT $300.00 $300.00
Foundation Scholarship $150.00 $150.00
Total $4,283.00 $3,085.00
The following information regarding the Return of Title IV funds represents institutional procedures:

Once the unearned aid is established based on the prescribed calculations, the Financial Assistance Office (FAO) reduces the award and creates a letter of notification to the student. The unearned aid is removed from the student’s account by the FAO and reported to Common Origination and Disbursement (COD). The letter is delivered to Ukiah Adult School office from the FAO to be sent to the individual student, along with a statement of account from the Business Office. If the Return of title IV (R2T4) calculation causes a balance on account, the student is informed of their responsibility to Ukiah Adult School as well as the possible repayment for grant funds to the Department of Education. The office is cognizant of the need to adjust the Drawdown of funds through G5 or perform a return of funds within 3 business days.

Students are not permitted to re-enroll if they have a balance on account at Ukiah Adult School and are not eligible for Federal Title IV aid if they owe repayment to the Department of Education.

A statutory schedule is used to determine the amount of federal funds a student has earned when he or she ceases attendance based on the period the student was in attendance. When a student has been determined to be a recipient of a Title IV grant or loan program withdraws from an institution during a payment period or period of enrollment in which the student began attendance, the institution must begin the Title IV Refund (R2T4) process to determine the students eligibility of Title IV funds based in accordance with the calculations prescribed by regulations.

There are several factors used to determine Title IV Refund (R2T4) calculations: Official or unofficial withdrawal date, payment period or period of enrollment, amount of aid that was disbursed, amount of aid that could have been disbursed, percent of Title IV earned, post-withdrawal or late disbursement, institutional cost, amount of Title IV aid to be returned (if applicable) and time limits and reporting requirements.
Up through the 60% point in each payment period or period of enrollment, a pro rata schedule is used to determine how much federal funds the student has earned at the time of withdrawal. After the 60% point in the payment period or period of enrollment, a student has earned 100% of the federal funds. Upon the completion of Title IV Refund (R2T4) a school is required to determine if a post-withdrawal disbursement is necessary for funds earned and not disbursed to students and/or parents. Recent regulations state that all withdrawals must undergo Title IV Refund (R2T4) if federal monies apply.

The Federal Refund Policy (R2T4) is very encompassing and this is intended to be an overview of the policies and procedures that govern regulations pertaining to Title IV Refund (R2T4). For further guidance on Title IV Refund‘s (R2T4) policies and procedures please see the reference material found in Volume 5 of the Federal Student Aid Handbook under Withdrawals. You may access a copy in the Financial Aid Office.
The vocational nursing program is approved for a minimum of1612 hours of combined classroom (576 hours) and clinical (1036 hours) work. In order to be eligible for graduation from the program and for taking the State Licensing Examination the students must have met the objectives of the program.

A. When a student finds that they will be unable to attend class or clinical assignment, the instructor must be notified, giving the reason for absence. Please notify the instructor before your expected time of arrival if missing a clinical day.
  1. Absences in excess of 10 hours will require an individualized plan of correction.
  2. Those who are unable to meet course objectives due to frequent absences and/or tardiness will be notified of incompletion and placed on probationary status. Failure to correct incompletes will result in corrective counseling and ultimately possible dismissal from the program.
  3. Any student who missed more than 40 hours of clinical or 20 hours of theory during the course of the program from unexcused absences will be dropped.
  4. Students who do not arrive on time from clinical will be sent home and the day counted as an absence.
  5. Three late arrivals to class will be counted as an absence from theory.
B. Students are expected to attend all scheduled classes, clinical instruction at approved facilities, and field trip assignments. Students should not schedule personal vacations, doctor’s appointments, etc., during school (theory/clinical) hours. Time for this is on Fridays, after school hours, or school vacations. Absent hours will require make-up assignments. The following policy applies:
  1. Make-up assignments will be assigned by the director.
  2. Make-up assignments shall be directed to the objectives missed.
    1. a. Theory-As assigned by the Director.
    2. Clinical –Arrangements must be made by the student to make up missed hours with an instructor.
    3. Theory hours must be completed within one week.
    4. Clinical hours must be made up in the clinical area that was missed.
C. It is the student’s responsibility to keep a current mailing address, email address, and phone number on file in the office.
Health Limitations
Since a high level of wellness is essential to meet the requirements of the curriculum, each student must have on file those health examinations required under the admission policy and must maintain the degree of health necessary to meet the requirements and achieve objectives of the program.

In addition, the health and safety of the patient will be protected. A physical or emotional condition, which interferes with the student’s effectiveness in meeting the course requirements, may constitute a hazard to the health and safety of the patient.

This would include any medical or surgical problem that might interfere with the student’s ability to carry out his/her clinical assignment, and fulfill program objectives. A statement from the student’s physician may be required.

Accordingly, if a student is unable to meet objectives of the program due to health limitation or excessive absences the student may be asked to drop out of the program.

Employment Expectations
If after completion of Fundamentals of Nursing with a minimum of a 75%, health allows, and total absences are not excessive (see above section) students may work part time, but not on an 11pm to 7am shift, before reporting to class or clinical assignment. Students may work as desired during vacations.
Academic Warnings, Probation, and Interventions
Vocational Nursing students are expected to maintain proper attendance, grades, and professional behavior.
A. Attendance -  any hours that are missed, must be made up.
  1. Any student that falls behind 10 hours will receive a Warning Letter
  2. Any student that falls 20 hours behind will receive a Probationary Letter that will outline the time frame for making up the hours.
  3. Failure to comply with probationary status guidelines will result in corrective counseling and ultimately possible dismissal.
B. Grades - Students are expected to maintain an average of 75% or higher in each content area.
  1. Dropping below a 75% average will generate a Warning Letter.
  2. Failure to maintain this average will result in a Probationary Letter with guidelines for remediation.
  3. Failure to meet the guidelines of probation/remediation will result in corrective counseling and possible dismissal.
C. Behavior - Students are expected to act professionally as nursing students. Students must demonstrate an acceptance of the ethical and legal responsibilities of the nurse-patient relationship.
  1. Nursing students must meet the standards of our contracted hospitals. This includes all reporting standards, dress codes, and hospital policies.
  2. Nursing students are expected to act as if they were already licensed.
  3. Students are expected to act professionally and use discretion when using social media. (i.e. No pictures with patients)
  4. Failure to comply with the Professional Behavior Policy may result in a Warning Letter. A Probationary Letter may be issued depending on the seriousness of the offense. Immediate dismissal will result for serious offenses such as unsafe behavior or acts of patient disregard, etc.
D. The following shall constitute additional grounds for immediate dismissal: Any of the acts described in the Vocational Nursing Practice Act: Business and Professions Code, Division 2: Chapter 6.5, Article 3. Available in the director’s office, the classroom and the BVNPT website
Additional Requirements
All students must pass a background check and random drug testing by the hospitals.
TUITION $7,800.00 $7,800.00
SUPPLIES (includes textbooks) $2,770.00 $2,770.00
Per Month: $502/mo. $407/mo.
Per Year: $4,518/yr $3663/yr
Per Month: Included $845/mo.
Per Year: in Above $7,605/yr
Per Month: $131/mo. $147/mo.
Per Year: $1,179/yr $1,323/yr
Per Month: $344/mo. $316/mo.
Per Year: $3,096/yr $2,844/yr
CHILD/DEPENDENT CARE Reasonable expenses with adequate documentation provided by the student, depending on age and number of children
LOAN FEES For student loan borrowers, actual or average loan origination and insurance.
Per Month: $1,565/mo. $2,303/mo.
Per Year: $18,780/yr $27,636/yr
Applying for Financial Aid:
All students applying for Federal Financial Aid must apply using the Free Application for Student Financial Aid (FAFSA). This form is used to determine financial aid eligibility. You must submit the FAFSA by filling out the application on the Web. Submission of the application is sent directly by the student to the federal processor.

Step 1: Submit a completed Free Application of Federal Student Aid (FAFSA). Please be sure to list Ukiah Adult School’s code: 042081

Step 2: The Financial Aid Office will electronically receive your information. You may receive a letter in the mail or an email requesting documentation for the Verification process. It is very important that all of the requested documentation be submitted by the deadline date noted on the letter or in the email (30 days from date on letter), so as not to delay the application process.

Step 3: After the verification process is completed, your file will be complete and Financial Aid will be calculated. Please keep in mind that calculation can only take place if you are determined to be eligible for Financial Aid.

Step 4: An award letter notifying you of your Pell Grant amount will be emailed to you. The financial aid administrator will review the letter and acquire student signature accepting the award. The award letter will contain disbursement information.
Federal regulations (34 CFR 668, Subpart E) require Title IV institutions to verify the information and data submitted by FAFSA filers. However, in accordance to federal regulations, Ukiah Adult School is authorized, and will, verify all students.

Information and forms requested during Verification generally includes, but is not limited to, the following: evidence of tax return, either a tax return transcript from the IRS or use of the data retrieval tool on the FAFSA, proof of citizenship or legal residency, Social Security card, signed statement indicating untaxed income and benefits, SNAP benefits, child support, identity and educational purpose, and verification of high school graduation.
How Much Money is Each Cost of Living Disbursement?
There are several variables that affect the size of each disbursement a student receives to assist with their cost of living, including:
  • How much money the student qualifies for in a Pell Grant.
  • How much money the program qualifies for in a Pell Grant (Programs less than 900 hours do not qualify for full Pell Grant awards)
  • How much of the program a student has completed
Federal rules state that we can disburse no more than 50% of the total Pell Grant until a student has completed at least 50% of the hours and 50% of the weeks of a program.

Because of these variables, and federal rules, students usually receive less money early in their program (before they have completed the required 50% of hours and weeks), as they often have promissory notes to pay off with their Pell Grants.

Students will often receive larger disbursements after completing 50% of their hours and weeks, due to the fact that they won't receive a disbursement at the end of their last session.

Ukiah Adult School recognizes that disbursements can get complex, and we are more than willing to explain our exact calculations to those interested.

How do students receive disbursements?
Students receiving a Pell Grant in excess of tuition owed will have a check mailed to them from the Ukiah Unified School District Business Office within 14 days of the disbursement of funds from the Federal Government to the Ukiah Unified Business Office.
The goal of Ukiah Adult School’s Vocational Nursing Program is to graduate 100% of the students who begin each class. Faculty and staff are here to assist students in any way they can, and interventions are available for counseling, tutoring, tips on time management, and any other service staff can provide to assist students to successfully reach their goals and join the nursing profession.

Unfortunately, life becomes complicated and occasionally a student finds that he or she must drop out of the program. It is very important for Ukiah Adult School to confirm that every effort has been expended in an attempt to retain the student in the program. A student having to withdraw from the program must complete a Student Withdrawal Form and meet with the Director of Nursing and Adult School administrator. The reason for withdrawal must be documented by the school. If the circumstances are temporary and the student is in good standing, readmission in the next class can be considered.
Withdrawal Process:
All students wishing to withdraw from school may be responsible for returning unused Title IV funds. An official withdrawal may be submitted to the Program Director using the Application for Official Withdrawal. The last date of attendance will be used to calculate unofficial withdrawals. Unofficial withdrawal occurs when a student fails to attend for ten (10) consecutive school days.
Ukiah Adult School has established a fair and equitable refund policy for the refund of tuition, fees, or other charges in the event a class is cancelled or if a student decides not to enroll or does not complete the period of enrollment for which the student has been charged. This policy uniformly applies to all nursing students.

If Ukiah Adult School cancels a class before it begins, 100% of all tuition and fees collected in advance of the start date of the program will be refunded within 45 days.

Students who have not visited the school facility will have an opportunity to withdraw without penalty within the first three days of class.

If a student familiar with the facility withdraws from the program before the first day of class, 100% of any tuition or fees collected will be refunded, less the nonrefundable application fee of $50.

If a student withdraws or is terminated from the program after class begins, tuition and fees will be refunded on a pro-rated basis determined by the number of days of theory and clinical instruction remaining in the semester of withdrawal or termination. The cost of materials and services such as, but not limited to, books, liability insurance, and name tags will not be refunded.

Refunds will be made within 45 days of the last day of attendance by the student or within 45 days from the date the student is terminated or withdrawal has been determined by the school.
2021-2022 High School Completion Status
Name of student: ______________________________ Student’s SS#: ______________________________

The student must provide to the school one of the following documents that indicates the student’s high school completion status when the student will begin college in 2021-2022:
  • A copy of the student’s high school diploma.
  • For students who completed secondary education in a foreign country, a copy of the “secondary school leaving certificate” or other similar document.
  • A copy of the student’s final official high school transcript that shows the date when the diploma was awarded.
  • A copy of the student’s General Educational Development (GED) certificate or GED transcript.
  • An academic transcript that indicates the student successfully completed at least a two-year program that is acceptable for full credit toward a bachelor’s degree.
  • If State law requires a homeschooled student to obtain a secondary school completion credential for home school (other than a high school diploma or its recognized equivalent), a copy of that credential.
  • If State law does not require a homeschooled student to obtain a secondary school completion credential for home school (other than a high school diploma or its recognized equivalent), a transcript or the equivalent, signed by the student's parent or guardian, that lists the secondary school courses the student completed and documents the successful completion of a secondary school education in a home school setting.
Certification and Signature
The authorized institutional official signing below certifies that all of the information reported is complete and correct. The authorized institutional official verifies that the student has provided one of the acceptable High School completion documents as outlined above and that the institution has and will maintain a copy in the student’s file.

WARNING: If you purposely give false or misleading information you may be fined, be sentenced to jail, or both.

Signature of authorized institutional official: _______________________________________
Printed name of authorized institutional official: ____________________________________
Name of Institution: _________________________________________________________
2021-2022 Identity and Statement of Educational Purpose
Student Name: _______________________________________________________________________

Name of Postsecondary Educational Institution: _____________________________________________

The authorized school official verifies that the student has appeared in person to verify his or her identity by presenting a valid, unexpired government-issued photo identification (ID), such as, but not limited to, a driver’s license, other state-issued ID, or passport. The authorized school official also verifies that the institution has and will maintain a copy of the student’s photo ID that is annotated with the date it was received and the name of the official at the institution authorized to collect the student’s ID.


Certification and Signature
The authorized institutional official signing below certifies that all of the information reported is complete and correct.
WARNING: If you purposely give false or misleading information you may be fined, be sentenced to jail, or both.

Signature of authorized institutional official: _______________________________________________
Printed name of authorized institutional official: ____________________________________________

In addition, the student must sign, in the presence of the institutional official, the following:

Statement of Educational Purpose

I certify that I ______________________________________ am the individual signing this
(Print Student’s Name)
Statement of Educational Purpose and that the federal student financial assistance.
I may receive will only be used for educational purposes and to pay the cost of attending
_________________________________________________ for 2021-2022.
(Name of Postsecondary Educational Institution)
_________________________________________  _______________________________
Student’s Signature                                                                          Date
____________________________________  ____________________________________
Student’s Printed Name                                                             Student’s SS#
It is the primary goal of Ukiah Adult School to provide adequate, safe, clean, and healthy facilities conducive to enhancing excellent learning and working environments for our staff, students, and guests. Policies and procedures are in place to reduce emergency situations and accidents and to respond appropriately if they arise.

Ukiah Adult School maintains safety measures at the site for the benefit of students and staff, with the following required: The school is alarmed by an independent security company to insure appropriate and safe use of facilities. Fire extinguishers and first aid kits are in each classroom. Fire safety procedures and escape plans are posted in the classrooms and offices, and fire extinguishers are inspected annually. Fire drills take place once a month. Policies regarding smoking and tobacco use, alcohol and drug use, weapons, dress codes, sexual harassment, and a uniform complaint procedure are in place. A direct line to the police department is maintained in the office. An intercom system enhances communication to every room. The custodian conducts a monthly safety check for the entire facility. Restrooms are maintained and resupplied daily. A disaster/school safety plan is in place. The parking lot is well lit and close to classrooms and the office. Ukiah Adult School fills out a Ukiah Unified School District Report of Hazard or Safety Issue form if there is a safety issue the maintenance department needs to rectify. Imminent hazards or concerns are addressed immediately.

Students in the Vocational Nursing program are covered under the district Workers’ Compensation program. Instructions in the student handbook outline the procedures in case an employee or student is injured or sick. A Report of Incident form must be completed immediately, as well as a Report of Accident for Workers’ Compensation. Directions are specific for seeking care either at Job Care or the Emergency Room. All copies of forms are sent to the district risk manager. Any actions necessary will be employed to insure any injury is addressed immediately, and that the welfare of the staff or student is foremost in all decisions.

In accordance with Federal regulations (34 CFR 668.41 (e)) and the Clery Act, Ukiah Adult School will annually furnish the Campus Safety and Security Report, and all students may access the report located in the Financial Aid Business Office.
Ukiah Adult School provides Federal Student Aid opportunities in the form of Pell Grants for those who qualify.

All students who apply for student aid must use the Free Application for Student Financial Aid (FAFSA). This form must be used to determine financial aid eligibility.

First time FAFSA filers should first register for a Personal Identification Number (PIN) at
Students should go to to fill out the FAFSA form. Ukiah Adult School’s Federal School Code is 042081. It is very important to use the IRS Data Retrieval Tool (DRT) to transfer tax information directly from the IRS to your application to minimize the need to provide federal tax return transcripts. Do not change any information after using the DRT. It is possible to go to your FAFSA record and submit a corrected FAFSA using the DRT if you haven’t already. Once the application is complete, the information is sent directly to the school if the correct Federal School Code is used. Students should be sure to print their Student Aid Report (SAR) to view their eligibility.

As a part of the Financial Aid Process, a student may be selected for verification, which is usually a random selection by the federal processor. Ukiah Adult School may also select additional files to verify. If selected for verification, it means that documents will be requested and a verification worksheet completed to verify certain information supplied on the FAFSA form is correct. No aid will be disbursed until the verification process is complete. It is a federal crime to falsify any information on the FAFSA and any determination that deliberate tampering with FAFSA information occurred will be referred to the Office of the Inspector General.

Any Student who receives financial aid and then withdraws or is removed from the program for any reason may have to repay any financial aid received. Ukiah Adult School will determine if funds need to be returned and notify the student by mail within 30 days of the withdrawal date. The student will have 45 days from the date of the notice to return funds. Failure to return funds will result in notification of overpayment to the Department of Education via the National Student Loan Data System (NSLDS).

There are also some community resources for financial aid for those who qualify.

For more detailed and up to date information, please visit our website at