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A+ Agreement Form

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Download the form here (pdf)

Name_____________________________________________________________________________________    
             Last                                  First                                            Middle

Mailing Address____________________________________________________________________________________
                        Street or P.O. Box                                         City                         State                  Zip

Home Phone Number____________-____________-_____________  Year of Graduation_______________________

A student who qualifies according to the following criteria and continues an education at an A+ approved Missouri public community college or vocational-technical school may be eligible for state reimbursed tuition and general fees for up to 4 years after graduation, contingent upon state appropriation and allocation of funding, and Kirkwood High School maintaining designation. Each student should enter into a written agreement with the school during the last three years prior to high school graduation. To be eligible, the student must:

    * Attend a designated A+ School for three consecutive years prior to high school graduation.
    * Graduate from high school with a cumulative grade point average of 2.5 (a 2.499 GPA is not eligible) or higher for all four years of high school.
    * Maintain at least a 95% cumulative attendance record for all four years of high school.
    * Perform a total of 50 hours of unpaid academic tutoring of other students under the supervision of a certified Kirkwood School District employee within the 4 years of high school.
    * Pass the Algebra EOC exam with Proficient or Advanced (beginning with the class of 2015).

The student’s financial incentive is contingent upon state appropriation and allocation of funding, and Kirkwood High School maintaining designation. Dependent on said, it may be available for two years or six semesters within four years after high school graduation. To be eligible for the A+ tuition reimbursement during that time, each participating student must:

    * Provide a copy of the student’s Social Security number.
    * Make a documented, good faith effort to secure available federal post-secondary student financial assistance funds that do not require payment (FASFA application must be completed and mailed to the school that the student is planning to attend between January 1st  and April 1st).
    * Males must register with the Selective Service upon their eighteenth birthday.
    * Enroll and attend a Missouri public community college or vocational school on a full time basis and maintain a GPA of 2.5 or higher.


________________________________        __________________________________   ___________
Student Signature                                        Parent/Guardian Signature                   Date

________________________________________   _________________
Kirkwood A+ Coordinator                                     Date

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