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A+ Scholarship Enrollment Form

First Name: *

Middle Name:

Last Name: *

Email *

Semester:

Fall
Spring
Summer

MACC Student ID#:

Date of High School Graduation:

List ALL Previously Attended Colleges (Including Dual Credit), write the complete name, no abbreviations (if none enter NA):

All fees and tuition are due and payable by the first day of classes unless a student is on an approved payment plan (see the Business Office for additional information) or sufficient financial aid is in place. If you plan for the A+ Scholarship to cover your charges please see the list below to understand your responsibilities. You must complete all eligibility criteria before the A+ Scholarship will be awarded to your student account.

Please check each box to indicate you have read and understand the following:

I must have an official high school transcript with the official A+ stamp sent to the MACC Registrar’s Office. *

I must have an official high school transcript with the official A+ stamp sent to the MACC Registrar’s Office.

I must provide an official transcript from every college I have attended, including dual credit courses. *

I must provide an official transcript from every college I have attended, including dual credit courses.

I must be enrolled full-time to use A+ funding (12 or more hours in fall/spring and 6 or more in summer), unless I am enrolled in my last semester prior to graduation or I have an approved course load reduction accommodation as recorded with the Access/ADA Services Office or MACC does not provide enough courses required for my degree the semester. *

I must be enrolled full-time to use A+ funding (12 or more hours in fall/spring and 6 or more in summer), unless I am enrolled in my last semester prior to graduation or I have an approved course load reduction accommodation as recorded with the Access/ADA Services Office or MACC does not provide enough courses required for my degree the semester.

I must complete full-time enrollment each semester to maintain eligibility for subsequent semesters. *

I must complete full-time enrollment each semester to maintain eligibility for subsequent semesters.

I must maintain a cumulative 2.5 GPA at the end of each semester to maintain eligibility for subsequent semesters. *

I must maintain a cumulative 2.5 GPA at the end of each semester to maintain eligibility for subsequent semesters.

I am eligible for A+ funding a maximum of 48 months from date of high school graduation or until 105% of the hours required for my current degree is reached (cannot exceed 48 months) or until I have earned an associate degree or certificate (whichever comes first). *

I am eligible for A+ funding a maximum of 48 months from date of high school graduation or until 105% of the hours required for my current degree is reached (cannot exceed 48 months) or until I have earned an associate degree or certificate (whichever comes first).

A+ will pay for tuition, technology and student activity/support services fees for courses REQUIRED for my declared degree at MACC. *

A+ will pay for tuition, technology and student activity/support services fees for courses REQUIRED for my declared degree at MACC.

Tuition reimbursement is capped each year and the amount is set by the Missouri Department of Higher Education and Workforce Development (MDHEWD). *

Tuition reimbursement is capped each year and the amount is set by the Missouri Department of Higher Education and Workforce Development (MDHEWD).

The cap for the 2022-2023 year is $196.00 per credit hour (and is subject to change). I am responsible for the difference. *

The cap for the 2022-2023 year is $196.00 per credit hour (and is subject to change). I am responsible for the difference.

The A+ Scholarship is subject to legislative appropriations and if funding is insufficient for payment of tuition and fees, the MDHEWD may limit the number of credit hours to be reimbursed or take other measures to reduce the actual reimbursement. *

The A+ Scholarship is subject to legislative appropriations and if funding is insufficient for payment of tuition and fees, the MDHEWD may limit the number of credit hours to be reimbursed or take other measures to reduce the actual reimbursement.

I will be responsible for all fees (course fees, lab fees, etc.) except those described above. *

I will be responsible for all fees (course fees, lab fees, etc.) except those described above.

I must complete the 2022-2023 Free Application for Federal Student Aid (FAFSA) at StudentAid.Gov and submit any other required forms such as verification or tax documents. This FAFSA is required for A+ Scholarship reimbursement for the fall 2022, spring 2023, and summer 2023 semesters, unless I am enrolled in a health science program with a unique calendar. *

I must complete the 2022-2023 Free Application for Federal Student Aid (FAFSA) at StudentAid.Gov and submit any other required forms such as verification or tax documents. This FAFSA is required for A+ Scholarship reimbursement for the fall 2022, spring 2023, and summer 2023 semesters, unless I am enrolled in a health science program with a unique calendar.

I understand this FAFSA will not be available after 11:59 PM on June 30, 2023. If I miss this deadline I will not be eligible for my A+ Scholarship for the summer 2023 semester. *

I understand this FAFSA will not be available after 11:59 PM on June 30, 2023. If I miss this deadline I will not be eligible for my A+ Scholarship for the summer 2023 semester.

I understand I must be seeking a degree at MACC to be eligible for the Missouri A+ Scholarship. Visiting students attending MACC for the summer semester only are not eligible for the A+ Scholarship. Students may not use the A+ Scholarship during the summer if they have attended, and intend to return, to a four-year institution or other institution that is not eligible for the A+ Scholarship. *

I understand I must be seeking a degree at MACC to be eligible for the Missouri A+ Scholarship. Visiting students attending MACC for the summer semester only are not eligible for the A+ Scholarship. Students may not use the A+ Scholarship during the summer if they have attended, and intend to return, to a four-year institution or other institution that is not eligible for the A+ Scholarship.

All federal grants (PELL, SEOG) will be applied to tuition and fees before A+. Depending on the amount of these grant funds, it is possible I will NOT receive any A+ funds. *

All federal grants (PELL, SEOG) will be applied to tuition and fees before A+. Depending on the amount of these grant funds, it is possible I will NOT receive any A+ funds.

I will not be eligible for Access Missouri Grant if my A+ Scholarship award exceeds the value of that Grant. *

I will not be eligible for Access Missouri Grant if my A+ Scholarship award exceeds the value of that Grant.

If I lose A+ eligibility, I may earn it back if I meet the 2.5 CGPA requirement. If my CGPA drops below 2.5, I will be responsible for payment of tuition and fees. *

If I lose A+ eligibility, I may earn it back if I meet the 2.5 CGPA requirement. If my CGPA drops below 2.5, I will be responsible for payment of tuition and fees.

A+ will not pay for repeated courses. *

A+ will not pay for repeated courses.

If I drop a course after the 100% refund date or receive an incomplete grade, I will be responsible for payment of the class and drop fees. *

If I drop a course after the 100% refund date or receive an incomplete grade, I will be responsible for payment of the class and drop fees.

If I make schedule changes after this initial semester enrollment form is submitted I will inform the Financial Aid Office if I enroll in any class not required for my degree. I am responsible for charges for not-required/repeated classes. *

If I make schedule changes after this initial semester enrollment form is submitted I will inform the Financial Aid Office if I enroll in any class not required for my degree. I am responsible for charges for not-required/repeated classes.

I understand and agree to the terms as outlined above and below this enrollment form in order to be eligible for the A+ Scholarship at Moberly Area Community College. I further understand failure to disclose information or provide accurate information can result in the cancellation of my A+ Scholarship for both current and prior semesters at which time I will be fully responsible for all costs due to MACC, including late charges and collection fees. *

I understand and agree to the terms as outlined above and below this enrollment form in order to be eligible for the A+ Scholarship at Moberly Area Community College. I further understand failure to disclose information or provide accurate information can result in the cancellation of my A+ Scholarship for both current and prior semesters at which time I will be fully responsible for all costs due to MACC, including late charges and collection fees.

Signature *

Date *

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