125 West Exchange Place Kalamazoo, MI 49007

125 West Exchange Place • Kalamazoo, MI 49007 • (269) 337-0037 • www.kalamazoopromise.com(269) 337-0037 125 West Exchange Place • Kalamazoo, MI 49007 • (269) 337-0037 • www.kalamazoopromise.comwww.kalamazoopromise.com Application for The Kalamazoo Promise Scholarship Application for The Kalamazoo Promise Scholarship I am requesting funding from The Kalamazoo Promise scholarship plan. I am requesting funding from The Kalamazoo Promise scholarship plan. Student: ______KPS ID No.: ______Student: ______KPS ID No.: ______Address: ______Address: ______City / State / Zip: ______City / State / Zip: ______Phone Number: ______Date of Birth: ______Phone Number: ______Date of Birth: ______E-mail: ______E-mail: ______The following is my qualification information: The following is my qualification information: Grade at which continuous KPS enrollment AND continuous KPS district residency started: ______Grade at which continuous KPS enrollment AND continuous KPS district residency started: ______This is the date which I expect to graduate from Kalamazoo Public Schools (mm/yy): ______This is the date which I expect to graduate from Kalamazoo Public Schools (mm/yy): ______This is the high school which I expect to graduate from: ______This is the high school which I expect to graduate from: ______

The schools listed below are the colleges/universities that I am considering for enrollment and use of The TheKalamazoo schools Promise listed below Scholarship. are the colleges/universities List your choices in thatorder I aofm prconsideringeference, you for areenrollment only required and use to oflist The one. Kalamazoo(See reverse Promise side for Scholarship.list of qualified List schools) your choices in order of preference, you are only required to list one. (See reverse side for list of qualified schools) School 1: ______School 1: ______School 2: ______School 2: ______School 3: ______School 3: ______

My signature below indicates that I have read and understand the terms of this scholarship and the Myinformation signature I belowhave provided indicates above that I concerning have read and residency understand and enrtheollment terms of in this the scholarshipKalamazoo andPublic the School informationdistrict is true I haveto the provided best of my above knowledge. concerning residency and enrollment in the Kalamazoo Public School district is true to the best of my knowledge. Student (Student must sign): ______Signature Student (Student must sign):______Signature Date ______Date See reverse side for instructions See reverse side for instructions Esta información está disponible en español llamando al oficina Bilingüe at 337-1579. Esta información está disponible en español llamando al oficina Bilingüe at 337-1579. Application procedure: ll n te normaton on or name are one rt ate an emal ll n te rae at or continuous KPS enrollment and residency bean nrollment mt ae tarte te all tate en ate all ror to toer o ool or tat rae nrollment mt ae een n a trt ool or aroe roram atore t not oere a ool ee e alamaoo rome ete alamaooromeom rerement ner reentl ae eton or or ool onelor or a aer o o te ame o mt ae ree tn te enrollment trt rn t entre enrollment ero ll n or eete raaton ate an ool t orte ollee or nert to o ae ale or lan to al t or oe n orer o reerene o onl are rere to lt one ee mt e a tate orte l ommnt ollee ollee or nert (see list below) n te orm All students must sin. o ae an eton leae reer to e alamaoo rome ete re aoe n t a te aner to mot eton an alo an eletron ontat orm tat ll e ent to ool onelor alo ae oe o normaton on on te ete o ma alo all

Applications may be submitted to your high school counseling office, emailed to [email protected] or mailed to: The Kalamazoo Promise • 125 West Exchange Place • Kalamazoo, MI 49007

EIIBE SCS Any of the following post-secondary institutions are eligible for use of The Kalamazoo Promise. • Adrian College (MCA) • Kalamazoo Valley Community College • Oakland University • Albion College (MCA) • Kellogg Community College • Olivet College (MCA) • Alma College (MCA) • Kendall College of Art & Design of • Saginaw Valley State University • Alpena Community College Ferris State University • Schoolcraft College • Andrews University (MCA) • Kirtland Community College • Southwestern Michigan College • Aquinas College (MCA) • Lake Michigan College • St. Clair County Community College • Bay College • Lake Superior State University • Siena Heights University (MCA) • Calvin College (MCA) • Lansing Community College • Spring Arbor University (MCA) • Central Michigan University • Macomb Community College • University of Detroit Mercy (MCA) • Delta College • Madonna University (MCA) • University of Michigan • Eastern Michigan University • Michigan Career and Technical Institute* • University of Michigan Dearborn • Ferris State University • Michigan Regional Council of Carpenters • University of Michigan Flint and Millrights MRCC (Apprenticeship) • Glen Oaks Community College • Washtenaw Community College • Michigan State University • Gogebic Community College • Wayne County Community College • Michigan Technological University • Grand Rapids Community College • Wayne State University • Mid Michigan Community College • Grand Valley State University • West Shore Community College • Monroe County Community College • Great Lakes Maritime College —Division of • Western Michigan University Northwestern Michigan College • Montcalm Community College • Mott Community College • Henry Ford College *Students attending the Michigan Career and Technical • Hillsdale College (MCA) • Muskegon Community College Institute (MCTI) will only be awarded in the event that the • Hope College (MCA) • North Central Michigan College State of Michigan does not cover their tuition and fees. • Northern Michigan University • Jackson College MCA: available for students who graduate from KPS in the • Kalamazoo College (MCA) • Northwestern Michigan College spring of 2015 and beyond. • Kalamazoo Electrical JATC (Apprenticeship) • Oakland Community College

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