GradGuard - College Life Protected

Withdrawal Protection Program by GradGuard

The Withdrawal Protection Program enables your school to offer a promise to pay for families who need to withdraw. To better understand pricing options please complete each section of this form.

Contact Information

School Name *

School Address *

Contact Name *

Contact Title *

Contact Email *

Contact Phone *

School Information

Grade Levels Served *

Years school has been in operation? *

School Type *

Would you like students on payment plans to have coverage? *

What system do you use as your enrollment and billing system? (Blackbaud/Veracross/FACTS etc) *

What system do you use as your payment plan provider? *

Is there language/statement on your financial agreement where families agree to commit to the full year of tuition? *

Number of Students Enrolled

Provide the total number of enrolled students for the academic year and the corresponding tuition funds received. Include any reductions applied to tuition for scholarships, financial aid, sibling discounts, or employee discounts.

Year	Total Enrollment	Tuition Received	% on Payment Plans
2024/2025
2023/2024
2022/2023

Enrollment Funds Received by Payment/Payment Plan

Indicate how enrollment funds were collected by payment type, broken out by one-time payment, semi-annual, quarterly, and monthly payment plans.

Year	Annual Enrollment	Semi-Annual	Quarterly	Monthly
2024/2025
2023/2024
2022/2023

Enrollment Breakdown by Grade Level

List the total number of enrolled students for each grade level for the specified academic year.

Grade Level	2022/2023 #	2022/2023 $	2023/2024 #	2023/2024 $	2024/2025 #	2024/2025 $
Pre-K
Kindergarten
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Ninth
Tenth
Eleventh
Twelfth

Withdrawal by Category

Report the number of student withdrawals and the associated tuition dollars lost, categorized by medical and non-medical reasons, for each academic year.

Year	Medical #	Medical $	Non-Medical #	Non-Medical $
2024/2025
2023/2024
2022/2023

Authorization

Initial below to certify you are authorized to provide the above data and consent to its use for generating a quote for the Tuition Protection Program by GradGuard.

Initials *