State Scholarship Estimate Worksheet
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Student Name *
Parent(s) Name(s) *
Parent Email, Parent Phone Number *
Our family plans to apply for the following state scholarship: *
If you plan to apply for the EdChoice Expansion Scholarship and received the EdChoice Expansion Scholarship for the current school year, please answer the following 2 questions.
1. What is the number of members of your household (as defined by the parents and number of children 21 years and younger)?
2. Based on the completed income verification, our family’s % above the federal poverty level (FPL) is:
If you plan to apply for the EdChoice Expansion Scholarship but did not receive the EdChoice Expansion Scholarship for the current school year, please answer the following 2 questions.
1. What is the number of members of your household (as defined by the parents and number of children 21 years and younger)?
2. Based on line 11 of your family’s 2022 taxes and the number of members in your household, use the 2023-2024 EdChoice Eligibility & Awards chart (see below) to estimate your family’s % above the federal poverty level (FPL).  List the percentages that your adjusted gross income would fall between on this chart.
2023-2024 EdChoice Eligibility & Awards
Thank you for completing this worksheet. The information provided will be helpful as we work to identify the financial award package for your family.
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