GCA 2019-2020 Choice Voucher Application
A School Choice Scholarship (voucher) enables families to use public funds to pay for some of their child’s private school tuition. Vouchers are created and distributed by the state government. In Indiana, certain guidelines are used to determine if your family is eligible to participate in this program. To determine your potential eligibility, please utilize the following links: (https://bit.ly/2ROVuY6) for income verification and (bit.ly/2sr3HUb) for pathway eligibility. After reviewing the guidelines, if you believe you are eligible for a School Choice Voucher, please proceed with the following application. (Please keep in mind that no application will be processed with the state of Indiana without a copy of your 2018 Federal tax return).
Please Capitalize According To Legal Spelling
* Answers should not be in all CAPS or all small caps. Thank you.
Student LAST Name: *
Your answer
Student FIRST Name: *
Your answer
Student GRADE for 2019-2020: *
Student Home Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
School Corporation You Live In: *
Your answer
School Your Student Would Attend if attending Public School (school of residence): *
Your answer
Parent/Guardian Full Name: *
Your answer
Parent/Guardian Email: *
Your answer
Parent/Guardian Phone Number: *
Your answer
School Your Student Attended LAST School Year (2018-2019)? *
Your answer
Does Student Have An Individualized Education Program (IEP) or Service Plan/Speech Services? *
Did This Student or A Sibling Receive a Choice Voucher In the Previous School Year? *
If your student did receive a Choice Voucher, then list the student name or sibling name. If no voucher, then write "N/A". *
Your answer
Did this Student or A Sibling Receive an SGO Grant In the Previous School Year? *
If your student did receive an SGO Grant, then list the student name or sibling name. If no grant, then write "N/A" *
Your answer
Total # of People Living In your Household: *
Your answer
Total Adjusted Gross Income in your Household (Please include income from jobs, child support, social security, and any other household income.) This needs to be as accurate as possible: *
Your answer
Parent/Guardian Digital Signature: *
Your answer
*Please submit a copy of your 2018 taxes to the GCA Finance Office.Your 2018 Federal Tax Filing is required to complete this application. The office will notify you when your application has been processed. Estimated amounts will then be given to you; and you will be asked to sign final documentation. Thank you!
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