Apply – Valley Tuition Organization

The following information is needed to determine scholarship eligibility. We may contact you for additional documentation to complete the application.

Application for Scholarship

Student

First Name *

Last Name *

Date of Birth *

School Name *

School City *

School Year *

Grade for the school year *

Parent / Guardian

First Name *

Last Name *

Address *

City, State, Zip *

Phone *

E-Mail *

Parent / Guardian

First Name

Last Name

Address

City, State, Zip

Phone

E-Mail

Name of Primary Contact *

Income Verification

Total Number Of People Living In Your Household *

Is your gross yearly income greater than amount listed in Table A? *

Has your child received any of the following tax credit scholarships from any STO in the previous school year and continued to attend private school in Arizona?

Past Scholarship Awards *

Were any donations to Valley Tuition Organization made in your child’s name? (i.e. Recommended) *

In your own words, how would your child benefit from a private school education?

How would your child benefit from a private school education? *

By submitting this application, I promise that to the best of my knowledge all of the information on this application is true and accurate.

Full Name *

Date *

2 + 5 = ? Please prove that you are human by solving the equation *