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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 schools 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*
Please prove that you are human by solving the equation *

A school tuition organization cannot award, restrict or reserve scholarships solely on the basis of donor recommendation. A taxpayer may not claim a tax credit if the taxpayer agrees to swap donations with another taxpayer to benefit either taxpayer’s own dependent.

Apply

Application for Scholarship

Student

Parent / Guardian

Parent / Guardian

Income Verification