scholarship

Name*
First Last
Date of Birth*
School Name*
School City*
School Year*
Grade for the school year*
Parent / Guardian
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone Number*
Email*
Name of Primary Contact*
Parent / Guardian
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Name of Primary Contact*
Income Verification
Total Number of People Living In Your Household*
Is your gross income greater than amount listed in Table A?
- Yes
- No
- I will provide income verification at VTO's request
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 VTO made in your child's name (i.e. Recommended)*
In your own words, 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 is true and accurate.*
Date