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Choice Scholarship Eligibility Form

Required

Student #1 Namerequired
First Name
Last Name
Must contain a date in MM/DD/YYYY format
3 Year Old Program & Pre-K Students are not eligible for the Indiana Choice Scholarship Program.
Student #2 Namerequired
First Name
Last Name
Must contain a date in MM/DD/YYYY format
3 Year Old Program & Pre-K Students are not eligible for the Indiana Choice Scholarship Program.
Student #3 Namerequired
First Name
Last Name
Must contain a date in MM/DD/YYYY format
3 Year Old Program & Pre-K Students are not eligible for the Indiana Choice Scholarship Program.
Student #4 Namerequired
First Name
Last Name
Must contain a date in MM/DD/YYYY format
3 Year Old Program & Pre-K Students are not eligible for the Indiana Choice Scholarship Program.
Name of Parent Applying for Choice Scholarship requiredIn split households this is the custodial parent
First Name
Last Name
In split households this is the custodial parent
A copy of this form will be sent to this email address
Are you applying for a Choice Scholarship at another school for a different child?required
Do any students living in your household and attending ISI have an Individualized Education Plan or Service Plan (IEP/ISP)?required
Please include ALL adults and children living in the household
Proof of Residency – Upload the most recent copy of any of the following below:
  • Bank Statement
  • Credit Card Bill
  • Loan Statement
  • Lease Agreement
  • Mortgage 
  • Rental Contract
  • Property Deed
  • Tax Bill
  • Voter Registration
  • Homeowners/Auto/Renters Policy
  • Utility Bill
  • DL
  • Tax Returns
Attach up to 4 files with a maximum size of 20MB
No file chosen