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Please note: Forms/documentation that may be required for your student application includes: Public School Attendance Verification, Prior Corporate/Switcher Award Verification from other STOs, copy of the military order or an IEP/MET, Displaced (foster child) Student Verification and release form. You would need to have the form filled out and ready to upload during the application process and complete the entire form for your student to be eligible for scholarship awards. **Applications submitted without Verification of Income AND applicable supporting documents will NOT be considered for scholarship awards. STO4KIDZ MUST verify your student's tuition balance with your private school. Submitting your application is your acknowledgement. You MUST contact your student's school and give permission to release tuition balance information to STO4KIDZ. (TUITION BALANCE AFTER ANY DISCOUNT OR SCHOOL-SCHOLARSHIP HAS BEEN APPLIED TO YOUR STUDENT'S ACCOUNT). Contact us if you need help or have questions.
Student Information: (please complete)
Student Birth Date*
MM slash DD slash YYYY
Students Name*
First Last
Grade in 2019-2020*
Private School Attending - Full time*
School Name & City
Student Annual Tuition AFTER any School-Discount/School-Scholarship
Parent/Guardian Name*
First Last
Spouse Name
First Last
Mailing Address*
Street Address City State ZIP Code
Parent/Guardian Email*
Phone*
I would like to apply for (check all that apply)*
- Recommended Funds (tax credit recommendations)*
- Financial Aid (Low IncomeCorporate Scholarship and Switcher)
Financial Aid Eligibility Prerequisites for Low Income Corporate Scholarship and Switcher
Please MARK THE APPROPRIATE box below that applies to your student and UPLOAD SUPPORTING DOCUMENT(S) for your student to be considered for the Switcher and/or Corporate scholarship. These documents include CURRENT income verification such a copy of your W2, or 2 consecutive pay-stubs, or bank statements, or approved DES, or USDA free/reduced meal, rental or pension income. Public school verification form or Past tuition award (If applicable), letters of recommendations are welcomed. Your family must also meet the income cap listed in the table to the right.
**PLEASE MARK APPLICABLE BOX, AND SUBMIT SUPPORTING DOCUMENTS TO BE ELIGIBLE FOR AWARDS.*
- Kindergarten Student (entering kindergarten or currently enrolled in a private school)
- Transferring from a Public School (Student attended an Arizona public school as a full-time student for at least 90 days of the prior fiscal year or one full semester and then transferred to private school.)Must submit public school attendance verification form
- Student with Disability -Must submit a copy of an Arizona public school IEP, MET or ISP and Information release form (Preschool students must have MET or IEP from and Arizona public school, a 504 plan does not meet the requirement.)
- Displaced Student -Child was placed at one time in the Arizona foster care system (for grades K-12 only) and will be verified with the Arizona Department of Economic Security (DES)Must provide Information release form
- US Armed Forces Dependent (Must provide copy of military order showing Arizona duty station)
- Received a Low-Income Corporate scholarship under one of the above criteria in a prior year and the student continued to attend a private school in subsequent years. (Must submit previous award verification form)
- Received an Original Individual scholarship, or a Switcher Individual scholarship in a prior year and the child continued to attend a private school in subsequent years. (Must submit previous award verification form)
MUST upload Income Verification such as: such a copy of your W2, or 2 consecutive pay-stubs, or bank statements, or approved DES, or USDA free/reduced meal, rental or pension income.
IF APPLICABLE MUST ALSO UPLOAD: past scholarship award verification, public or charter school attendance verification, IEP, MET, ISP Issued by public school and/or Displaced (foster child) Student Verification and release form.
Please Upload Required Files (PDF, JPG, PNG, GIF)*
Drop files here or

Accepted file types: jpg, gif, png, pdf, hevc, heic, Max. file size: 512 MB.
Please provide us a brief one paragraph narrative about your student's character, academic, extracurricular activities and community services. We will take into consideration the age of your student when reviewing your application. Letters of recommendation is optional and helpful.*
In accordance with the USDA’s definition of household income, we determine financial circumstances Household is a group of individual, related or unrelated who share housing, expenses, and income. Income means income before any deductions. Please refer to this link provided by USDA (https://fns-prod.azureedge.net/sites/default/files/english.pdf)

Please include ALL household members below, including children, students attending college but away and individuals without income. Please upload a copy of your W2, or 2 current and consecutive pay-stubs, or bank statements, or approved DES form, or approved free-/reduced meal and any additional income
***** Incomplete Financial Information results in delayed processing of your application.
Name of Income Source*
First Last
Annual GROSS Earnings from Work OR Annual NET Income, IF Self-employed*
Annual Earnings From Welfare, Child Support, Alimony*
Annual Pensions, retirement, Social Security, SSI, VA benefits*
Other Income*
Is there a 2nd Household Income Source?*
- No I am the only source of income
- Yes
2nd Income Source
Name of Income Source*
First Last
Annual GROSS Earnings from Work OR Annual NET Income, IF Self-employed*
Annual Earnings From Welfare, Child Support, Alimony*
Annual Pensions, retirement, Social Security, SSI, VA benefits*
Other Income*
Is there a 3rd Household Income Source?*
- No
- Yes
3rd Income Source
Name of Income Source*
First Last
Annual GROSS Earnings from Work OR </br> Annual NET Income, IF Self-employed*
Annual Earnings From Welfare, Child Support, Alimony*
Annual Pensions, retirement, Social Security, SSI, VA benefits*
Other Income*
Total of household income
$0.00
Number of Non-Income Household Members:
Name of Non-Income Household Member 1:
Name of Non-Income Household Member 2:
Name of Non-Income Household Member 3:
Name of Non-Income Household Member 4:
Name of Non-Income Household Member 5:
Name of Non-Income Household Member 6:
Name of Non-Income Household Member 7:
Name of Non-Income Household Member 8:
Name of Non-Income Household Member 9:
Total Number in Household*
Is this student a Foster child?*
- Yes
- No
Child's Name
First Last
Does the child have monthly income?*
- Yes
- No
Amount $
Signature, Acknowledgement, and Consent to verify your student's enrollment and tuition balance with the private school. (You will receive an email copy of your application)
I acknowledge all the information on this application is true, and all income is reported to the best of my knowledge:
Print Name*
Date*
MM slash DD slash YYYY
Question or Comment

Please also consider redirecting your AZ State taxes to help another family in need of private school tuition scholarships.

SCHOLARSHIP REPORTS

In compliance with the Arizona Revised Statute A.R.S. 43-1603, all School Tuition Organizations (STOs) are required to annually publish the dollar amount and percentage of scholarships awarded to students whose household income cap falls into one of two categories: Below 185% of the poverty level, and/or between 185% and 342.25% of the poverty level.

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2020/21 School Year Scholarship Award Report:

"Original" Tuition Tax Credit Scholarships Awarded in 2020/21:

6.97% ($22,476.63) scholarships were awarded to students with family income up to 185% of the poverty level
19.76% ($63,702.79) scholarships were awarded to students with a family income of 185% to 342.25% of the poverty level

"Switcher/ Overflow" Tuition Tax Credit Scholarships Awarded in 2020/21:

4.48% ($9,269.30) scholarships were awarded to students with family income up to 185% of the poverty level
26% ($53,772.22) scholarships were awarded to students with a family income of 185% to 342.25% of the poverty level

"Corporate Low-Income" Tuition Tax Credit Scholarships Awarded in 2020/21:

48.91% ($136,880.87) scholarships were awarded to students with family income up to 185% of the poverty level
51.09% ($142,983.36) scholarships were awarded to students with a family income of 185% to 342.25% of the poverty level

"Corporate Disabled/ Displaced " Tuition Tax Credit Scholarships Awarded in 2020/21:

0% ($37,800.00) scholarships were awarded to students with family income up to 185% and/or 185% to 342.25% of the poverty level

Audited Financials

Arizona Revised Statute A.R.S. 43-1603 Subsection A requires every certified STO which receives over one million dollars in donations to complete a financial audit conducted by an independent CPA.

Form 990 is available by email request.

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Student Information: (please complete)

Financial Aid Eligibility Prerequisites for Low Income Corporate Scholarship and Switcher

2nd Income Source

3rd Income Source

Signature, Acknowledgement, and Consent to verify your student's enrollment and tuition balance with the private school. (You will receive an email copy of your application)

Please also consider redirecting your AZ State taxes to help another family in need of private school tuition scholarships.

SCHOLARSHIP REPORTS

(602) 698 - 8855

info@sto4kidz.org