2021-22 School Year

STO Application
The deadline for completing this application and uploading the supporting documentation is April 30, 2021. If any issues are found with this application during processing, it may unfortunately result in the need to fill it out again. Please complete it carefully and ensure all information is correct before submitting it.

There is no application fee to pay, as the STO Board currently covers all related costs.

(Click here for more information about the Legacy of Grace School Tuition Organization)

Head of Household (as designated on tax return) *

First Name Last Name
Street Address - Line 1 *
Street Address - Line 2
City *
State *
Zip Code *
Primary Phone Number *
Secondary Phone Number
Primary E-mail *

Confirmation Email This will be used as the primary method for contacting you. If you do not receive a confirmation email after submitting this application, please contact us!
Status
Status Notes

Last 4 Digits Of SSN For Head Of Household *
Income Amount *
Income as shown on line 9 (total income) of your IRS Federal 1040. If negative, please enter 0.
Exempt From Submitting A Tax Return *
Only select Yes if you did not earn enough income to be required to file a Tax Return. Otherwise, Select No.
NON TAX FILER AFFIDAVIT

The undersigned individuals(s) duly swears that he or she did not earn enough income to be required to file a federal and Iowa individual income tax return for the tax period ending December 31, 2020. Therefore, in seeking a tuition grant for the upcoming school year, he or she is not required to submit a copy of the federal or Iowa individual income tax return to verify the household income entered above.
Electronic Signature Confirming You Meet The Conditions Above

First Name Last Name
Date For Confirming Exemption

Month Day Year
Below, upload the first official page of your 2020 Federal 1040 Tax Return (NOT the efile instructions). This page must show line 9 Total Income in order to avoid problems with the submission.
You may use a scanner or a clear digital picture for the upload. If you have more than 4 dependents, please upload Dependent Schedule 1 which lists all dependents for the entire household. *

Upload One or More Files
Please black out the SSN#, except for the last four digits. (completely black out for all children). Please try opening the files separately first to verify all information is legible before uploading. Cancel of

Number In Household *
As noted on last year's tax return.
To be eligible, students must be in Kindergarten or higher and attend Central Iowa Christian School, Newton Christian School, Oskaloosa Christian School, Ottumwa Christian School, Pella Christian High School, Peoria Christian School, or Sully Christian School. Please enter information for each eligible student below.

Student Information For the 2021 - 2022 School Year: (Please do not leave school blank - PCGS has a separate STO site and is therefore not an option below!) *

	First Name	Last Name	Grade	School
Student 1
Student 2
Student 3
Student 4
Student 5
Student 6
Student 7
Student 8
Student 9
Student 10

IncomeMaxForHouseholdNumber (calc)
StudentInfoConcatenated

Testimonial
Would you consider writing a testimonial about how this program assists you in sending your student(s) to one of our Christian schools? Please help us in demonstrating to legislators how important it is for them to continue their support of this program.
May we use your name?
May we use the name(s) of the school(s) attended by your student(s)?
Electronic Signature For This Application *

First Name Last Name
Date This Application Was Signed *

Month Day Year
By supplying your name and date above and clicking the Submit Application button below, you are signifying this application is as complete and accurate as possible.
Should be Empty:

STO Application