Virginia Tax Credit Scholarship Verification
In order to finalize your participation in the Virginia Tax Credit Scholarship, please complete the following information. This form must be completed separately for each student.
Parent/Guardian Name
*
First Name
Last Name
Student Name
*
First Name
Last Name
Student Date of Birth
*
-
Month
-
Day
Year
Date
Number of Persons in Household (immediate family only - do not include extended family)
*
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
Adjusted Gross Income listed on 2023 Federal Tax Return
*
Upload a copy of your Federal Tax Return
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Assigned Public School Division (not Tidewater Adventist Academy)
*
Name of School Student Attended Last Year
*
Did the student live out of state last school year?
*
Yes
No
Was the student enrolled in a Virginia public school either semester last year?
*
Yes
No
Did the student receive a Virginia Tax Credit Scholarship last year?
*
Yes
No
What grade is the student entering (2024-2025)?
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Submit
Should be Empty: