• Created for Scott Berghoff by Anthony Harvey on 01/29/2024.

  • CSA Provider and Program Application

  • Thank you for your interest in supporting Career Scholarship Accounts. Please review the CSA Program and Provider Requirements here before proceeding. For questions, please consult our list of Frequently Asked Questions here. If your question was not answered by the FAQ, feel free to contact us at CSA@doe.in.gov. 

  • 4. Primary Point of Contact

  • 6b. Partner organizations and sub-providers

    Please list partner organizations (including yourself) and their role. For the “Direct Reimbursement” question, check “Yes” if the corresponding organization will independently bill the CSA for reimbursement.
  •  
  • Should be Empty: