IDOE Choice Scholarship Application (Choice Voucher)

Taxes not complete? Please wait to submit this form until your tax documents are completed.
IDOE Choice Scholarship Application (Choice Voucher)
Parent/Guardian Name*

First NameLast Name

Student Info

Choice Scholarships are available for students in K5-12. (Not available for preschool)
Student Name:*

First NameLast NameGrade ('25-26)
Additional Student (if applicable):

First NameLast NameGrade ('25-26)
Additional Student (if applicable):

First NameLast NameGrade ('25-26)
Additional Student (if applicable):

First NameLast NameGrade ('25-26)
Additional Student (if applicable):

First NameLast NameGrade ('25-26)

Student Info, cont.
Student(s) Home Address:*

Street Address

Apt #, etc. (if applicable)

CityState / Province

Postal / Zip Code
Is this the same address as your choice scholarship last year?*

YesNo, we've movedNot applicable, we're a new family to CCS

Special Education
List any student(s) that have an Individualized Education Program (IEP) / Service plan:

Household Size and Income
Taxes not complete? Please wait to submit this form until your tax documents are completed.
Questions? Refer to the following forms regarding household size and income:
Household Size:*
Adjusted Gross Income (AGI) from 2024 Federal Tax Return:*
Does your 1040 Tax Form provide a complete and accurate picture of your household size AND income?*

YesNo, we have multiple 1040's or additional dependents not included on the 1040

Household Size and Income, cont.
Choose your preference:*

I will upload my 1040 Tax Return.I will drop off a hard copy in the school office.
DISCLAIMER: While we've taken numerous measures to protect your data (encrypted form, password-protected dropbox, etc.), we cannot guarantee absolute security. If you would prefer to drop off your tax form in person, select that option above.

1040 Tax Form (upload)
DISCLAIMER: While we've taken numerous measures to protect your data (encrypted form, password-protected dropbox, etc.), we cannot guarantee absolute security. If you would prefer to drop off your tax form in person, select that option below.
Upload your 1040 Tax Form (only page 1 required):*

Cancelof
Upload an additional 1040 Tax Form for spouse, child, etc.

Cancelof
(If applicable) Upload an additional 1040 Tax Form for spouse, child, etc.

Cancelof
(If applicable) Upload an additional 1040 Tax Form for spouse, child, etc.

Cancelof
HOUSEHOLD SUMMARY FORM:

CLICK HERE to download and complete the Household Summary Form. This is a state requirement for families in which all household size/income is not included on a single 1040 tax form.
Upload your completed Household Summary Form:*

Cancelof

Verification
I have reviewed all the requirements to determine household size and household income in its entirety and with my signature I verify that I have accurately disclosed this information to determine my student's eligibility for the Choice Scholarship Program.*

Clear
Should be Empty:

Student Info