EdChoice Renewal Form 2025-2026

EdChoice Renewal Form 2025-2026

Use this form if your son is a current recipient of EdChoice
STUDENT INFORMATION

***Student data MUST match Birth Certificate.***
STUDENT NAME*

If No Middle Name, Type N/AIf No Suffix, Type N/A
STUDENT DATE OF BIRTH*

MonthDayYear
Date
STUDENT GENDER*

MALE
GRADE STUDENT WAS IN ON JANUARY 1, 2025*
SCHOOL STUDENT IS CURRENTLY ATTENDING*
WHAT SCHOOL DISTRICT DO YOU LIVE IN?*

PARENT/GUARDIAN INFORMATION

RESPONSIBLE FOR THIS FORM AND DOCUMENTATION AND SIGNING SCHOLARSHIP CHECKS.
FOR THE PARENT/GUARDIAN SIGNING CHECKS, I AM THE (CHECK ONE):*

Natural ParentResidential ParentAdoptive ParentStudent who is at least 18 years oldLegal Guardian of student applying for scholarship funds (court documents or Affidavit of Eligibility are required)
PARENT NAME*

If No Middle Name, Type N/AIf No Suffix, Type N/A
DATE OF BIRTH*

MonthDayYear
Date
LAST FOUR DIGITS OF SSN*
PHYSICAL ADDRESS*

Street Address

County

CityState / Province

Postal / Zip Code
County*
PHONE NUMBER*
Please enter a valid phone number
EMAIL ADDRESS*
If No Email, Type example@example.com
RELATIONSHIP TO STUDENT*

SECONDARY PARENT/GUARDIAN

*** NO STEP-PARENTS UNLESS THEY HAVE CUSTODY OR GUARDIANSHIP. MUST PROVIDE AND UPLOAD DOCUMENTATION. ***
PARENT NAME*

If No Secondary Guardian, Type N/A in each BoxIf No Middle Name, Type N/AIf No Suffix, Type N/A
DATE OF BIRTH*

MonthDayYear
If No Secondary Guardian, Type 01/01/1900
LAST FOUR DIGITS OF SSN*
If No Secondary Guardian or SSN, Type 0000
PHYSICAL ADDRESS - If No Secondary Guardian, Type N/A*

Street Address

County

CityState / Province

Postal / Zip Code
County*
If No Secondary Guardian, Type N/A
PHONE NUMBER*
If No Secondary Guardian, Type N/A
EMAIL ADDRESS*
example@example.com
RELATIONSHIP TO STUDENT*

2025-2026 EDCHOICE PARENT AGREEMENT
I____________ AGREE TO THE FOLLOWING:*
Parent Full Name
- The information provided in this application is true and correct.
- I have supplied the chartered nonpublic school with a certified copy of the student’s birth certificate, copies of all custody/guardianship documentation for the student, and proof of my address.
- I have submitted only one EdChoice application for this student.
- The scholarship amount shall only be applied to the tuition of the enrolling school, and I may be required to pay other fees and costs as prescribed by the policies of the school.
- I will sign all scholarship checks received by the private school for my student in a timely manner. I understand that if I fail to endorse the scholarship checks to the school, I will be responsible for paying the student’s tuition.
- If I transfer my scholarship to another participating chartered nonpublic school, I will notify the school of my intent to withdraw and I will return to the original school to sign any remaining checks.
- I will apply for any and all financial aid or tuition discounts and adjustments made regularly available to the students attending the school in which the student is accepted for enrollment.
- I will abide by the Ohio Department of Education and Workforce (DEW) dispute resolution process outlined in Ohio Administrative Code Section 3301-11-14.
- If I am not a low-income parent or did not complete the income verification process, I will be responsible for paying any differencebetween the scholarship amount and the tuition of the chartered nonpublic school.
- I must inform DEW and the chartered nonpublic school of any change in the student’s residential address or custody status.
- I will not be able to renew my child’s scholarship if: 1) my family moves to another public school district unless my child would be assigned to an EdChoice designated public school in the new district (applicable only to students who were initially awarded a scholarship based on an EdChoice designated building); 2) my child does not complete all required assessments; 3) my child has more than 20 unexcused absences for the school year; or 4) I fail to complete the renewal process. If my child received an EdChoice Expansion scholarship, I must maintain Ohio residency.
- I have received and understand the policy handbook of the chartered nonpublic school and will abide by its provisions.
- I understand that if my child’s scholarship has been awarded in error, it will be terminated immediately,and I would be responsible for paying the tuition if I decide to keep my child at the private school.
I designate Type St. Charles *to submit an application on my behalf for the Scholarship Program through the Ohio Department of Education and Workforce's electronic application system. By signing below, I agree to the above statement.
SIGNATURE OF PARENT/GUARDIAN THAT WILL BE SIGNING CHECK*

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Today's Date*

MonthDayYear
Date
ADDRESS VERIFICATION
Proof of residency is required of all renewal applicants and must be submitted to the school with the application.

Parents/Guardians must document residency by providing the school with a current (less than 90 days old) utility bill. The utility (electric, gas, water, sewer, cable/internet) bill must show matching service address and mailing address in the name of the parent/guardian. Post office boxes (except in rural areas where residents only have a PO Box) and cell phone bills have no service address and therefore are not accepted.

Other Acceptable Documents: A monthly mortgage statement (less than 90 days old) or lease/rental agreement (signed by lessee and lessor) and a piece of current business mail (examples: pay stub, bank statement, insurance statement, car payment statement, etc.) with parent/guardian’s name and address. Additional information can be found on the scholarship webpage ( https://education.ohio.gov/Topics/Other-Resources/Scholarships/EdChoice-Scholarship ).
Upload a recent (<90 days) Utility Bill here. Please make sure to include all pages of utility bills to show both the service address and the billing address.*

Water, Gas, OR Electric bills prefered. Must be recent (<90 days).
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***If you are a new student enrolling in St. Charles, you MUST upload a copy of birth certificate.***

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**Please upload your custody or court documents here. This section is specifically for fathers who have any responsibility for the student's education, single fathers, or step parents with legal documentation.***

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INCOME VERIFICATION
*** ATTENTION:

Income verification is not required to apply for a Traditional EdChoice Scholarship. Families may qualify for low-income status if they choose to have their income verified for the Traditional EdChoice Scholarship.

To complete the Income Verification process, parents may submit online using the secure Income Verification system ( https://education.ohio.gov/getattachment/Topics/Other-Resources/Scholarships/EdChoice-Scholarship/EdChoice-Resources/Quick-Guide-Income-Verification-Portal.pdf.aspx?lang=en-US ) or complete and mail the paper form.

Emailing documents to the ODEW is not permitted.

*** Please contact the St.Charles Finance Office, if you need assistance completing the Income Verification. ***
Questions/Concerns

Please contact: The SC Finance Office at edchoice@scprep.org or call 380-209-2244
Should be Empty:

EdChoice Renewal Form 2025-2026

STUDENT INFORMATION

PARENT/GUARDIAN INFORMATION

SECONDARY PARENT/GUARDIAN

2025-2026 EDCHOICE PARENT AGREEMENT

ADDRESS VERIFICATION

INCOME VERIFICATION

Questions/Concerns