Requalification Form 2026-2027 School Year

Requalification Form 2026-2027 School Year
MOST, in its sole discretion, reserves the right to determine whether each applicant meets our guidelines necessary for a MOST Scholarship.

If you have questions or need help filling out the application, please email tmack@mostmemphis.org or fshirley@mostmemphis.org
Parent/Guardian 1
Parent/Guardian 1*

First NameLast Name
Relationship to Child(ren)*
Please explain relationship
Date of Birth*
Marital Status*
Physical Address*

Street Address (no P.O. Boxes)

Street Address Line 2

CityState / Province

Postal / Zip Code
YesNo
Mobile Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Other Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Employer*
Add Parent/Guardian
Parent/Guardian 2
Parent/Guardian 2

First NameLast Name
Relationship to Child(ren)
Please explain relationship
Date of Birth
Marital Status
Physical Address

Street Address (no P.O. Boxes)

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Phone
Please enter a valid phone number.Format: (000) 000-0000.
Other Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Employer
Students

List each child already receiving a MOST Scholarship
Student 1*

First NameLast Name
Nickname
Date of Birth*

MonthDayYear
Sex assigned at birth*
Ethnicity*
School for 2026/27*
Grade in 2026/27*
Requalify Student 2
Student 2

First NameLast Name
Nickname
Date of Birth

MonthDayYear
Sex assigned at birth
Ethnicity
School for 2026/27
Grade in 2026/27
Requalify Student 3
Student 3

First NameLast Name
Nickname
Date of Birth

MonthDayYear
Sex assigned at birth
Ethnicity
School for 2026/27
Grade in 2026/27
Requalify Student 4
Student 4

First NameLast Name
Nickname
Date of Birth

MonthDayYear
Sex assigned at birth
Ethnicity
School for 2026/27
Grade in 2026/27
New-to-MOST Siblings

If you have a child entering PK3, PK4, kindergarten, or grades 1-2 whom you wish to add to the program, please provide his or her information here. You must submit a copy of the birth certificate for each child you are enrolling for the first time.
Add a new sibling
Sibling Name

First NameLast Name
Nickname
Date of Birth

MonthDayYear
Sex assigned at birth
Ethnicity
School for 2026/27
Grade in 2026/27
Add a new sibling
Sibling Name

First NameLast Name
Nickname
Date of Birth

MonthDayYear
Sex assigned at birth
Ethnicity
School for 2026/27
Grade in 2026/27
School Financial Assistance
Per the MOST Handbook, it is a requirement for families to apply for financial aid from their school, if available, to also receive a MOST Scholarship. If you are unsure if your school offers tuition assistance, please email info@memphisscholarships.org.*
TN Education Savings Account (ESA)
Have you applied for the TN ESA (https://www.tn.gov/education/esa.html)*
TN Education Freedom Scholarship (EFS)
Did you apply for the TN EFS for the 2025/26 school year (https://www.tn.gov/education/efs.html) *
Do you plan to apply for the TN EFS for the 2026/27 school year (https://www.tn.gov/education/efs.html) *
Household Financial Information

You must write something in each blank below, If something does not apply to your family, write "N/A".
Number of adults living in the home:*
Number of children living in the home:*
Tuition you pay for children NOT already receiving a MOST Scholarship:*
Monthly mortgage or rent payment:*
Monthly vehicle(s) payment:*
Vehicle(s) Make:*
ex. Toyota and Hyundai
Vehicle(s) Model:*
ex. Camry and Palisade
Vehicle(s) Year:*
ex. 2016 and 2021
Failure to submit documentation or presenting misinformation for expenses will jeopardize your scholarship(s).

You must be able to show proof of your financial responsibility for every person in your household, either by showing him or her on your tax return, on an official document of public assistance (Families First, SSI, food stamps, etc, or on your receipt of child support).
Tax Returns
How many 2025 tax returns were (or will be) filed by members of your household? (Tax returns for ALL adults in the home are required.)*
If you have not yet filed a 2025 tax return, when do you expect to file? (We will need a copy of your return once it has been filed.)*
Did any adults (age 18 or older) in your household NOT earn income in 2025? If so, please list person's name and explanation. *
2025 Income

Enter all of your annual income.
1. Earned Income (Adjusted Gross Income from all tax returns and/or income from other sources not reported on a tax return. *
2. Food Stamps (annual amount, not monthly). *
3. Families First (annual amount, not monthly). *
4. Social Security Income (If it is not entered on your tax return, please include the total for all recipients in the household). *
5. Child Support, official or unofficial. *Total received for all children in the household, not just applicant.*
6. Other
Documents to Upload
1. Earned Income
  1. All tax filers must submit a SIGNED AND FILED copy of the 2025 Form 1040 tax return, including page 2, (plus Schedule C, if self-employed) and all employee-issued W-2s and/or 1099s.
  2. If anyone in your household earned income that was NOT reported on a tax return, submit some sort of documentation (e.g. letter from employer, Disability Statement, deposits to bank account, etc.) showing 2025 income.
2. Food Stamps: Food stamp Issuance History for calendar year 2025. (Contact your caseworker if you do not have a copy.)
3. Families First: Cash Issuance History for calendar year 2025. (Contact your caseworker if you do not have a copy.)
4. Social Security Income: 1099 Forms from Social Security Administration for each person receiving benefits.
5. Child Support:
  1. If support is court-ordered, provide a Custodial Parent Payment Summary. (If you have your Case ID or Member ID, you can print a summer at https://apps.tn.gov/tcses-app/login.html.)
  2. If child support is not court-ordered, have the paying party sign a statement of amount paid in 2025.
Birth Certificate for any NEW student you are adding to the MOST program

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Utility Bill for Address Listed Above*

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Picture of Driver's License

Cancelof
SIGNED & FILED 2025 Tax Return, Form 1040 (the child(ren) must be claimed on the tax return). If you have not yet received your 2025 tax return, please submit it as soon as it becomes available.

Cancelof
W-2s*

Cancelof
Child Support Information (if applicable)

Cancelof
Public Assistance Information (if applicable)

Cancelof
I permit Memphis Opportunity Scholarship Trust (MOST) to use — in whole or in part and without compensation — photographs, videos, classwork, art or projects, written extractions, voice recordings, and name(s) of the student(s) listed below in MOST publications, brochures, websites, and other promotional materials. Further, Parent/Guardian permits MOST to notify media of academic (excluding grades), athletic, and other special achievements, using name and likeness. The foregoing consent shall extend beyond this family’s participation in the MOST program and shall survive the termination of the scholarship awarded.**

YesNo
YesNo
YesNo
If there is any information about your application that you'd like to explain, please do so here:
I certify that all the information provided on this form is true and complete. I understand that by presenting misinformation will result in the permanent loss of my family's scholarship(s).

I agree to:
- Ensure my child(ren) is in school on the first day of classes;
- Fulfill my financial obligations to my child(ren)'s school account(s) in a timely manner;
- Commit to at least 90% attendance by my child(ren);
- Sign all required MOST documents in a timely manner; and,
- Comply with the standards of my child(ren)'s chosen school(s).
I understand that I understand that failure to comply with these statements will result in the permanent loss of my family’s scholarship(s). I also give permission for my child(ren)’s school(s) to release information about grades, test scores, and any awards/honors my child(ren) receive(s) to MOST or any agency authorized by MOST for the purpose of conducting evaluations of the program. Finally, I agree to release MOST from any liability in its efforts to provide this/these scholarship(s).
Name*
Signature*
Date*

MonthDayYear
Date
Should be Empty:

Requalification Form 2026-2027 School Year

Parent/Guardian 1

Parent/Guardian 2

Students

New-to-MOST Siblings

School Financial Assistance

TN Education Savings Account (ESA)

TN Education Freedom Scholarship (EFS)

Household Financial Information

Tax Returns

2025 Income

Documents to Upload