Indiana Choice Scholarship (Voucher) Application
The Choice Scholarship (Indiana Voucher) is for Indiana Residents only.
Parent Name
*
First Name
Last Name
Parent Email
*
example@example.com
Current Residential Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Number of Students in Grades K-12 Attending Christian Academy of Indiana for 2026-27 School Year
*
Please Select
1
2
3
4
5
6
7
8
Student 1 Name
*
First Name
Last Name
Student 1 Grade entering August 2026
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Student 1 Birth Date
*
-
Month
-
Day
Year
Date
Does student 1 listed above have an Indiana State approved IEP?
*
Yes
No
Student 2 Name
*
First Name
Last Name
Student 2 Grade entering August 2026
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Student 2 Birth Date
*
-
Month
-
Day
Year
Date
Does student 2 listed above have an Indiana State approved IEP?
*
Yes
No
Student 3 Name
*
First Name
Last Name
Student 3 Grade entering August 2026
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Student 3 Birth Date
*
-
Month
-
Day
Year
Date
Does student 3 listed above have an Indiana State approved IEP?
*
Yes
No
Student 4 Name
*
First Name
Last Name
Student 4 Grade entering August 2026
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Student 4 Birth Date
*
-
Month
-
Day
Year
Date
Does student 4 listed above have an Indiana State approved IEP?
*
Yes
No
Student 5 Name
*
First Name
Last Name
Student 5 Grade entering August 2026
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Student 5 Birth Date
*
-
Month
-
Day
Year
Date
Does student 5 listed above have an Indiana State approved IEP?
*
Yes
No
Student 6 Name
*
First Name
Last Name
Student 6 Grade entering August 2026
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Student 6 Birth Date
*
-
Month
-
Day
Year
Date
Does student 6 listed above have an Indiana State approved IEP?
*
Yes
No
Student 7 Name
*
First Name
Last Name
Student 7 Grade entering August 2026
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Student 7 Birth Date
*
-
Month
-
Day
Year
Date
Does student 7 listed above have an Indiana State approved IEP?
*
Yes
No
Student 8 Name
*
First Name
Last Name
Student 8 Grade entering August 2026
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Student 8 Birth Date
*
-
Month
-
Day
Year
Date
Does student 8 listed above have an Indiana State approved IEP?
*
Yes
No
Are you the primary custodial parent or legal guardian for the student(s) listed above?
*
Yes
No
Do the student(s) listed above live with you 50% or more of the time?
*
Yes
No
The IDOE requires current proof of Indiana residency for the Choice Scholarship. Please upload one of the following acceptable documents: utility bill, bank statement, credit card statement (dated May 1 or after - only 1 page needed), current lease agreement/mortgage statement, current USPS change of address confirmation, current homeowner's/auto insurance policy/statement, 2025 Form 1040 (page 1 only), or 2025 W2.
*
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