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Application Page

Please complete the entire application. All areas must be filled in even if zero dollar amount or it does not apply to your situation.

A scholarship awarded by Arizona Tax Credit may only be used as allowed by Arizona law solely for tuition expenses for a child enrolled in K-12 grade at a qualified private school in the state of Arizona. Any unused portion must be returned to Arizona Tax Credit for reallocation. Arizona Tax Credit will not award, restrict or reserve scholarships solely on the basis of a donor's recommendation. A donor's recommendation of a student does not guarantee that a scholarship will be awarded. A variety of considerations will be made, including financial need, before a scholarship is awarded. All final decisions to award tuition scholarships are subject to the sole and absolute discretion of Arizona Tax Credit. A taxpayer may not claim a tax credit if they agree to swap donations with another taxpayer to benefit either taxpayer's own dependent. An email notification will be sent to applicants receiving an award. Scholarships will be awarded without regard to the student's race, color, sex, handicap, familial status or national origin.

  • Wages, salaries, tips, commissions
  • Net income from self-owned businesses and farms
  • Strike benefits, unemployment compensation and worker's compensation
  • Pensions, retirement income, veteran's benefits
  • Social security
  • Supplemental security income
  • Disability benefits
  • Public assistance payments/welfare benefits (TANF, General Assistance, etc.)
  • Alimony
  • Child Support Payments

*Do not include food stamps and FDPIR benefits in income.

  • Net rental income, annuities, net royalties
  • Interest, dividend income
  • Cash withdrawn from savings
  • Income from estates, trust and/or investments
  • Regular contributions from persons not living in the household
  • Any other money that may be available to pay for the child(ren)'s meals

I have read the Household Income bullet points in order to accurately complete the form I acknowledge and agree with the following:

List EVERY member of your economic unit (as described in the "What You Will Need.." section at the top of this page) NOT ALREADY LISTED ON THE APPLICATION.

Household Contact Information

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Hardships / Special Circumstances

Please check ALL special circumstances that apply.

Review & Submit

Please take a moment to review the above information for accuracy.

An adult household member listed as a parent/guardian on this application must sign by typing his/her name below. Social Security Number information is encrypted on this form and will be held in strictest confidence. (Read our Security Policy)

By submitting my typed name below, I/we acknowledge the following: I/we declare that all information provided on this application, to the best of my/our knowledge, is true, correct and complete. As required by the state of Arizona and Arizona Tax Credit in order to consider financial need, I/we have completed the financial fields for all household members, and all income has been reported as defined by Income definitions at the beginning of this application. I/We understand that false or misleading information will result in the immediate removal of this application for consideration by Arizona Tax Credit.