Roncalli Choice Scholarship Application
Please complete one application for each student at Roncalli and submit this form, along with your 2023 tax return.
Sign in to Google to save your progress. Learn more
Email *
Student Name (complete one form per student) *
Student Date of Birth *
MM
/
DD
/
YYYY
Grade Level (2024-2025) *
Parent Name Applying for Scholarship *
Address *
Name of Catholic Parish I am Supporting (if applicable)
Are you applying for a Choice Scholarship at another school for a different child? *
If yes, we are asked to coordinate with that school to submit consistent applications.  Please list school and contact for the other application:
Does the student listed above have an Individualized Education Plan or Service Plan (IEP/ISP)? *
Number of people living in the household *
Please list all members living in the household *
Do you have a completed 2023 tax return? *
Are all household members listed above on your 2023 tax return?  If no, a Household Summary Form and additional documentation will be required. *
Do you have any additional income not included on your tax return from child support, disability, social security, public assistance or other source? *
If you have additional income, please describe sources and amounts.  Additional documentation will be needed. If you receive child support or all household members are not on your tax return, please also upload a copy of your divorce decree that shows child support amount and tax exemption information.
DON'T FORGET TO SUBMIT YOUR APPLICATION BELOW.   A LINK TO A DROPBOX FOLDER WILL APPEAR ONCE YOU HIT SUBMIT.  PLEASE UPLOAD YOUR TAX RETURN AND ANY OTHER REQUESTED DOCUMENTS VIA THE LINK GIVEN.  NAME YOUR DOCUMENTS WITH THE STUDENT NAME.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Roncalli High School. Report Abuse