ECA School Choice Voucher Scholarship registration
Please complete this form and provide the information verification requested.  Once this information is entered, we will receive within 15 days an estimated award letter for your student.  A copy of this letter will be provided to you for your records.
Email *
Have you completed re-enrollment or enrollment online via the ECA website? *
Have you paid the $100 annual enrollment fee?  if not, this payment must be made before your child will be fully enrolled at ECA for the 2024-2025 school year. *
Student Last name *
Student first name *
Student grade level *
Student birthdate *
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DD
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YYYY
Student county of residence  *
Street address *
City *
State *
Zip code *
Parent 1 Name *
Parent 2 name *
Email address *
Phone Number *
Does your child have an IEP? *
If your student has an IEP, do you want ECA to provide service? *
Household size - number of people living in the home. *
House hold income - copy of tax return will be needed for verification for the State - IRS 1040 *
Did you receive, sign and return the parent agreement form for School Choice voucher scholarship?
This will be provided at an Open House.
 *
A copy of your responses will be emailed to .
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