Ephesus Junior Academy Scholarship Application 
We are pleased to offer the Virginia Education Improvement Scholarships Tax Credits Program through the Potomac Conference Education Foundation. This program offers Virginia families the opportunity to send
their children to a Virginia Seventh-day Adventist school of their choice using private scholarships!

Parents, if you have already applied for your child to attend Ephesus Junior Academy,  please fill out all requested information in this application completely.  Please complete one form per child. 

We will be in touch with you after reviewing your application. 
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Student Full Name ( Last, First, MI) *
Student Date of Birth *
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/
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YYYY
Academic Year: *
Required
Parent/Guardian Name *
Parent/Guardian Phone Number *
Parent/Guardian Email Address  *
What grade is the student entering? *
Number of persons in household: *
Adjusted Gross Income as listed on 2022 Federal Tax Return: *
Assigned Public School: *
School child attended last school year: *
Did the student live out of state last school year?  *
Required
Was the student enrolled in a Virginia public school either semester last school year?    *
Required
Did the student receive a Virginia Education Tax Credit Scholarship last year? *
Required
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