Children
First: CEO Kansas
2006-2007
SCHOOL YEAR
(This
application becomes invalid after March 31, 2006)
Send
your child to the school of your choice.
Who is eligible?
In
order to be eligible for a Children First: CEO Kansas scholarship, the student
must be:
·
a resident of
·
entering grades 1 through 12;
·
fall within the Income Eligibility Guidelines printed on Page 2;
·
and not have been enrolled in a private or parochial school
for grades 1-12 in the 2005-2006 school year.
What are the rules?
Families
of students who receive scholarships will receive financial aid of 15%, 40%,
65% or 75% (up to a maximum of $1,500, whichever is less) of the annual
tuition charges of attending private, parochial or church-based, or public
school provided:
·
the student remains in good standing with the school;
·
the family pays their portion of tuition;
·
the school verifies enrollment and continued attendance & provides
grade/progress information to Children First: CEO Kansas.
Scholarship payments will be issued in four equal installments after the end of each quarter & upon receipt of grade cards, progress reports, standardized test scores and attendance & enrollment verification from receiving schools.
How are the scholarships awarded?
Scholarships will be awarded by lottery drawing to
students whose applications with supporting documents are received on or before
August 12, 2006.
If parents have difficulty filling out applications, they may call the numbers on Page 2 for help.
How much is a scholarship?
Depending upon family income (see Income Eligibility Guidelines, Page 2), the value of the scholarship will be 15%, 40%, 65% or 75% — up to a maximum of $1,500 (whichever is less) — of the annual tuition costs. Scholarships do not include registration fees, costs for books, uniforms, etc.
What about siblings?
For the 2006-2007 school year, scholarships will only be awarded to those drawn in the lottery. In the future, we hope to have enough funds to allow us to award scholarships to siblings of scholarship recipients.
Why not pay the whole tuition?
A CEO Kansas scholarship is a helping hand, not a hand out. We believe that people appreciate something more when they must sacrifice to obtain it. Children First: CEO Kansas seeks to honor and support parents who are sacrificing to give their children greater educational opportunity.
What about transportation?
As with most parents who choose educational alternatives, scholarship parents must arrange daily transportation by driving their child to school or sharing rides with other school families.
Do certain types of private schools receive preferential treatment?
No. Our program is based on a simple
concept: Give parents the opportunity to
choose the school they believe is best for their child.
Is the scholarship good at a public school?
Yes, if the public school agrees to accept tuition payments from both Children First: CEO Kansas and the parent. However, your child cannot already be a student at the public school at which you choose to use your scholarship.
Is the scholarship just for public school students?
Our goal is to reach as many families as possible who have never felt they had the option of choosing their child’s school. Because of the small number of scholarships available for the 2006-2007 school year, 100% of this year’s scholarships will be awarded to students currently attending public schools. In the future, we reserve the option to award scholarships to those already attending non-public schools.
What happens next year?
This is not a one-year program. Scholarships may be renewed for up to three years for students who remain in good standing with their schools and who continue to meet eligibility requirements if funding is available for that purpose. Scholarships are not transferable from one child to another sibling.
So how do I apply?
Families need to complete a
written application and return it along with supporting documentation by the
August 12, 2006 deadline. Applications may be picked up at various locations
around
2006-2007 INCOME ELIGIBILITY GUIDELINES
(Maximum Scholarship of $1,500/Based on 2005
Adjusted Gross Income)
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Household Size
|
Total Annual Income for 75%
Scholarship (100% Poverty)
|
Total Annual Income for 65% Scholarship
(130% Poverty)*
|
Total
Annual Income |
Total Annual Income for 15% Scholarship
|
|
2 |
$13,200 |
$17,160 |
$24,420 |
$35,640 |
|
3 |
$16,600 |
$21,580 |
$30,710 |
$44,820 |
|
4 |
$20,000 |
$26,000 |
$37,000 |
$54,000 |
|
5 |
$23,400 |
$30,420 |
$43,290 |
$63,180 |
|
6 |
$26,800 |
$34,840 |
$49,580 |
$72,360 |
|
7 |
$30,200 |
$39,260 |
$55,870 |
$81,540 |
|
8 |
$33,600 |
$43,680 |
$62,160 |
$90,720 |
|
|
For
each additional child add $3,400 |
For
each additional child add $4,420 |
For
each additional child add $6,290 |
For
each additional child add $9,180 |
*Based on Federal School Lunch income guidelines effective July 1, 2006 to June 30, 2007.
WHAT QUALIFIES AS INCOME?
·
Earnings from
work including wages, salaries and tips; strike benefits; unemployment
compensation;
·
workmen’s
compensation; net income from self-owned business or farm
·
Welfare and
public assistance payments; child support; alimony
·
Pensions,
retirement and social security; veteran payments; Supplemental Social Security
Income
·
Other income
including earnings from a second job; disability benefit, interest or
dividends; cash withdrawn from savings; income from estates, trusts or
investments; regular contributions from persons not living in the household;
royalties, annuities or rental income; military housing allowance; any other
monies that may be available to pay for the child’s meals.
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For
office use only %____________ $_____________ #_____________ |
Children First: CEO Kansas Scholarship Application
2006
– 2007 School Year
Please print clearly. Photocopies
of this application are acceptable.
Please
complete both pages. Questions about application, please call
(316) 681-3667 or (316) 942-4545.
Parent/Guardian
Name: ____________________________________________________________________________
Home Address: ___________________________________________________________________________________
(Street
Address or P O Box)
________________________________________________________ _________________ ____________________
(City)
(County) (State) (Zip)
Home Phone: (____)_________________ No phone, but can be
reached at: (____)__________
Work
Phone: (____)____________________ Work
during these hours _____________________________________
Household Size
(for whom you are financially responsible): Adults_________________ Children ________________
E-mail address
(required – list friend or
family member address if necessary): _________________________________
Please
list all children (grades 1 through 12) in your household who are applying
for a scholarship.
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Child 1 |
Child 2 |
Child 3 |
Child 4 |
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Name |
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Date of Birth
(month/day/year) |
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Male or Female |
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Relationship to
Guardian |
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School Currently
Attending |
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Current Grade Level
Completed |
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Private School
Desired |
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*In
anticipation of winning a scholarship, you should register your child at the
school of your choice. Most private
schools fill up early and there may not be a place for your child if you delay.
Financial Information:
1. What was
your household Adjusted Gross Income (from year 2005 IRS 1040)? $______________
2. Did you
receive AFDC or ADC? ____________ If so, how much? $______________
3. Did you
receive SSI, TANF, food stamps?_______________ If so, how much? $______________
4. Did you
receive child support payments?______________ If so, how much? $______________
5. Any other
Income not included above (see listing on page 2) $______________
Total
Household Income for 2005 (add lines 1 thru 5) $______________
Supporting documents are required for income listed above.
(see page 4)
Please
read carefully before signing: I certify
that my child lives within the boundaries of
Parent or Guardian’s Signature: ________________________________________ Date:_________________________
Relationship
to student: Š Father Š Mother Š Other____________
Complete this section only if a 1040 was not filed
with the IRS.
(Parents/guardians
using a notary must also include copies of supporting financial information
with this form.)
I
certify that this applicant has provided me or this notary service with
adequate proof of income and that to my knowledge the financial information
provided on this form is true and complete.
____________________________________ __________________________
Notary
Signature Date
____________________________________ __________________________
Notary Name
Printed My
commission expires:
Please include with this
application:
ü Signed copy of 2005 1040 Tax Return with copies of your W-2’s. Married couples filing separately must send both forms. Tax returns must include the names of all individuals claimed as members of household, as well as names of all children requesting scholarships. If you would like a free copy of your 1040 please call the Internal Revenue Service at 1-800-829-1040.
ü Copy of documentation for notarized statement above, if assistance was received.
Please return applications to:
Children
First: CEO Kansas
3410
Tel: 316-942-4545
Fax: 316-681-3667
Deadline: August 12, 2006
Completed applications with supporting
documents must be received in our office by deadline.
Be sure to use adequate postage. Sorry, no
phone applications taken.
Children
First: CEO Kansas is not responsible for lost or misdirected mail.
BONUS
AWARD $25.00
Children
First: CEO Kansas wants to hear from students regarding their
opinions and feelings about school choice or the opportunity this scholarship
program offers. Please write a one-page or less paper (may be typed or neatly
handwritten) below addressing one (1) of the following topics:
·
I believe in school choice
because…
·
This scholarship program is
important to my family and me because…
This is strictly voluntary. One student (does not
have to be a scholarship recipient) will receive $25 cash for his/her
winning entry. All entries become the property of Children First: CEO Kansas.
BONUS
AWARD $25.00
Children
First: CEO Kansas wants to hear from parents regarding their
opinions and feelings about school choice or the opportunity this scholarship
program offers. Please write a one-page or less paper (may be typed or neatly
handwritten) below addressing one (1) of the following topics:
·
I believe in school choice
because…
·
This scholarship program is
important to my family and me because…
This is strictly voluntary. One parent (does not
have to be parent of a scholarship recipient) will receive $25 cash for
his/her winning entry. All entries become the property of Children First: CEO
Kansas.