(private) 2024-2025 Student Scholarship Application Student Scholarship Application 2024-2025 School Year To complete this application: Student must be a Georgia resident. Student must meet the State eligibility requirements. Student must be accepted to a qualifying private school for the year in which they are seeking a scholarship. For example, if your student is applying for a scholarship for the 2024-2025 school year, they must be accepted for the 2024-2025 school year before we will award a scholarship. Applications for homeschool or homeschool hybrid organizations will not be considered. Student must complete the following application, including an essay explaining your service experience. We are not looking for perfection in your essay; we prefer a sincere account written in the students’ words. We would also greatly appreciate you uploading a photo of you serving others, to help us tell the Learning to Serve story to our supporters. Student Information First Name * Last Name * Email * Have you received a Learning to Serve Scholarship in the past? * Yes No How did you hear about Learning to Serve? * My school Social media Internet search/website Referral from family or friend Foster care agency or support group OtherOther Mailing address * Mailing address Mailing address Mailing address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal County of Residence * Select Your CountyAppling CountyAtkinson CountyBacon CountyBaker CountyBaldwin CountyBanks CountyBarrow CountyBartow CountyBen Hill CountyBerrien CountyBibb CountyBleckley CountyBrantley CountyBrooks CountyBryan CountyBulloch CountyBurke CountyButts CountyCalhoun CountyCamden CountyCandler CountyCarroll CountyCatoosa CountyCharlton CountyChatham CountyChattahoochee CountyChattooga CountyCherokee CountyClarke CountyClay CountyClayton CountyClinch CountyCobb CountyCoffee CountyColquitt CountyColumbia CountyCook CountyCoweta CountyCrawford CountyCrisp CountyDade CountyDawson CountyDecatur CountyDeKalb CountyDodge CountyDooly CountyDougherty CountyDouglas CountyEarly CountyEchols CountyEffingham CountyElbert CountyEmanuel CountyEvans CountyFannin CountyFayette CountyFloyd CountyForsyth CountyFranklin CountyFulton CountyGilmer CountyGlascock CountyGlynn CountyGordon CountyGrady CountyGreene CountyGwinnett CountyHabersham CountyHall CountyHancock CountyHaralson CountyHarris CountyHart CountyHeard CountyHenry CountyHouston CountyIrwin CountyJackson CountyJasper CountyJeff Davis CountyJefferson CountyJenkins CountyJohnson CountyJones CountyLamar CountyLanier CountyLaurens CountyLee CountyLiberty CountyLincoln CountyLong CountyLowndes CountyLumpkin CountyMacon CountyMadison CountyMarion CountyMcDuffie CountyMcIntosh CountyMeriwether CountyMiller CountyMitchell CountyMonroe CountyMontgomery CountyMorgan CountyMurray CountyMuscogee CountyNewton CountyOconee CountyOglethorpe CountyPaulding CountyPeach CountyPickens CountyPierce CountyPike CountyPolk CountyPulaski CountyPutnam CountyQuitman CountyRabun CountyRandolph CountyRichmond CountyRockdale CountySchley CountyScreven CountySeminole CountySpalding CountyStephens CountyStewart CountySumter CountyTalbot CountyTaliaferro CountyTattnall CountyTaylor CountyTelfair CountyTerrell CountyThomas CountyTift CountyToombs CountyTowns CountyTreutlen CountyTroup CountyTurner CountyTwiggs CountyUnion CountyUpson CountyWalker CountyWalton CountyWare CountyWarren CountyWashington CountyWayne CountyWebster CountyWheeler CountyWhite CountyWhitfield CountyWilcox CountyWilkes CountyWilkinson CountyWorth County Phone * Birthdate * Parent Information Parent/Guardian Name * Parent/Guardian Email * Family Adjusted Gross Income (Line 11 of your most recent federal tax filing) * $ * * *Note: This information is not used to determine eligibility. However, it is required for reporting scholarship demographic data to the GA Dept. of Revenue. Number of Dependents * 12345+ Confirmation of Eligibility Please check all that apply: * Applicant has received an SSO scholarship in the past. Applicant is in pre-K, Kindergarten or 1st grade. Applicant is transferring from public or homeschool to private school. Applicant is assigned to a low-performing public school. (Please complete the box below.) If the applicant is assigned to a low-performing school (as designated by the GA Dept. of Education), please list the assigned school here: School Information Name of school where student was enrolled for 2023-2024: * Select Your SchoolAppling Christian AcademyAthens AcademyBethlehem Christian AcademyBible Baptist Christian AcademyBulloch AcademyCalvary Day SchoolCore Community SchoolCornerstone Christian AcademyDavid Emanuel AcademyEndeavor MontessouriFirst Presbyterian Day SchoolGatewood SchoolImmaclute Heart Of MaryJohn Milledge AcademyKing's Ridge Christian SchoolLanier Christian AcademyLoganville Christian AcademyMarist SchoolMonroe Country Day SchoolOld Suwannee Christian SchoolParkview Christian SchoolPinewood Christian AcademyPrince Avenue Christian SchoolProvidence Christian AcademySaint Francis Middle SchoolSocial Circle Christian SchoolSola Fide AcademySt. Andrew's SchoolSt. Martin's Episcopal SchoolThe Bridge Of GeorgiaThe Quadrilingual AcademyTrinity Prep SchoolVidalia Heritage AcademyWayne Christian AcademyWestminster Christian AcademyWindsor AcademySchool Not Listed If school is not listed, please choose "School Not Listed" and enter school name in the next step. If your school was not listed, please enter school name here: Name of school where student intends to enroll for 2024-2025: * Select Your SchoolAppling Christian AcademyAthens AcademyBethlehem Christian AcademyBible Baptist Christian AcademyBulloch AcademyCalvary Day SchoolCore Community SchoolCornerstone Christian AcademyDavid Emanuel AcademyEndeavor MontessouriFirst Presbyterian Day SchoolGatewood SchoolImmaclute Heart Of MaryJohn Milledge AcademyKing's Ridge Christian SchoolLanier Christian AcademyLoganville Christian AcademyMarist SchoolMonroe Country Day SchoolOld Suwannee Christian SchoolParkview Christian SchoolPinewood Christian AcademyPrince Avenue Christian SchoolProvidence Christian AcademySaint Francis Middle SchoolSocial Circle Christian SchoolSola Fide AcademySt. Andrew's SchoolSt. Martin's Episcopal SchoolThe Bridge Of GeorgiaThe Quadrilingual AcademyTrinity Prep SchoolVidalia Heritage AcademyWayne Christian AcademyWestminster Christian AcademyWindsor AcademySchool Not Listed If school is not listed, please choose "School Not Listed" and enter school name in the next step. If your school was not listed, please enter school name here: Tuition for 2024-2025 (not including fees or other charges): * Grade for 2024-2025 School Year: * K4K5123456789101112 Admissions Director Contact Information Please enter the name, email and phone number for the Admissions Director of the private school where the student intends to enroll for 2024-2025. Name of School Admissions Director: * Email address of School Admissions Director: (please ensure email address is entered correctly) * Phone number of the School Admissions Director: * Community Service Requirements Each student is asked to submit an essay detailing their service experience, including a description of service, hours served, and lessons learned. The essay should be appropriate in length as determined by the student’s age. The student’s essay must include: * A full description of the service provided* A description of the benefits provided* A description of the individuals who benefited from the service* A narrative description, in the student's own words, of what benefits they personally experienced in providing the service and what benefits they believe the recipient of the service enjoyed.* A description of anecdotes and personal experiences that demonstrate the personal effect the service had on the student. How did the experience affect the student and develop the student’s character? Your service hours could qualify for the President's Volunteer Service Award! Click here for more information: The President’s Volunteer Service Award - Learning to Serve Upload your essay * Drop a file here or click to upload Choose File Maximum file size: 3MB Please provide a photo of you serving others. * Drop a photo here or click to upload Choose File Maximum file size: 2MB Student Signature * signature keyboard Clear In submitting these materials, I certify that all of the information submitted in support of my application is complete and accurate to the best of my knowledge. False information will result in termination of the scholarship if granted. Parent/Guardian Signature * signature keyboard Clear I certify that the applicant has been accepted by the private school listed in this application as the intended school of enrollment for 2024-2025. The information provided by the applicant is complete and accurate to the best of my knowledge. Submit If you are human, leave this field blank.