Student Application – Private

Student Application for the 2023-2024 School Year

To qualify for this program:

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 2023-2024 school year, they must be accepted for the 2023-2024 school year before we will award a scholarship.
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 *

Address *

Address

City

State/Province

Zip/Postal

County

Phone *

Birthdate *

Parent Information

Parent/Guardian Name *

Parent/Guardian Email *

Family Adjusted Gross Income (most recent 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 *

Confirmation of Eligibility

Please check one of the following:

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.

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 2022-2023: *

Name of school where student intends to enroll for 2023-2024: *

Tuition for 2023-2024 (not including fees or other charges): *

Grade for 2023-2024 School Year: *

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 2023-2024.

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 *

Maximum file size: 3MB

Please provide a photo of you serving others.

Maximum file size: 2MB

Student Signature *

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 *