Scholarship Application for 2010-2011 School Year

Please answer the short questionnaire below to see if you qualify for funding. If you qualify, you will be redirected to the on-line application form.

Before completing this application, please review the paper application instructions which includes detailed eligibility requirements.

1. Are you a resident of the City of Philadelphia?
   Yes No
   
   
2. Will the child(ren) you are applying for be entering grades kindergarten through eighth in the fall of 2010?
   Yes No
   
   
3. How many people live in your household (including dependent children)?
   2 3 4 5 6 7 8 9 10 11 12
   
   
4. Is your household income less than: $39,339
   Yes No