Financial Aid Application Flex Tuition / Financial Aid Application (2021-22) Name of parent/guardian completing application* First Last Email* Enter Email Confirm Email Cell Phone*Alternate PhoneAddress of Parent/Guardian Completing Application* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code By typing my name below I certify that the information I provide in this application for Flex Tuition/financial aid is complete and accurate to the best of my knowledge. I further commit that I have applied / will apply to the required School Tuition Organizations (STOs) listed below, and will seek assistance from the IDEA School in completing this obligation if needed. If I have any questions about these requirements I will raise them with Bahne Kuehne as soon as possible, at bahne@explorebuildlearn.org or 520-589-4933. Note: Those receiving ESA scholarships are not required to apply to the STOs.Parent/Guardian Name*Date* Date Format: MM slash DD slash YYYY StudentsStudent #1* First Last Entering Grade:*-- Please select one --Kinder1st2nd3rd4th5th6th7th8thStudent #2 First Last Entering Grade:-- Please select one --Kinder1st2nd3rd4th5th6th7th8thStudent #3 First Last Entering Grade:-- Please select one --Kinder1st2nd3rd4th5th6th7th8thIn order to be eligible for Flex Tuition/financial aid from the IDEA School, you must apply to the following School Tuition Organization(s) (STOs) as well -- unless you have an ESA scholarship (see below).These STOs have thousands of dollars available in scholarships for eligible families, which helps us make Flex Tuition work. (Note: Each requires proof of income.)Apply to IBE: Now accepting applications. Must re-apply each year.Date you applied to IBE* Date Format: MM slash DD slash YYYY Apply to Arizona Leadership Foundation: Now accepting applications. Must re-apply each year.Date you applied to ALF* Date Format: MM slash DD slash YYYY NOTE: If you are ineligible for an ALF scholarship based on your income, OR your are receiving an ESA Scholarship (Empowerment Scholarship Acct) from the AZ Dept of Education, enter today's date above and provide details in the comments below. Comments: Primary HouseholdWhat was the Total Gross Income (before taxes) for the student's primary household in 2020? Total Gross Income 2020 (Primary Household)*Number of dependent children living in applicant's primary household, including applicant. (Age as of 09/01/21)4 years old or younger -- Primary Household*012345 - 17 years old - Primary Household*012345618-21 - Primary Household*01234Number of adults (not including adult children listed above) who LIVE in applicant's primary household. (i.e. parents, grandparents, other relatives)*Please enter a number from 1 to 5.Number of adults CONTRIBUTING INCOME (of any type, including social security, disability income, etc) to the primary household:*Please enter a number from 1 to 5.Please complete the following regarding your gross household income for 2020, for adult members of the student's primary household. Include all types of income.Primary Household: Adult #1 Name:*Adult #1 (Fill in annual amounts by type of income received; put an "X" by "No income" if that's applicable.)*Gross Earnings from Work: $ SNAP, TANF, and/or Unemployment Insurance: $ Pensions, retirement, Social Security, SSDI income: $ Child Support, Alimony: $ All other Income: $ No Income? _____Total Gross Income for Adult #1:*Primary Household: Adult #2 Name:*put "N/A" if not applicableAdult #2 (Fill in annual amounts by type of income received; put an "X" by "No income" if that's applicable.)Gross Earnings from Work: $ SNAP, TANF, and/or Unemployment Insurance: $ Pensions, retirement, Social Security, SSDI income: $ Child Support, Alimony: $ All other Income: $ No Income? _____Total Gross Income for Adult #2:*Enter "00" if not applicableDirect Income/Benefit for Student(s)If you receive any direct monetary government benefit for your student(s) (e.g. adoption benefit/stipend), please list the benefit & monthly amount here. If this does not apply to your situation, please put "N/A". Secondary Household (if applicable)What was the Total Gross Income (before taxes) for the student's secondary household in 2020, if applicable? Total Gross Income 2020 (Secondary Household)Number of dependent children living in applicant's secondary household, including applicant -- if applicable. (Age as of 09/01/21)4 years old or younger - Secondary Household012345 - 17 years old - Secondary Household012345618-21 - Secondary Household01234Number of adults (not including adult children listed above) who LIVE in applicant's secondary household. (if applicable)Please enter a number from 1 to 5.Number of adults CONTRIBUTING INCOME (of any type, including social security, disability income, etc) to the secondary household:Please enter a number from 1 to 5.Please list any major expenses that impact your bottom line, such as high medical costs due to expensive chronic healthcare needs, unexpected medical expenses or emergencies; childcare (0-5), eldercare, or other ongoing family care obligations; caring for a loved one with a disability; large student loan debt (as compared to income); costs associated with being a grandparent raising your grandchild, etc.Major ExpensesAre there any special circumstances regarding your household's finances that we should know about as we evaluate your Financial Aid application? This might include recent or expected changes due to COVID-19, or other changes in 2021 income as compared to 2020.Special Circumstances2020 Federal Tax Return (Form 1040) Drop files here or Please upload the first 2 pages of your 2020 Federal Tax Return, with all SSN's blacked out (PDF only please). If you cannot upload them here, you are welcome to bring them to the IDEA School office or mail them to IDEA School c/o Financial Aid, 325 W 2nd Street #6, Tucson AZ 85705. Applications are considered incomplete until the tax return documentation is received. Thank you.
