Programs

SCHOLARSHIP APPLICATION

The Educate New Mexico scholarship application should take only a few moments to fill out. If you’ve read the Application Instructions, then you may continue.

If you would rather phone in the application rather than use the online form, call the following number and an operator will fill the form out while you’re on the phone. Please call (505) 797-4002. If you are calling long distance, be sure to mention this to us. Give us your phone number and we will call you back.

SCHOLARSHIP APPLICATION FORM

Please read the application instructions first! (If you have not already done so, click on the “Application Info” link at the bottom.) This application is to be filled out by a parent or guardian who resides with the student.

Part I – Student Information

How many children will be attending K-12 next fall?	012345678910
How many children are now attending public school?	012345678910
How many children are now attending private/parochial school?	012345678910
How many children are currently home-schooled?	012345678910

Part II – Parent/Guardian Information

First Name:
Middle Initial:
Last Name:
Student’s Address:

Apt #:

City:

Zip Code:
Email Address:

Home Phone:

Alternate Phone:

Relationship with Student:  Mother Father Other

If “Other,” please specify:

---

Part III – School Information

Name of school your child is currently attending:

Name of school you would like your child to attend:

If you know the address of the school you would like your child to attend, please type it in here:

If you know the phone number of the school you would like your child to attend, please type it in here:

If you know the annual tuition (not including supplies, uniforms, etc.) of the school you would like your child to attend, please type it in here:

---

Part IV – Affirmation of Eligibility

To qualify for an Educate New Mexico Scholarship, you must answer “Yes” to each of the following questions:

Yes No	Are there private or parochial schools in your area that are currently accepting students?
Yes No	Is your household income less than the amounts specified in the Income Limits Table?
Yes No	Do you understand that if your child is selected, your family will have to pay the balance of tuition, plus any fees?
Yes No	Do you understand that if your child is selected, you must provide proof that your household income is less than the amounts specified in the Income Limits Table?
Yes No	Do you understand that scholarship payments will continue as long as your child is enrolled, and you stay current with tuition and fee payments?
Yes No	Do you understand that scholarship recipients will be selected by lottery, that the scholarship awards are the sole responsibility of Educate New Mexico, and that all decisions are final?

---

Part V – Review and Submit

Please review all of the information you entered above to ensure accuracy. Once finished, you can submit your application by clicking the “Submit” button below. (If, for some reason, you do not wish to send the information you just entered, you can clear all of the fields by clicking the “Reset” button.)