Educate New Mexico - Fill Out a Scholarship Application

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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?
How many children are now attending public school?
How many children are now attending private/
parochial school?
How many children are currently home-schooled?

Part II — Parent/Guardian Information

First Name:
Middle Initial:
Last Name:
Student's Address:
Apt #:     City:
Zip Code:
E-mail 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.)

Introduction Income Limits Table Application Info

Fill Out an Application