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Alabama Accountability Act- Scholarship Granting Organization Interest Form

Please complete the form below. Required fields marked with an asterisk *

Alabama Accountability Act

Scholarship Granting Organization Interest Form

Student First Name:*

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Student Last Name*

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Street Address:*

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City*

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State*

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Zip Code*

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Current School*

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Grade Entering:*

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Parent/Guardian First Name:*

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Parent/Guardian Last Name*

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Parent Guardian Phone:*

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Parent/Guardian Email:*

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Parent/Guardian Address (if different than student):

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Public School Student is Zoned for:*

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I have reviewed the Alabama Accountability Act Scholarship Income Guidelines for 2020-2021 and based on information reported in my 2018 Income Tax Return I am eligible to receive funds from an SGO.*

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Parent Signature:*

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