*
Required
Parent Information
First Name
*
required
Last Name
*
required
Phone
*
required
Email
*
required
Active Military or First Responder?*
Active Military
First Responder
Student Information
First Name
*
required
Last Name
*
required
2025-26 Grade Level
*
required
Please Select…
K3
K4
K5
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Do you have more than one student?*
Yes
No
First Name
Last Name
2025-26 Grade Level
Please Select…
K3
K4
K5
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
First Name
Last Name
2025-26 Grade Level
Please Select…
K3
K4
K5
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
First Name
Last Name
2025-26 Grade Level
Please Select…
K3
K4
K5
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Eligibility Criteria
Applicants must be active military or active first responder (law enforcement, firemen, and paramedics).
Applicants must be able to provide any and all requested documentation.
Applicants must provide a copy of military ID or orders. First responders must provide a copy of current check stub.
Acknowledgement*
I have read and understand the “Eligibility Criteria” section of this application.
Acknowledgement*
I understand that this 25% discount cannot be combined with any other need-based tuition assistance.
Certification*
I certify that all of the information provided is accurate and true.
Please send a confirmation email to the address below*: