Pa Educational Improvement Tax Credit Scholarship Application (Page 3 of 3) in pdf

Pa Educational Improvement Tax Credit Scholarship Application Page 3

Checklist

Did you answer the Statement Question?

In 500 words or less please answer the following question on a separate sheet of paper.

How will you show your commitment to your child’s education this school year?

Please Note: Before we can process your scholarship application, it must be complete, including

proof of all household income sources.

Did You . . .

[ ] Answer every question

[ ] Answer Statement/Essay Question

[ ] Check that all numbers and names are correct and clearly printed?

[ ] Sign your application form?

[ ] Enclose a copy of every page of your 2014 Federal Income Tax Return (Form 1040, 1040A,

or 1040EZ)

[ ] Enclose a copy of all W-2 Form(s) for 2014?

[ ] Enclose copies of OTHER proof(s) of income?

Two forms of identification listing the valid primary address (Driver’s License, ID

[ ] Enclose

Card, Utility Bill, Lease, Pay-Stub, Mortgage, Local Tax Bill)

Please enclose your completed application along with ALL the documentation requested.

Incomplete applications will NOT be reviewed. Send or drop-off completed applications to:

Best of the Batch Foundation

PA Educational Improvement Tax Credit Scholarship Application

c/o

2000 West Street

Munhall, PA 15120

Completed application including all required documentation must be received in our office by

Wednesday, April 15, 2015 5:00PM. NO EXCEPTIONS.

Scholarship recipients are selected in

June, 2015

Pa Educational Improvement Tax Credit Scholarship Application Page 3