*Are you in compliance with the PA Homeschool Law?
    YesNo
    *How many children are you homeschooling?

    *Is at least 1 of your children between 8-17 years old?
    YesNo
    *Are you their parent or legal guardian?
    YesNo
    *How do you plan to use funds? Check all that apply
    CurriculumSchool MaterialHomeschool course or class tuitionSchool Related TechnologyCo-op FeesOther
    *Please share the contact information for your pastor or Christian church leader


    *Please share the contact information for your homeschool evaluator


    *Briefly explain your financial circumstances, with income and expenses listed.

    *Have you received grants or aid from another organization?

    If yes, please list grants or organizations

    Any additional comments

    *I attest that all information is true and agree to use any funds provided as indicated.
    Yes
    Applications are reviewed on a quarterly basis, so it may take 3-4 months to process.