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2016-2017 Pinellas Take Stock in Children Program Student Application

Important Information

To the Parents/Guardian of a TSIC Nominee,

Your child has been recommended for admittance into the Take Stock in Children Scholarship Program. This scholarship program is for students on free/reduced lunch that earn C’s or higher in their classes, have good attendance, good behavior and might have additional risk factors that make achieving a college or technical school education after high school a challenge.

Students that become Take Stock in Children scholars are eligible for a Florida Prepaid tuition only scholarship after high school graduation if they maintain the program standards while in Pinellas County Schools. Those standards are:

  • Earn C’s or higher in all classes
  • Meet with a mentor during school hours
  • Have good attendance
  • Have good behavior
  • Remain drug and crime free
  • Remain in a public school system within Florida
  • Participate in Take Stock in Children events

If you would like to move forward with the selection process first, check the income eligibility guidelines below to ensure you qualify and then you and your child will need to complete the Take Stock in Children online application below and submit it along with your most current 1040 tax return or other eligible, qualifying document (see list below the green box) to the Pinellas Education Foundation by December 16, 2016.

After you submit the application below with supporting financial documents by upload, mail or fax, you will be notified between February – April if your child becomes a finalist. All finalists will need to attend a scholarship signing event in the spring to officially join the program.

This program has helped over 4,000 students in Pinellas County since 1992. I wish you all the best in this process.

Sincerely,
Lisa Fasting
Pinellas Education Foundation

INCOME ELIGIBILITY GUIDELINES

Effective from July 1, 2016 to June 30, 2017

HOUSEHOLD SIZE ANNUALLY MONTHLY TWICE PER MONTH EVERY TWO WEEKS WEEKLY
1 21,978 1,832 916 846 423
2 29,637 2,470 1,235 1,140 570
3 37,296 3,108 1,554 1,435 718
4 44,955 3,747 1,874 1,730 865
5 52,614 4,385 2,193 2,024 1,012
6 60,273 5,023 2,512 2,319 1,160
7 67,951 5,663 2,832 2,614 1,307
8 75,647 6,304 3,152 2,910 1,455
For each additional family member, add 7,696 642 321 296 148

Income Guidelines provided by USDA
Reminder: Total income before taxes, social security, health benefits, union dues, or other deductions must be reported.

Take Stock in Children Pinellas scholarship recipients receive:

  • A Scholarship
    A tuition-only Florida Prepaid College Scholarship, which can be used at any university, college, or vocational/technical school approved by Florida Prepaid. Value – up to $14,000
  • A Mentor
    A volunteer mentor who will meet with you weekly at school, with cooperation from the school and parent (s), to assist and encourage you to achieve your full potential.

Application and proof of income documentation are due back to the Pinellas Education Foundation by: December 16, 2016

Proof of income options (only 1 needed): most recent tax return Form 1040 (pages 1&2), proof of food stamps, medicaid, proof of social security income or guardianship documents for guardians.

If you have questions about the application, please call 727-588-4816 and speak with Lisa Fasting at xt.2103. If your student attends a St. Petersburg area school you can contact Sherry Wert at 727-892-5189.

Or you can email questions to Sherry Wert (St. Petersburg schools) at sherry.wert@pinellaseducation.org or Lisa Fasting at lisa.fasting@pinellaseducation.org.

Scholarship Application

Application Form

Files: Financial Document Upload

  • Replace Document

SECTION A: Student Identification Information

  • (Select one or more)
                 

SECTION B: Household Information

  • Please list all persons living in the home:

    Name Age Relationship Highest Level of
    Education Completed
  • Independent siblings living outside the home:

    Name Age Brother or Sister Currently Attending
    School
    Last Grade
    Completed

SECTION C: Employment Information

  • Parent/Guardian’s Current Employer (1)

  • (before taxes and deductions)

  • Parent/Guardian’s Current Employer (2)

  • (before taxes and deductions)

SECTION D: Financial Information

  • (Social Security, child support, etc.?)

  • Don’t forget to include proof of income along with the application submission, see the IMPORTANT INFORMATION section at the top of the page.

SECTION E: Student Information (to be completed by student)

  • (church, school, community, work experience, etc. Requires a minimum of 25 words.)

  • Student Statement

    (Requires a minimum of 50 words.)

SECTION F: Parent/Guardian Statement (To be completed by parent(s)/guardian(s))

  • (Requires a minimum of 50 words.)

  • (serious illness in the family, loss of employment, HRS involvement, homelessness, etc.)


  • I understand that the information contained in this application is accurate and will be shared with the Take Stock in Children selection committee and the implementers of the program. I also certify that my child meets the program income requirements. I understand that any false information in this application may result in my child losing his or her eligibility in the program.



  • Don’t forget to include proof of income along with the application submission, see the IMPORTANT INFORMATION section at the top of the page.

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