1. Starting October 1st, 2019: ESA no longer accepts paper applications. Expenses (If not … Pursuant to Arizona Revised . Applicant/Legal Guardian and Student Details (print in blue or black ink): Student First Legal Name Student Legal Last Name Applicant/Legal Guardian First Name Applicant/Legal Guardian Last Name . 2 0 obj Applicant Forms (to be used when applying for ESA) For … This application must be submitted online. 3. The student cannot be enrolled in public or charter school, including public online schools. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> %���� Page 9 . <> 3 0 obj The Empowerment Scholarship Account (ESA) program was originally created by Arizona State Legislature to expand educational opportunities for students with disabilities. EMPOWERMENT SCHOLARSHIP ACCOUNT 2019-2020 EXPENSE REPORT PRIVATE SCHOOL EXPENSES ONLY **This document can only be used for Quarter 1 of the 19/20 School Year. By opting out of the public school system, parents can seek a range of alternative educational services, such as private school or home-based education. 1 0 obj These reports are completed through the ESA parent portal. YT���u+�����/-�<=ytp�B����G.� See the links below to read the ESA state statutes that govern the program. S. tatutes § 15 -2402 & 15-2403, as the ESA contract holder, I certify that: 1) All funds have been spent for the lawful benefit of the qualified student as authorized in Section 3 of the Page 1 . xۈRۢ6Miuq�.��.�o��Ź{��w?>:�uq����Z����{u���8~�|l[ EMPOWERMENT SCHOLARSHIP ACCOUNT 2017-2018 EXPENSE REPORT STUDENT WITH DISABILITY . <> Quick Reference Guide of Empowerment Scholarship Accounts . �x�|\/^.�X. endobj Applicant/Legal Guardian and Student Details (print in blue or black ink): Student First Legal Name Student Legal Last Name Applicant/Legal Guardian First Name x��][s�6�~W���af�"�$S�T�"g��[,��=�A�DzNd������v�������y8��26���h�?p��7O�6���>�lN�>�>��\���������������������o����?O�?+�|tP��� Expenses must be submitted through the online portal. endobj 4 0 obj Page 1 . Please submit all completed forms to Help Desk. Online submission of expense reports is required quarterly, even if there are zero expenses to report. %PDF-1.5 <>/Metadata 468 0 R/ViewerPreferences 469 0 R>> Since the program was created by the legislative process, state law governs and houses its rules and regulations. Empowerment Scholarship Account Program; ESA: Forms; ESA: Forms. stream The ESA program is … EXPENDITURE – ATTESTATION FORM . EMPOWERMENT SCHOLARSHIP ACCOUNT 2016-2017 EXPENSE REPORT PRIVATE SCHOOL EXPENSES ONLY Page 1 Applicant/Legal Guardian and Student Details (print in blue or black ink): Student First Legal Name Student Legal Last Name Applicant/Legal Guardian First Name Applicant/Legal Guardian Last Name Expenses (If not Applicable, Leave Blank) 1) Private School Expenses A) Tuition School Name: $ … Empowerment Scholarship Account Program ESA: Expense Report Help If you are having issues with your ESA account (login credentials and/or password), please call 602-542-7378 or 602-542-2222 or send a Help Desk Request . ESA no longer accepts paper Expense Reports. icon icon A.R.S. The Empowerment Scholarship Account (ESA) program is an account administered by The Arizona Department of Education that is funded by state tax dollars to provide educational options for qualified Arizona students. EMPOWERMENT SCHOLARSHIP ACCOUNT 2019-2020 EXPENSE REPORT STUDENT WITH DISABILITY **This document can only be used for Quarter 1 of the 19/20 School Year. endobj 2.

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+ How we made $200K with 4M downloads.

How we made $200K with 4M downloads.