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How do I fill this out?
To fill out this form, make sure to gather all necessary information and documents related to your child's educational needs and eligibility. Carefully read the instructions provided in the form for each section. Complete the form accurately to ensure timely processing of your application.

How to fill out the Mississippi ESA Program Application Instructions?
1
Gather all necessary information and documents.
2
Read the instructions provided in the form.
3
Complete the form accurately.
4
Include all necessary documents upon submission.
5
Submit the completed form via USPS.
Who needs the Mississippi ESA Program Application Instructions?
1
Parents of children with disabilities who wish to withdraw their child from the public school system.
2
Parents seeking financial assistance for private school tuition or other educational activities.
3
Parents whose child has had an active Individualized Education Program (IEP) within the last 18 months.
4
Parents who agree to provide an organized and appropriate educational program with measurable annual goals.
5
Parents who are not enrolling their participating student in a public school or homeschool program.
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What are the instructions for submitting this form?
To submit this form, complete the application and gather all necessary documents. Submit the completed application via United States Postal Service (USPS) to the address provided on the form. Ensure all information is accurate and all required documents are included to avoid delays.
What are the important dates for this form in 2024 and 2025?
Important dates for the submission of ESA applications for the years 2024 and 2025 will be announced by the Mississippi Department of Education. Typically, applications are accepted starting from July 1st. Be sure to check the latest updates on their website.

What is the purpose of this form?
The purpose of this form is to facilitate the application process for the Mississippi Education Scholarship Account (ESA) program. This program aims to provide financial assistance to parents of children with disabilities, allowing them to pursue private school education or other educational activities tailored to their child's needs. By completing this form, parents can apply for the scholarship and ensure they meet the necessary requirements for eligibility.

Tell me about this form and its components and fields line-by-line.

- 1. Residency Requirement: The applicant must provide proof of being a resident of Mississippi.
- 2. IEP Status: The student must have had an active Individualized Education Program (IEP) within the last 18 months.
- 3. Parental Agreement: The parent must sign an agreement promising to provide an appropriate educational program, document the student's disability, and not enroll the student in public school or homeschool programs, among other conditions.
What happens if I fail to submit this form?
Failing to submit this form can result in missing the opportunity to receive the ESA scholarship funds.
- Loss of Financial Assistance: Parents may miss out on significant financial aid for their child's education.
- Limited Educational Options: Without the ESA, parents may have fewer choices for their child's education.
How do I know when to use this form?

- 1. Applying for ESA Funds: Use this form to apply for scholarship funds for your child's education.
- 2. Documenting IEP Status: The form is necessary to provide proof of the student's IEP status.
Frequently Asked Questions
What is the purpose of the Mississippi ESA program?
The program provides an opportunity for parents of children with disabilities to use scholarship money for private school tuition or other educational activities.
Who is eligible for the ESA program?
Applicants must be residents of Mississippi, have a child with an active Individualized Education Program (IEP) within the last 18 months, and agree to the program's terms.
How much is the scholarship amount?
The scholarship amount is $6,500 for the 2015-2016 school year.
What can the scholarship funds be spent on?
Funds can be used for tuition, textbooks, tutors, curriculum, transportation fees, online courses, standardized tests, educational services, and more.
How will I receive the scholarship funds?
Funds will be paid to the parent on a reimbursement basis quarterly after submission of a reimbursement request with proper documentation of expenses.
How do I apply for the ESA program?
Applications are available through local public schools and the Mississippi Department of Education website. They must be completed and submitted via USPS.
What happens if my application is incomplete?
Incomplete applications will not be processed.
How are students chosen for the ESA program?
Applications are reviewed on a first-come, first-served basis until 50% of the enrollment limit is reached, then a random selection process is used.
Can I enroll my child in a public school or homeschool program while receiving the ESA scholarship?
No, participating students cannot be enrolled in a public school or homeschool program while receiving the ESA scholarship.
Where can I find more information about the ESA program?
Complete information is available on the Mississippi Department of Education website.
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