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Year 2 Georgia Promise Scholarship Attestations

Melba

Parent/Guardian Acknowledgments

Review each individual statement and check the box to affirm your understanding and agreement. Please note: All boxes must be checked in order to proceed

  • I have the legal authority to request a scholarship for the student(s) in this application.
  • I affirm that I reside within Georgia and have been a Georgia resident for at least one year or I am an active-duty military service member stationed in Georgia within the previous year and that the documentation provided to establish my residency is true and accurate.
  • I affirm that unless I am an active-duty military service member stationed in Georgia within the past year, the student(s) is/are currently enrolled – and have been continuously enrolled full-time for at least two consecutive semesters immediately preceding this application – in a Georgia public school (excluding those operated by the Department of Juvenile Justice), or the student(s) is/are eligible to enroll in the public kindergarten program for which their residence qualified them.
  • I affirm that the student(s) is/are eligible to receive a Georgia scholarship or grant and does not/do not meet any of the ineligibility criteria listed in OCGA § 20-3-519.1.
  • I affirm that the student(s) is not/are not a recipient or beneficiary of the Georgia Special Needs Scholarship Act (O.C.G.A. § 20-2-2110 et seq.) or of any scholarship, tuition grant, or other benefit from a student scholarship organization as defined in O.C.G.A. § 20-2A-1. Accepting funds from either of these aforementioned scholarships will make the student(s) ineligible for the Georgia Promise Scholarship and I must immediately opt-out of the program.
  • I agree to provide an education for the student(s) in at least the subjects of reading, grammar, mathematics, social studies, and science (either through home study or through a private school).
  • I agree not to enroll the student(s) in a local school system, local charter school, state charter school, or completion special school ("public school") while participating in the Program; provided, however, students are not prohibited from part-time enrollment in a college and career academy, as such term is defined in subsection (b) of O.C.G.A. § 20-4-37.
  • I agree to use account funds only for the participating student(s)' qualified education expenses and that I shall not provide account funds directly to my family member(s), or to any company, corporation, or business owned by my family member(s).
  • I understand that upon acceptance of the account, I assume full financial responsibility for the education of the participating student(s) and any payment of funds owed to a participating school or service provider is solely my responsibility.
  • I acknowledge that any account funds directed to a participating school or service provider are so directed on behalf of the parent/guardian named on this application, the recognized recipient of student(s) named on this application, and wholly the result of my genuine and independent private choice.
  • I accept full responsibility for transporting the student(s) to and from the student(s)' participating private school and/or service provider.
  • I agree that the participating student(s) will comply with the testing and reporting requirements outlined in section 16 of the Georgia Promise Scholarship Program Regulations. I understand that if the student(s) does/do not attend a participating private school, the student(s) must test annually and report test results to the Georgia Education Savings Authority, as outlined in the Georgia Promise Scholarship Program Regulations.
  • I understand that I shall comply fully with the participating school or service provider's rules and policies.
  • I understand that I am responsible for submitting all required documentation to the Georgia Education Savings Authority. The Georgia Education Savings Authority shall receive all required documentation prior to releasing any funds into a participating student(s)' account.
  • I understand that if I fail to comply with the provisions of O.C.G.A. § 20-2B-20 et seq. and the Georgia Promise Scholarship Program Regulations then I shall forfeit the account. All account funds therein shall be returned to the Georgia Education Savings Authority. Additionally, the Georgia Education Savings Authority may recoup all improperly expended funds and charge me any and all fees incurred for its efforts in collecting the funds.
  • I understand that the Georgia Education Savings Authority shall have the authority to take or require that such corrective, remedial, or preventive actions be taken as may be necessary or appropriate to protect the interests of the Georgia Education Savings Authority, the state, the United States, schools, students, and the public at large. These actions include but are not limited to: conducting audits of participating students, service providers, and participating school accounts; making any parent or participating student ineligible for the misuse of account funds; and referring parents, participating students, participating schools, and service providers to the Attorney General for investigation if evidence of fraudulent use of account funds is obtained.
  • I understand that it is my responsibility to know and follow O.C.G.A. § 20-2B-20 et seq. and Georgia Promise Scholarship Program Regulations.
  • I confirm that the student(s) included in this application has not/have not been claimed on another application.
  • I consent to sharing my information and the student(s)' information with and by any individual or organization necessary for my participation and the student(s)' participation in the Program, including financial information and personally identifiable information from student records under FERPA (20 U.S.C. § 1232g). This information will be kept private and protected and will not be released without my consent, unless my consent is not required by this release or under applicable state or federal law.
  • I agree to receive text, email, and phone call communications related to this application and the Program and I confirm that my contact information is correct.
  • I understand that this agreement is binding for as long as the student(s) and I participate in the program.

By completing this acknowledgement and signing this application, I authorize the Georgia Department of Education to release the following information from the student applicant(s)' education record to the Georgia Education Savings Authority: the student's first and last name, the student's current grade level, the school and school district in which the student was enrolled during the previous 12 months, and the withdrawal date of the student. I understand that this information will be used to process this application, for audit purposes, or for both. This authorization expires upon my written revocation of my consent, the student applicant(s)' withdrawal from the program, or the student applicant(s) reaching the age of 18. I further understand that I can revoke my consent at any time by notifying the Georgia Education Savings Authority customer service department in writing.

  • I hereby certify that I authorize the Georgia Department of Revenue to release certain tax return information to the Georgia Education Savings Authority and Odyssey. I further understand that this information may be used to process this application and/or for audit purposes.
  • Under penalty of law, I swear or affirm that the information provided in this form is true and correct. By electronically signing this document, I acknowledge my understanding that it is illegal to make false, fictitious, or fraudulent statements on this form.
  • I affirm, understand, and acknowledge that if the student(s) enroll(s) in a public school, as previously listed, while participating in the Georgia Promise Scholarship Program, the student(s) is/are no longer eligible to participate and I must immediately opt-out of the program.