Office of Independent Education & Parental Choice

Military Waiver Request Form

Florida School Choice

The deadline to file intent for the 2021-2022 school year was January 31, 2022. Effective July 1, 2022, the McKay Scholarship Program will join the
Family Empowerment Scholarship Program for Students with Unique Abilities (FES UA).

Student

First Name First Name Required.

Middle Name

Last Name Last Name Required.

Date of Birth (MM/DD/YYYY)

Social Security # Invalid Student SSN.

Current Grade Student Grade Required.

Gender

Male

Female

Student Gender Required.

Race Student Race Required.

Last Out-Of-State School Attended Last School Required.

City Last School City Required.

State Last School State Required.

Current School District (if different)

Current School (if different)

Does the student have an Individual Education Plan (IEP)?

Yes

Response Required.

Primary Exceptionality: Response Required.

Does the student have a 504 accommodation plan with a duration of longer than 6 months?

Yes

504 Accommodation Plan Required.

Date of student's move to Florida (MM/DD/YYYY)

Qualifying Parent/Guardian

First Name Parent Name Required.

Last Name Parent Name Required.

SSN Invalid Parent SSN.

Address Parent Address Required.

Apartment # or Other Info

County Parent District Required.

City Parent City Required.

State Parent State Required.

Zip Invalid Zip Code.

Home Phone

Work Phone Invalid Work Phone

E-Mail Invalid Email

Branch of Service Branch of Service Required.

Rank Rank Required.

Reassignment Date (MM/DD/YYYY) Invalid Date.

Was relocation to Florida a result of permanent change of station orders?

Yes

Response Required.

Note: A copy of the permanent change of station orders must be submitted to this office.

Contact Person (if different than qualifying parent/guardian)

First Name

Last Name

Address

County

City

State

Zip Invalid Zip Code

Home Phone Invalid Phone Number

Work Phone Invalid Phone Number

E-Mail Invalid Email Address

Request Submitted By

First Name First Name Required.

Last Name Last Name Required.

Relationship to Student

Florida Department of Education

Office of Independent Education & Parental Choice

Office of Independent Education & Parental Choice