Florida Department of Education

Office of Independent Education & Parental Choice

Office of Independent Education & Parental Choice
 

 Office of Independent Education & Parental Choice 

Foster Intent Waiver Request Form
Florida School Choice- Foster Student  

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 Information
*Student First Name:
Student Middle Name:
*Student Last Name:
*DOB:
Social Security #:
* Gender:
* Current Grade:
* Race:
Hispanic/Latino:
*Last School Attended
* Last School City
* Last School State
Current School District (if different)
Current School (if different)
* Does the student have an Individual Education Plan (IEP)?
* Primary Exceptionality:
* Does the student have a 504 accommodation plan with a duration of longer than 6 months?
Qualifying Parent/Guardian
*Parent First Name:
* Parent Last Name:
*SSN:
* Address1:
Address2:
*City:  
*State:
*County:
* ZIP:
* Email:
*Home Phone:
Work Phone:
Contact Person (if different than qualifying parent/guardian)
First Name:
Last Name:
Address:
County:
City:
State:
ZIP:
Home Phone:
Work Phone:
Email:
Request Submitted By
* First Name
* Last Name
* Relationship to Student