Self Reporting Tool

This form is used to "Self Report" your student's school choice scholarship information to Florida Virtual School so that your student's Florida Virtual School courses can be processed as private pay per the scholarship rules.

Name of the person completing this form Name of the person completing this form * First Last
Relationship to student: *

Relationship to student: Parent/Guardian School Admin/Counselor Self (Student)
Student Name Student Name * First Last
Student Date of Birth Student Date of Birth * / MM / DD YYYY
Email *
Scholarship Funding Organization *
Scholarship Program
Scholarship: Student ID Number *

This number can be found in your Scholarship Account Portal.
Approximate Scholarship Award Date Approximate Scholarship Award Date / MM / DD YYYY

Please enter the date the student was awarded/funded for the scholarship. *If you are not sure, enter the 1st day of the month you were notified that your student was awarded
Please select the school year(s) your student was awarded scholarship funds for.

Please select the school year(s) your student was awarded scholarship funds for. 2022-2023 2023-2024 2024-2025