ETV Application 

Page 1

School Year and semester
Indicate the school year and semester(s) you'll be attending.

Personal Information

Please note ETV program in San Antonio assists all of Texas, not just San Antonio.
If you are a returning student, please use the name you originally used. You can update your name with your ETV Coordinator.
If you are a returning student, please use the name you originally used. You can update your name with your ETV Coordinator.
If you do not currently have an email address, please create an email account first.
If YES, ETV can only pay for non-housing related expenses such as tution and fees, books and school supplies a computer software, low-cost cell phones or transportation.

Demographic

Note: You must have participated in the ETV program before your 21st birthday to continue to qualify for ETV up to your 23rd birthday. ETV funding cases upon your 23rd birthday

School Information

Case Manager Information

Participation Agreement

Please check the below boxes to indicate that you understand and acknowledge each of the following conditions:

DFPS Consent for Release of Information

Your participation in the Education and Training Voucher (ETV) Program is protected by Federal and State confidentiality laws. As a condition of enrolling in the ETV program, certain personal information will have to be shared with another person, business or school representative for the purpose of making financial arrangements using ETV funds. The ETV Provider may make these financial arrangements to secure housing pay tuition and fees, pay for child care, books, or set up payments for utility/phone accounts. 

Please list the names and contact information for those authorized, by yourself, to have communication with ETV Staff.

Contact Information