FALA Donation Form For Arizona Public School Tax Credit Donations Thank you for your interest in contributing to additional educational opportunities our students can experience through extracurricular activities, character education, college and career readiness, and CPR instruction.The Arizona Department of Revenue has provided an informational brochure (PDF) for taxpayers or you can view additional information on their website. All situations are different; to confirm that you are eligible for this credit, please consult your tax advisor.After payment is complete, you will be redirected back to this page with links to view and download a PDF receipt for your donation. Thank you for supporting FALA.Please report any issues with the donation form to *protected email*Name(Required) First Last Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email(Required) Qualified General Programs*If you wish to pay for a specific student's field trip, please use the Field Trip Payment Form and choose the Tax Credit Option.Tax Filing Status(Required) Individual - $200 maximum Married Filing Jointly - $400 maximum Note: As an individual taxpayer, your maximum tax credit donation is $200. Note: As a married couple filing jointly, your maximum tax credit donation is $400. Donation DesignationHow would you like your tax credit to affect FALA? You may choose more than one designation. Please give a breakdown of funds for each designation chosen. Extracurricular activities - School sponsored activities for enrolled students that supplement the schools education program, like add Service & experiential learning trips and student clubs. Character Education - New Project-Based Learning (PBL) Program Targeting the United Nations 17 Global Sustainability Development Goals, MS Llama/ Leadership Curriculum Development. Standardized Testing and Fees - PSAT, SAT, ACT, Advanced Placement and International Baccalaureate Diploma tests and other similar tests Extracurricular ActivitiesEnter amount for this designation Character EducationEnter amount for this designation Standardized Testing and FeesEnter amount for this designation This field is hidden when viewing the formExtracurricular activitiesSchool sponsored activities for enrolled students that supplement the schools education program. Culinary Arts Environmental Coalition Experiential Learning Trip Scholarships Field Trips - general, any trip Garden Club Indigenous Youth Club Music Honor Society Mural Club National Art Honor Society National Honor Society National Honor Society (Dance) of America Rotary/Interact Club Student Council This field is hidden when viewing the formCharacter EducationADE approved program Leader in Me for FALA’s Leadership Institute. Read more about Leader in Me at leaderinme.org Leader in Me curriculum from Franklin Covey, the author of Seven Habits of Highly Effective People, for FALA’s Leadership Institute. Service-Learning Program This field is hidden when viewing the formStandardized Testing and FeesPSAT, SAT, ACT, Advanced Placement and International Baccalaureate Diploma tests and other similar tests Standardized Testing and Fees - PSAT, SAT, ACT, Advanced Placement and International Baccalaureate Diploma tests and other similar tests Career and Technical Education Assessment (CTE) This field is hidden when viewing the formCardiopulmonary Resuscitation Training (CPR) for studentsBased on nationally recognized guidelines pursuant to A.R.S. §15-718.01 Student CPR Training based on nationally recognized guidelines This field is hidden when viewing the formStudents Consumable Healthcare Supplies Tissues, hand wipes, bandages, and other health care consumables This field is hidden when viewing the formCapital Items - A.R.S. § Title 15-903, C.2-8 Pupil and non-pupil transportation vehicles and equipment Textbooks and related printed subject matter materials adopted by the governing board Instructional aids Library books Payment of principal and interest on bonds School district administration emergency needs that are directly related to pupils This field is hidden when viewing the formBreakdown of fundsIf more than one designation has been chosen, please list your distribution of funds per designation. Please do not add a designation that does not appear in the options above.Additional CommentsAdd a note regarding your donation.Donation Total Please use one of the payment methods below.Payment Method(Required)PayPal CheckoutCredit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name This field is hidden when viewing the formMaximum Allowed DonationThis field is hidden when viewing the formMaximum Allowed Donation Δ
