**** The above Student Eligibility Form is a fillable PDF format. ****

For guidance on completing the form, please click this SAMPLE 506 FORM.

Does your student have a Title VI Student Eligibility Certification (506) Form on file?

Our office receives federal funding to meet the needs of Native American students in Amphitheater School District.  Program funding is based on the number of enrolled Native American students in the district.  In order for students to be counted and have access to Title VI services, parents must complete the Title VI Eligibility (506) form and return it to their child's school or to our office located at 435 East Glenn Street.