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  • Healthy Brain Scholars Program for Youth

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  • Parent Information Questions

  • Please answer the following household questions

  • Please upload the following documents.

    1. 2022 Income tax return (Form 1040) 2. W-2 (Year 2022) 3. Schedule C-Profit or Loss from Business or Form 1120 if applicable
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  • Please click save if you want to submit the form later.

    Thank you for submitting your application!
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