TRIO Fast Track Program

TRIO Fast Track Program

Income & Educational Attainment Verification Form - DEPENDENT Student
To Be Completed by the Student's Parent/Legal Guardian
Student's Name:

First Name Last Name
Student's KC ID #
Name of Parent/Legal Guardian

First Name Last Name
Phone Number

Area Code Phone Number
Student's KC E-mail
smitjohn1234@go.kilgore.edu
Number of people living in your household *
Did either of your parents/legal guardian earn a 4-year degree from a college/university? *
Did the parent/legal guardian file taxes this year? *
What was the parent/legal guardian's most recent TAXABLE income? *
This is NOT adjusted gross income (Line 15 on the Form 1040)
All of the information on this form is true and complete to the best of my knowledge.
Parent/Legal Guardian Signature
You may upload your most recent tax information for quicker processing.
Should be Empty: