TRIO Fast Track Program
Income & Educational Attainment Verification Form - INDEPENDENT Student To be Completed by the Student
Student's Name:
*
First Name
Last Name
Student's KC ID #
*
KC E-mail
smitjohn1234@go.kilgore.edu
Phone Number
-
Area Code
Phone Number
Did either of your parents/legal guardian earn a 4-year degree from a college/university?
*
Please Select
Yes
No
Number of people living in your household
*
Did you file taxes this year?
*
Please Select
Yes
No
What was your most recent TAXABLE income?
*
This is NOT adjusted gross income (Line 15 on Form 1040)
All of the information on this form is true and complete to the best of my knowledge.
Signature
*
You may upload your most recent tax information for quicker processing.
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