Prince George's Community College-UB-Extra Documentation

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What is your legal name? (Student)*

First NameMiddle Initial Last Name

What is your personal E-mail address? (Student)*

PGCPS email addresses will not be able to be used or communicated through.

Please submit the Most Recent Report Card.*

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What was your family's taxable (not total) income from the last calendar year? (Please check only one box, and then provide the requested income information in the following questions. Please submit a copy of your most recent tax return)*

My family's taxable (not total) income from the last calendar year was: $_________ (Note: taxable income can be found on the federal income tax return. On IRS Form 1040, see line 10 (as of 2018))My family did not file a federal income tax return for the last calendar year. My family's total income from the last calendar year was: $__________My family had no taxable income during the last calendar year. If your family did not have to file taxes, please provide an IRS non-filer document stating they were not required to file taxes.

My family had no taxable income during the last calendar year. If your family did not have to file taxes, please provide an IRS non-filer document stating they were not required to file taxes.*

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Most recent tax return.*

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Verification of United States citizenship or residency. Please attach a copy of one of the following documents: Alien Registration Card, U.S. Birth Certificate, Naturalization Papers*

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Are you an orphan, in foster care, or a ward of the court?*

YesNo

Please attach state or federal documentation to justify your status as an orphan, in foster care, or a ward of the court.*

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