The instructions and certifications below apply to the student. Complete this section if the student will not file and is not required to file a 2017 income tax return with the IRS.
  • The Student was not employed and had no income earned from work in 2017.
  • The student was employed in 2017 and has listed below the names of all employers, the amount earned from each employer in 2017, and whether an IRS W-2 or an equivalent document is provided.
    [Provide copies of all 2017 IRS W-2 forms issued to the student by their employers]. List every employer even if the employer did not issue an IRS W-2 form.
Student's Employer Name
2017 Annual Amount Earned
Will provide IRS W-2?
Check box for Yes
Student's Employer Name
2017 Annual Amount Earned
Will provide IRS W-2?
Check box for Yes
Student's Employer Name
2017 Annual Amount Earned
Will provide IRS W-2?
Check box for Yes
Student's Employer Name
2017 Annual Amount Earned
Will provide IRS W-2?
Check box for Yes
Student's Employer Name
2017 Annual Amount Earned
Will provide IRS W-2?
Check box for Yes
Total Student Income $

NOTE:

If more space is needed, complete a second form and notify Financial Aid of second form at 919-209-2036.

Each person signing below certifies that all of the information reported is complete and correct. The student and one parent whose information was reported on the FAFSA must sign and date.

WARNING:

If you purposely give false or misleading information, you may be fined, sent to prison, or both.
Parent Email
Student Email
Student Signature
Student ID Number
Date
By checking this box, I ratify the use of my typed name and Student ID number as an electronic representation of my signature.
Parent Signature
Parent Signature Date
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