Academic Achievement Programs

Academic Achievement Programs

Student Support Services

VERIFICATION FORM

Name:

Last First Middle Initial

Date of Birth:

For determination of eligibility please return this form with a COMPLETED and SIGNED copy of your parent’s /guardian’s 2017 Form 1040. This information is required to verify your eligibility in compliance with the U.S. Department of Education Regulations and must be submitted by all applicants whether or not they are applying for financial assistance. If your parent’s/guardian’s 2017 household federal income tax return has not been completed, a copy of your parent’s /guardian’s 2016 Form 1040 can be submitted to AAP for decision purposes only. A copy of the 2017 Form 1040 is required and must be submitted to AAP no later than May 15, 2018 to confirm your STP participation.

1.  Have you completed and submitted the Free Application for Federal Student Aid (FAFSA) online? Yes No

2.  Did either of your parents (natural or adoptive) with whom you now reside, earn a bachelor’s degree? Yes No

a.  If eighteen years of age or older, did you reside with your (natural or adoptive) parents on your eighteenth birthday? Yes No Not applicable

b.  If yes, on your eighteenth birthday, did either parent (natural or adoptive) with whom you resided have a bachelor’s degree? Yes No Not applicable

3.  Do you have a disability? Yes No (if yes, attach documentation)

By signing below, I give the Academic Achievement Programs permission to share my tax forms with the Office of Student Financial Aid and I certify that the information submitted on this form is complete and correct.

Signature of Applicant & Date Signature of Parent/Guardian & Date

NOTE: You will be required to submit a copy of the Parents 2017 Federal Tax Return Transcript and W-2 forms to the Office of Student Financial Aid (OSFA) if IRS Data Transfer is not used during submission of FAFSA information at www.fafsa.ed.gov.

RETURN THIS FORM and 1040 TAX FORM VIA MAIL/FAX WITHIN 10 DAYS TO:

Academic Achievement Programs

University of Maryland

2204 Marie Mount Hall

College Park, MD 20742

Fax: (301) 314-9162

Email: