2020 - 2021
NC Child Care Grant
Federal TRIO Guideline Self Disclosure
I, ____________________________________, certify my household size and income falls within the Federal TRIO
Program Current-Year Low-Income Levels. If requested, I will provide documentation of my household size and total
family annual income by submitting a copy of my 2018 IRS 1040 form(s) or 2018 IRS Letter of Non-Filing or 2017 IRS
Account Summary.
_____________________________ ____________________ _________________
Student Signature Date Student ID
Return completed worksheet(s) to:
Caldwell Community College and Technical Institute
Office of Financial Aid
E-mail finaid@cccti.edu
Caldwell Campus 2855 Hickory Blvd., Hudson, NC 28638 Watauga Campus PO Box 3318, Boone, NC 28607
1 of 1
click to sign
click to edit