Galveston College is an equal opportunity institution in education and employment. It is the policy of Galveston College to provide equal
opportunities without regard to age, race, color, religion, national origin, gender, disability, genetic information, or veteran status.
To be submitted with photocopies of government-issued documents
Last First Middle Student ID
Mailing Address
City State Zip Code
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Attestation
I attest, under penalty of perjury, I am providing true and unaltered photocopies of government-issued documentation to
the Galveston College Office of Admissions. I understand that submission of false information may lead to forced
withdrawal or other disciplinary action.
Student Signature Date
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Notarization
Before me the undersigned authority, on this day personally appeared
Who after being duly sworn by me, upon oath did state that the information contained in the forgoing Affidavit is true and
correct.
Sworn and subscribed before me this day of , 20 .
Notary Public In and For
The State of County of My commission expires
Notary Public Signature: ________________________________________
Notary Seal
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AFFIDAVIT
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