Office of Student Financial Aid
Phone : (240)567-5100
Office use only Code W2STUE / FA W2 STUDENT EVEN
2019-2020 Student W-2s
SECTION A: STUDENT INFORMATION
Please complete all sections of this form. Your 2019-20 Free Application for Federal Student Aid (FAFSA) has been
selected for Verification. MC is required by law (34 CFR, Part 668) to compare the information from your FAFSA with
the information provided on this form.
Section B: 2017 W-2’s for the Student
Employers Name Amount
I / We certify that all the information contained on this form is complete and correct. NOTE: If you purposely give false or
misleading information, you may be imprisoned and/or fined up to $25,000. I / We
understand that this form must be signed and
submitted with all other requested documents before my financial aid will be processed.
Electronic signatures are not accepted.
Student Signature (must be signed in ink)
I had no income from work in 2017.
I had earned income in 2017. In the space below, please list all employers and the amount earned. Attach
W-2 for each employer. If you did not keep a copy of the W-2, a wage transcript is available at www.irs.gov If the employer did
not issue a W-2 and one is not available from the IRS, provide a signed statement explaining why you do not have a W-2.
Include employer’s name, address and amount earned.
I was self-employed in 2017. Please submit the Schedule C from your 2017, 1040 federal tax form.