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Page 288 text:
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4 Poston, David Powers, Kay Price, Vickie Puckett, Bob Oueroga, Connie Ragain, Deborah Ragain, Dianna Rainbolt, Roger Reeser, Pam Rhodes, Tim Rice, Connie Richards, Denise Richardson, Bill Richter, Pam Rickman, Melissa Riggs, Jerry Risenhoover, Margaret Risenhoover, Philip Robberson, Gary Rodgers, Donna Rohas, Cynthia Rojas, Sylvia Rucker, Charlie Rutter, Barbara Ryan, Kathryn Ryan, Mike San Martino, Cleelis Schickedanz, David Schilkin, Karl Scott, Ray
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Page 287 text:
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Nail, Linda Nash, Steve Needham, Mary Neel, Rocky Neel, Stacy Newman, Billy Nichols, Alana Nichols, Douglas Norman, Harvey Norris, James Norris, Mike Offield, Malcolm Oler, Julia Orlowski, Debbie Orr, Gary Osborne, Pete Osheim, Kenneth Pannell, Frances Parker, James Parker, Vera Perry, Phyllis Peterson, Glenda Phillips, Bruce Phillips, Karen Phipps, James Pickard, Laura Pickens, Jeff Piper, Michael Podbreger, Gary Poole, Duane
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Page 289 text:
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Forms, Forms, srunrm UNANCIAL .Q There are a number of financial aid programs for students attending TCJC, including loans, grants, jobs, and scholarships. Many of the programs are based on the financial need of the student. If you want information about the financial aid programs at TCJC,please complete this card and return 2 with your admission agplication. Name Cplease printj Street Address CCiryJ Cscacel CZipD Campus: Northeast Sguth 7- 0 .C , I-4 U 0 DD I-I G GJ O .C t-I JJ U 3 I-H O .CZ O JJ U 'U G C in O IK nl G .C u -4 he CU 0 CD GJ P U GJ 'U bs -I H U 5-I i-4 QI ll! O QI O- Q O C m 0 Q u C 0 M CI O OD U SD --4 8-I IH an Le U CU O W CU N .C- GI G. U CD .-e U4 ui 5 Lt O v-I -u-4 2 -I-I ' 23 H CD Q i m , o Q rn I by -F4 il dl G Q1 P -.4 I-1 QI H , Q3 .C QI .CI U P y y rs fv O .23 l-4 G' IJ 3 3 QI 'TJ 'l , O .C U rn ,' J: cu u Ps. qt i 1 di i 'U Q O LJ l l i fl in v-4 KU , 5' ll O Q- 'U , I il 'U -4 U Ll v as -U u 3 ,, I w-4 C GU Q I 1 I-4 --4 Q13 IA L X' 5.4 xr U r-4 at l IU -L-I B U -.J G' C -A G 4 3 ' P I3 Q - ' '1 gg ' U E 5-I m Il -o GJ as in cu D m 'f x: H E -4 to u 43 ' ml QI f-4 KU L4 l 1 .-C O C-' D -5 '- 4-I 'H Ld O v-I tl 7-I 1 , N 'U 5-I 'l CD SU an 'Q I-4 P In L4 5 0 -v-I H Q Q 'U v-4 N ,4 , Q U IN Q 9 5 ID -v-I U-I M 22 ... Z 3 I3 'D 41, P4 .C I Q g Il Everywhere Tl1ere's Forms The lollowing queslions must be answered in detoil, Il you ore hired, your continued employment will EMPLOYMENT APPLICATION depend upon your work oduptobilny and the verification ol the facts presented in rhis application. Be occuroie, NUMB- Y -V -Y --,77+,, , . .Sociol Security No, LA 1 . z Present Addres5,-l,, , ,+ 7777777 Yi, Y How Long 5 nr: C iv s ve Pfetmus Address ,,,,7 , , W , , -mr Y HOW Long sw r Civ Ev ve Telephone No iii, fwf Dole of Binh . Age-, Sexf on. my vnu Moritol slums- smgle U Engaged ij Married ij widowed j sepi-mice j Divorced ij ll Mwfied, Give Nome Qi spouse, , -, Y Ompumf. of Spouggr No of Children Under ll? Yeovs ,,T.-,Ng gf Other Dependents YOIH I-I flu. Alll. N50 lt. 1. rnaun-1 hu-t-I In-nu In-in umm Print full name ........ EMPLOYEES WITIIHULDIIIG EXEHPTIIIII CERTIFICATE ,,,,,,,.,.,,,,,,.,,...,...,,.,.,,...,,,,,,,,,,,,,,,,,,,,,,,,,,.,.,,,,,,,.... Social Security No. ......... Print home address ................... I ...............................l.... City .............................---------- SUI!! ---.-- EIAPLOVEEZ HOW T0 CLAII YDUI WITHNOLDIMG EXEMPTION! P-.n'uH D'x l. If SINGLE, md you claim ln exemption, write the ngure 1 ................. . . uwimhmuamm. 2. lf MARRIED, one exemption each for husband md wife if not claimed on mother certinute. Hg U. 5. Ing' 1:1 lf you claim both of these exemptions, write the ru hm yu nn, Qbj lf you dxim one of these exemptions, inte the Egure 1 .................. 'mlm ummm. Qcj If you clum neither of these exemptions, wnte 0 Eupwyn: 3. Exemptions Ior age and blindnut hppliable only to you and your wife but not to depeadeaul: Km N, gig. Q0 lf you or your wife will be :alan of nge or older At the end of the year, md you claim this eremp- uu ,Mn nu. M, gon, write the ngure l g if will be 65 or older, md you claim both of these exemptions, write the rc 2 ..,................... . .... . . ..,...,.......,......... ... :aww an lE:you ogyouuififn burn, and-you ummm, 'me the am --rx if both in brain, ' . nn you urn thaeexempuongw Ggure ...................,..... ......... -vungnxmig, 4, lf youuglairp for one og-0 writeum ogfgtriilz fbo not dnim W num' M ZXCITLP DB D! UI? ll lllll-sid Ill-'IM I . ...,-.,.... , . ...... ... In mint a. Ma ue number of ummm whifh you me domed above md wie the wal .............. I'-:I I CERTIFY that form . ,...,...,...........,...,............ , l9,..... the number of withholding exemptions claimed on this ceniinre dos not exceed the number to whidi I mi entitled. ,..,.,,.. qsaps-n ....................... .. ..... ..,.. .. ...,...... .. ..................... -
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