EXCEL Program 2019 -2020 Application
In addition to completing this application, program participation is contingent upon submitting the following documents.

1. LOW INCOME VERIFICATION (Documents must be SIGNED & DATED): 2017 IRS FEDERAL TAX FORMS: 1040, 1040A, 1040EZ. If IRS Federal Tax forms were not filed: Submit a letter on official letterhead showing monthly stipend from SSI, SSDI, FAFSA/SAR, CALWORKS.

2.ENROLLMENT VERIFICATION: CSUEB Letter of Acceptance (Only required if not enrolled in CSUEB at the time of EXCEL application) or Current Class Schedule.

3. IF NOT A U.S. CITIZEN, you must be a PERMANENT RESIDENT CARD HOLDER. A copy of the front and back of the card will need to be submitted to the office.

4. EXCEL's DISABILITY VERIFICATION (BLUE) REFERRAL FORM: If you are a student with a disability, this form can be obtained from your Accessibility Services counselor in LI 2400.
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