I certify that all of the above information is true and correct and the Federal Form 1040 enclosed provides a true and accurate verification of my
annual personal income. I understand that the deliberate misrepresentation of the information may result in the scholarship being denied or
terminated. I understand that the scholarship payments will continue if I stay current on the remaining tuition balance. Any unused portion of the scholarship award will be retained by FB for other scholarships. All decisions are final. All financial information is held confidentially.