Fillable 20172018 V4 Custom Verification Independent & Dependent Students (South Puget Sound Community College)

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20172018 V4 Custom Verification Independent & Dependent Students (South Puget Sound Community College)

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The 20172018 V4 Custom Verification Independent & Dependent Students (South Puget Sound Community College) form is 2 pages long and contains:

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File type: PDF

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Office Use Only
Financial Aid
File Reviewer
2017–2018 V4 Custom Verification
Independent & Dependent Students
Your 2017–2018 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called Verification. The law
states that before awarding Federal Student Aid, we must ask you to confirm the information you reported on your FAFSA. To verify that
you provided correct information, the Student Financial Services Office will compare your FAFSA with the information on this
worksheet and with any other required documents. If there are differences, your FAFSA information may need to be corrected.
You must complete and sign this worksheet, attach any required documents and submit the form and other required documents to the One
Stop in Building 22 at South Puget Sound Community College. Student Financial Services may ask for additional information. If you
have questions about Verification, contact Student Financial Services at (360) 596-5252 as soon as possible so that your financial aid will
not be delayed.
DO NOT LEAVE BLANK- READ AND COMPLETE ALL SECTIONS!
1. Student Information
Last Name First Name M.I. SSN
Email Phone SID
2. High School Completion Status
Yes, I have a high school diploma, GED or have completed my homeschooling requirements and I’m submitting the following
documentation:
I have previously submitted documentation to the One Stop at SPSCC
Official High School Transcript
Copy of High School Diploma
Academic Transcripts (if student completed at least 2-years towards a Bachelor’s Degree)
Secondary School Leaving Certificate – If completed Secondary Education in a Foreign Country
State Certificate or Transcript (GED, HiSET, TASC or other Statue Exam)
Letter from school district confirming homeschooling requirements met
I will provide documentation on: (your file will not be complete until document is received)
No, I do not have a high school diploma or GED, nor have I completed homeschooling requirements.
3. Educational Purpose
The student must appear in person at South Puget Sound Community College to verify their identity by presenting an
unexpired valid government-issued photo identification (ID), such as, but not limited to, a driver’s license, other state-issued
ID, or passport. The institution will maintain a copy of the student’s photo ID that is annotated by the institution with the
date it was received and reviewed, and the name of the official at the institution authorized to receive and review the
student’s ID.
In addition, the student must sign, in the presence of the institutional official, the Statement of Educational Purpose provided
below.
Statement of Educational Purpose
I certify that I, am the individual signing this statement of
Educational Purpose and that the federal student financial assistance I may receive will only be used for
educational purposes and to pay the cost of attending South Puget Sound Community College for 2017-2018.
Student Signature Date
OFFICIAL OFFICE USE ONLY
ID TYPE Driver License Passport State ID Military Other
STAFF ID
4. Certification and Signature
The student (and parent if student is dependent) must sign and
date this worksheet. By signing, you certify that all of the
information reported on this worksheet is complete and correct.
Student’s Signature Date
Parent’s Signature (dependent student only) Date
Do not mail this worksheet to the U.S. Department of Education.
THIS FORM MUST BE SUBMITED IN PERSON to the One Stop in Building 22 at South Puget Sound Community College.
South Puget Sound Community College
Student Financial Services
2011 Mottman Road SW
Olympia, WA 98512
Phone: (360) 596-5252
WARNING: If you purposely give false or misleading
information on this worksheet, you may be fined, be
sentenced to jail, or both.
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20172018 V4 Custom Verification Independent & Dependent Students (South Puget Sound Community College)

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Completed 30 July 2020

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