2019-2020 Identity and Statement of Educational Purpose 19IDENT
2019-2020 Identity and Statement of Educational Purpose
(To Be Signed at the Institution)
The student must appear in person at Mt. San Jacinto College to verify his or her 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
(Print Student’s Name)
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 Mt. San Jacinto College for 2019-2020.
_________________________________________ _______________
Student’s Signature Date
______________________
Student’s ID Number
For Office Use Only
Attached is a copy of acceptable proof of government-issued identity as marked below:
Driver’s license
Non driver’s license or State/Government ID card
*Military ID (make comment- do not copy)
Passport
Verified by: ________________________________ _______________
Staff’s Signature Date
2019-2020 IDENTITY AND STATEMENT
OF EDUCATIONAL PURPOSE
STUDENT INFORMATION
Please PRINT clearly with black/blue ink
SJC Financial Aid Office * 1499 N State Street * San Jacinto, CA 92583 * Telephone: (951) 487-3245
MVC Financial Aid Office * 28237 La Piedra Road * Menifee, CA 92584 * Telephone: (951) 639-5245
Email: finaid@msjc.edu * Website: www.msjc.edu
click to sign
signature
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