2019-2020 Identity/Statement of Educational Purpose Verification
Notarized – By mail only (Only complete if you cannot visit the office in person)
A. Student Information (Required)
B. High School Completion (Required)
Please check the box that is applicable.
I have provided proof of high school completion to Durham Tech Student Information and
Records office (Examples: High School or GED diploma or official high school or GED
transcript sealed in an envelope.)
I have attached proof of high school or GED completion.
A. Statement of Educational Purpose (Required)
To Be Signed with Notary Public
If the student is unable to appear in person at Durham Technical Community College to verify his
or her identity, the student provides
(a) a copy of the valid government-issued photo identification (ID) that is acknowledged in the
notary statement below, such as, but not limited to, a driver’s license, other state-issued ID,
or passport; and (b) the original notarized Statement of Educational Purpose provided below.
I certify that I,
(Print student name) ______________________________________________, 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 Durham Technical
Community College for the 2019-2020 school year.
Student Signature ____________________________________ Date ________________________
Student ID Number ___________________________________
Page 1 I Revised 03/14/2018