2019-2020
IDENTITY
AND
STATEMENT
OF
EDUCATIONAL
PURPOSE
(To Be Signed at the Institution)
(FFFA23)
STUDENT INFORMATION
Last Name First Name M.I. Student ID#
The student must appear in person at _____________________________________ to verify his or her identity by
(Name of College)
presenting a 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 collect the student’s
ID.
In addition, you must sign, in the pres
ence of the institutional official, the following statement.
S
TATEMENT OF EDUCATIONAL PURPOSE
If you are unable to physical
ly bring this form and a government-issued identification contact the Financial Aid Office.
This option is only available to students with special limitations.
I certify that I _____________________________ am the individual signing this Statement of Educational Purpose
(Print Student’s Name)
and that the federal student financial assistance I may receive will only be used for educational purposes
and to pay the cost of attending ___________________________ for 2019-2020.
__________________________________
(Date)
ID Verified by: Date: _____________________
RETURN TO FINANCIAL AID OFFICE:
(Name of College)
________________________________________
(Student’s Signature)
