2020-2021 Identity and Statement of Educational Purpose
20IDENT
Educational Purpose
The student must submit a copy of an unexpired valid government-issued photo identification (ID), such as, but not limited to, a
driver’s license, other state-issued ID, or passport. 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 the Statement of Educational Purpose provided below.
Statement of Educational Purpose
I certi
fy that I _______________________________ am the individual signing this
(Print Student’s Full 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 2020-2021.
_________________________________________
_______________
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:
Drive
r’s license
Non d
river’s license or State/Government ID card
*Mili
tary ID (make comment- do not copy)
Passp
ort
Verified by: ________________________________
_______________
Staff’s Signature
Date
2020-
2021 IDENTITY AND STATEMENT
OF EDUCATIONAL PURPOSE
STUDENT INFORMATION
Please PRINT clearly with black/blue ink
Last Name
First Name
M.I
Student ID Number
Mt. San Jacinto College Financial Aid Office
Website: https://msjc.edu/financialaid/
Virtual Lobby: https://msjc.edu/hub/
Telephone: (951) 487-3245
Email: Finaid@msjc.edu
P R I N T
C L E A R
click to sign
signature
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