2020-2021 High School Completion & Statement of Education Purpose NOTARY
Please Type or Print clearly in BLUE or BLACK ink
Federal Student Aid Programs: Your application was selected for review in a process called
“Verification.” In this process, the Office of Financial Aid will be comparing information from your
application with your (and your parent(s), if a dependent student or your spouse, if an independent student)
financial documents. We are required to review your FAFSA information under financial aid program rules
(34 CFR, Part 668). The law states we have the right to ask you for this information before awarding Federal
Aid. If there are differences between your application and your financial documents, corrections to your
FAFSA may be required.
Student’s Information
Student’s Last Name Student’s First Name Student’s M.I.
Southern Crescent Student ID #
Student’s Street Address (include apt. no.)

Student’s Date of Birth
City State
Zip Code
Student’s Email Address
Student’s Home Phone Number (include area code)
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Student’s Alternate or Cell Phone Number
High School Completion Status
Please provide one of the following documents that indicate the student’s high school completion status
when the student will begin college in 2020-2021:
A copy of the student’s high school diploma. OR
A copy of the student’s final official school transcript that shows the date when the diploma was
awarded. OR
A copy of the student’s General Educational Development (GED) certificate or GED transcript. OR
An academic transcript that indicates the student successfully completed at least a two-year program
that is acceptable for full credit toward bachelor’s degree. OR
For students who completed secondary education in a foreign country, a copy of the “secondary
school leaving certificate” or other similar document. OR
If State law requires a homeschooled student to obtain a secondary school completion credential for
homeschool (other than a high school diploma or its recognized equivalent), a copy of that credential.
OR
If State law does not require a homeschooled student to obtain a secondary school completion
credential for homeschool (other than a high school diploma or its recognized equivalent), a transcript
or the equivalent, signed by the student’s parent or guardian, that lists the secondary school courses the
student completed and documents the successful completion of a secondary school education in a
homeschool setting.
If the student is unable to obtain the documentation listed above, he or she must contact the Office of
Financial Aid.
Locations
501 Varsity Road 1533 Hwy 19 South 300 Lakemont Drive
Griffin, GA 30223 Thomaston, GA 30286 McDonough, GA 30253
P: 770-228-7368 P: 706-646-6386 P: 770-467-6049
F: 770-229-3029 F: 706-646-6063 F: 770-914-4424
Identity and Statement of Educational Purpose
(Completion of this section MUST BE WITNESSED AND SIGNED BY A NOTARY OF THE
PUBLIC)
If student is unable to appear in person at Southern Crescent Technical College Office of Financial Aid to
verify his or her identity, the student must provide to the institution:
a.
A copy of the unexpired valid government-issued photo identification (ID) that is
acknowledged in the notary statement below, or that is presented to a notary, such as, but not
limited to, a drivers license, other state-issued ID, or passport; and
b.
The original Statement of Educational Purpose provided below, which must be notarized. If the
notary statement appears on a separate page then the Statement of Educational Purpose, there
must be a clear indication that the Statement of Educational Purpose was the document
notarized.
Statement of Educational Purposes
I certify that I
(Print Student’s Name)
am the individual signing the 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 Southern Crescent Technical College for
2020-2021.
Student
Signature:
Date:
StudentID#:____________________________________
Notary’s Certificate of Acknowledgement
(Completion of this section MUST BE WITNESSED AND SIGNED BY A NOTARY OF THE PUBLIC)
State
of
City/County
of
On
, before me, ,
(Date) (Notary’s name)
personally appeared, , and provided to me on the basis of
(Printed Name of signer)
satisfactory evidence of
identification
(Type
of government-issued photo ID provided)
to be the above-named person who signed the foregoing instrument.
WITNESS my hand and official seal
(Notary Signature)
My commission expires
on
(Date)
(SEAL)
This document must be “HAND DELIVERD” or delivered by U.S. Postal Service to the address above.
As set forth in full in the Student Handbook/Course Catalog, Southern Crescent Technical College is an Equal Opportunity Institution and does not discriminate on the basis of race,
color, national origin, sex, age or disability.
Revised 3-23-2020
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