Updated 4/2020
USE THIS IF YOU FAILED TO SIGN FAFSA
WITH FSA ID
2020-2021
ISIR signature page:
Read, Sign, and Date
Please Print Name:_______________________Student ID #:_____________________
If you are a student, by signing this application you certify that you (1) will use federal and/or state student financial
aid only to pay the cost of attending an institution of higher education, (2) are not in default on a federal student loan
or have made satisfactory arrangements to repay it, (3) do not owe money back on a federal student grant or have
made satisfactory arrangements to repay it, (4) will notify your school if you default on a federal student loan and (5)
will not receive a Federal Pell Grant for more than one college for the same period of time.
If you are the parent or the student, by signing this application you certify that all of the information you provided is
true and complete to the best of your knowledge and you agree, if asked, to provide information that will verify the
accuracy of your completed form. This information may include your U.S. or state income tax forms that you filed or
are required to file. Also, you certify that you understand that the Secretary of Education has the authority to
verify information reported on this application with the Internal Revenue Service and other federal agencies.
If you sign any document related to the federal student aid programs electronically using a personal identification
number (PIN), username and password, and/or any other credential, you certify that you are the person identified by
that PIN, username and password, and/or other credential, and have not disclosed that PIN, username and
password, and/or other credential to anyone else. If you purposely give false or misleading information, you may be
fined up to $20,000, sent to prison, or both.
_______________________________________ ___________________
Student signature Date
_______________________________________ ____________________
Parent (If you provided information for parent(s) Date
In Step 4, a parent needs to sign.)
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
