FINANCIAL AID OFFICE
2020-2021 Verification- V45
Identity & Statement of Educational Purpose
185 Freedlander Drive | Clyde, NC 28721 | 828.627.4756 or 1.866.GoToHCC | hccaid@haywood.edu
Your 2020-2021 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification.
Federal guidelines dictate that, before awarding federal student aid, we may ask you to confirm the information reported on
your FAFSA. To verify that you provided correct information, we will compare your FAFSA with the information on this
institutional verification document and with any other required documents. If there are differences, your FAFSA may be
corrected. The student and the parent whose information was reported on the FAFSA (if dependent) must complete and sign
this form, attach any required documents, and submit the information to the Financial Aid Office (FAO). If you have questions,
please contact the FAO promptly to avoid delays in the processing of your financial aid.
____________________________________________________ ____________________
Last Name First Name M.I. HCC ID # or SSN (last 4 digits)
____________________________________________________ ____________________
Street Address (include apt. no.) Date of Birth
____________________________________________________ ____________________
City State Zip Code Email Address
____________________________________________________ ____________________
Home Phone Number (include area code) Alternate or Cell Phone Number
1. Identity Verification
A. Identity and Statement of Educational Purpose (to be signed at the Institution)
The student must appear in person at Haywood Community College 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 collect the student’s ID.
In addition, the student must sign, in the presence of the institutional official, the Statement of
Educational Purpose provided on page 2.
B. Identity and Statement of Educational Purpose (to be signed in the presence of a Notary)
If the student is unable to appear in person at Haywood Community College to verify his or her identity,
the student must provide:
I. 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
driver’s license, other state-issued ID, or passport; and
II. The original Statement of Educational Purpose, which is provided on page 2, must be notarized.
If the notary statement appears on a separate page than the Statement of Educational Purpose,
there must be a clear indication that the Statement of Educational Purpose was the document
notarized.
C. Signature Requirement
I. You must present acceptable valid unexpired photo ID and complete this form, in the presence of
an HCC official OR notary.
