Financial Aid Office, 2755 E. Napier Avenue
Benton Harbor, MI 49022
Phone: 269-927-8112/ Fax: 269-927-8183
Bachelor’s Degree Verification Form
First Name Last Name LMC ID
You have indicated on your FAFSA that you have earned a Bachelor’s degree at a previous College or
University, and/or you are planning to study at the graduate or professional level. To clarify your status,
complete and return this form to the Financial Aid Office.
1. Do you currently have a Bachelor’s Degree from a previous College/University? If No, skip to question #3
Yes No
If yes, complete the information on the college and degree below:
Name of College/University:
City and State where College/University is located:
Month and Year Bachelor Degree Received:
2. If you currently have a Bachelor’s Degree, what degree are you pursuing now?
Second Bachelor’s
Fifth year other
3. If you answered No to question #1 and currently do not have a Bachelor’s Degree, please select year in college
First year never attended
First year attended
Some College
4. At the beginning of the 2020-2021 school year, will you be working on a master’s or doctorate program (such
as an MA, MBA, MD, JD, PhD, EdD, or graduate certificate, etc.?
Yes No
Certification and Signature: By signing this form, you are certifying that all of the information reported on the form is
complete and accurate.
tudent Signature
Last 4 digits of SSN Date