11/12/2020
NAME ____________________________________ ID NUMBER _______________
ID
ENTITY
STATEMENT of EDUCATIONAL PURPOSE
Student’s signature______________________________________ Date______________
Ty
pe of ID
_________________________ Photo ID verified and copied.
SF
S Signature
__________________________________________ Date______________
P
rinted Name
____________________________________________
M
ail to:
Andrews University Phone: 269.471.3334
Office of Student Financial Services Email:
sfs@andrews.edu
4150 Administration Drive Web: www.andrews.edu/sfs
Berrien Springs, MI 49104-0750
2021-2022 STATEMENT of EDUCATIONAL PURPOSE:
INSTITUTION
I certify that I ________________________________________ am the individual signing this Statement of Educational Purpose
(print student’s name)
and that the federal student financial assistance I may receive will only be used for educational purposes and to pay the cost of
attending Andrews University for 2021-2022.
The student must appear in person at Andrews University 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, non-driver’s identification card, other
state-issued ID, or passport. The institution will maintain an annotated copy of the unexpired valid government-issued
student’s photo ID which includes the date it was received 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 following:
Student must sign in presence of Student Financial Services Official.
DO NOT FAX OR SCAN.
ORIGINAL DOCUMENTS ONLY