UMGC Office of Financial Aid | 3501 University Boulevard East, Adelphi MD 20783 USA
F21SEN
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Academic Year: 2020-2021
Form: Identy and Statement of Educaonal Purpose — Notary
Student’s ID #: _ Student’s Name: _____________________________________
This completed form must be submitted by mail to:
UMGC Office of Financial Aid, 3501 University Blvd. East, Adelphi MD 20783 USA
Instructions, Page 1: If the student is unable to appear in person at University of Maryland Global Campus to
verify his or her identity, the student must provide to the institution:
(a) A copy of the unexpired valid government-issued photo idencaon (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
(b) The original Statement of Educaonal Purpose provided below, which must be notarized. If the notary
statement appears on a separate page than the Statement of Educaonal Purpose, there must be a clear
indicaon that the Statement of Educaonal Purpose was the document notarized.
Your 2020-2021 Free Application for Federal Student Aid (FAFSA) was selected for a process called “verification”,
in which UMGC is required to confirm the informatio
n you reported on the FAFSA. Accurate completion
of this form is required in order to verify and process your 2020-2021 financial aid application.
Statement of Educaonal Purpose
I cerfy that I, ______________________________________ , am the individual signing
(Printed Name of Student)
this 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 University of Maryland Global Campus for 2020-2021.
Student’s Signature: ___________________________________ Date: ______________
(must be signed by hand, not typed)
Student’s UMGC ID #:
Please connue to Page 2.
