Aggregate Verification – V5
F. Student Identity Verification & Statement of Educational Purpose:
Select one option and complete.
☐ I am appearing in person at the Big Bend Community College Financial Aid Office to verify my identity by presenting a valid
government-issued photo identification (ID), such as, but not limited to, a driver’s license; other state issued ID; or U.S. passport. The
institution will maintain a copy of the student’s photo ID that is annotated with the date it was received and the name of the official at
the institution authorized to review the student’s ID. In addition, I must sign, in the presence of the institutional official, the following:
Statement of Educational Purpose
I certify that I, ______________________________________ (print student’s name), am the individual signing 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 ________________________________________ (Name of Postsecondary
Education Institution) for 2020-2021.
______________________________________________ _________________________________________________
Student’s Signature Date Witnessing Financial Aid Official’s Signature Date
☐ I am unable to appear in person at Big Bend Community College to verify my identity and provide the Statement of Educational
Purpose. I understand I must attach a copy of the valid government-issued photo identification (ID), such as, but not limited to, a
driver’s license; other state issued ID; or U.S. passport and provide the Statement of Educational Purpose that is acknowledged in the
notary statement below. NOTE: Any costs incurred acquiring a Notary Public will not be reimbursed by Big Bend Community
College.
Statement of Educational Purpose
I certify that I, ______________________________________ (print student’s name), am the individual signing 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 ______________________________________ (Name of Postsecondary
Education Institution) for 2020-2021.
______________________________________________
Student’s Signature Date
Notary’s Certificate of Acknowledgement (Original hard copy must be mailed in – cannot be faxed)
State of _________________________ City/County of _____________________________________ on
___________________________ (date), before me __________________________________________ (notary’s
name) personally appeared ____________________________________________(printed name of student), and
provided to me on basis of satisfactory evidence of identification _________________________ (type of government-
issued photo ID provided) to be the above named person who signed the foregoing instrument.
WITNESS my hand and official seal: ______________________________________________
Notary Public signature
______________________________________________
My Commission expiration date
G. Signatures
Each person signing this form certifies that all the information provided in this application and other financial aid documents is true
and correct. I declare that I have reviewed, understand and agree to the conditions, responsibilities and obligations in order to receive
financial aid for the 2020-2021 academic year as stated in the Conditions of Award and Satisfactory Academic Progress Policy
(available on the financial aid website). The student and at least one legal parent (if a dependent) must sign and date.
______________________________________________ ___________________________________________________
Student Signature Date Legal Parent or Spouse Date
Big Bend Community College does not discriminate on the basis of race, color, national origin, sex, gender, disability, or age in its programs or
activities. The following person(s) have been designated to handle inquiries regarding the non-discrimination policies. Kim Garza, Title IX
Coordinator, Building 1400, Office 1449 at (509)793-2010 / kimg@bigbend.edu or LoraLyn Allen, Coordinator of Disability Services, Building 1400,
Office 1472 at (509)793-2027 / loraa@bigbend.edu.
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signature
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