SOWELA TECHNICAL COMMUNITY COLLEGE
20162017
Institutional Verification Document
Your 20162017 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The
law says that before awarding Federal Student Aid, we may ask you to confirm the information you 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 information may need to be corrected.
You and a parent whose information was reported on the FAFSA must complete and sign this institutional verification document,
attach any required documents, and submit the form and other required documents to us. We may ask for additional information.
If you have questions about verification, contact us as soon as possible so that your financial aid will not be delayed.
A. Student’s Information
____________________________________________ ____________________________
Student’s Last Name First Name M.I. Student’s Identification (ID) Number
_____________________________________________ ____________________________
Student’s Street Address (include apt. no.) Student’s Date of Birth
_____________________________________________ ____________________________
City State Zip Code Student’s Email Address
_____________________________________________ ____________________________
Student’s Home Phone Number (include area code) Student’s Alternate or Cell Phone Number
B. High School Completion Status
Provide one of the following documents that indicate the student’s high school completion status when
the student will begin college in 2016–2017:
A copy of the student’s high school diploma.
A copy of the student’s final official high school transcript that shows the date when the diploma was
awarded.
A copy of the student’s General Educational Development (GED) certificate or GED transcript.
An academic transcript that indicates the student successfully completed at least a two-year program
that is acceptable for full credit toward a bachelor’s degree.
If State law requires a homeschooled student to obtain a secondary school completion credential for
home-school (other than a high school diploma or its recognized equivalent), a copy of that
credential.
If State law does not require a homeschooled student to obtain a secondary school completion
credential for home-school (other than a high school diploma or its recognized equivalent), a
transcript or the equivalent, signed by the student’s parent or guardian, that lists the secondary school
courses the student completed and documents the successful completion of a secondary school
education in a home school setting.
If the student is unable to obtain the documentation listed above, he or she must contact the Enrollment
Services One Stop Center.
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_________________________________ _______________________
Student’s Name _______________________________ Student’s ID Number ________________
C. Identity and Statement of Educational Purpose (To Be Signed at the Institution)
The student must appear in person at SOWELA Technical 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 receive and review the student’s
ID.
In addition, the student must sign, in the presence of the institutional official, the Statement of
Educational Purpose provided below.
Statement of Educational Purpose
I
certify that I _____________________________ am the individual signing this
(
Print Student’s Name)
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 SOWELA Technical Community College
for 2016
2017.
_________________________________________
(Student’s Signature)
_______________
(Date)
______________________
(Student’s ID Number)
FAO Signature DATE
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Student’s Name _______________________________ Student’s ID Number ________________
D. Child Support Paid
One of the parents included in the household or the student paid child support in 2015. List below the
names of the persons who paid the child support, the names of the persons to whom the child support was
paid, the names of the children for whom the child support was paid, and the total annual amount of child
support that was paid in 2015 for each child. I also attest that I have not included these children as
members of my household size. You can’t include these children as members of the household and also
list child support paid.
If more space is needed, provide a separate page that includes the student’s name and ID number at the
top.
Name of Person Who
Paid Child Support
Name of Person to Whom
Child Support was Paid
Name of Child for Whom
Support Was Paid
Amount of
Child Support
Paid in 2015
Note: If we have reason to believe that the information regarding child support paid is not accurate, we
may require additional documentation, such as:
A statement from the individual receiving the child support certifying the amount of child support
received; or
Copies of the child support payment checks or money order receipts.
E. SNAP(Food Stamps Benefit)
Please check yes or no if you or one of your parents if a dependent student received SNAP(Food
Stamps Benefit) in 2014 or 2015.
YES NO
Note: If there is reason to believe that the information regarding the receipt of SNAP benefits is
inaccurate, the financial aid office may require documentation from the agency that issued the SNAP
benefits in 2014 or 2015.
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________________________________________
________________________________________
________________________________________
________________________
________________________
________________________
F. Certifications and Signatures
Certifications and Signatures
Each person signing below certifies that all of the
information reported is complete and correct.
The student and one parent whose information was
reported on the FAFSA must sign and date.
Print Student’s Name
Student’s Signature
Parent’s Signature
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misleading information you may be fined,
be sentenced to jail, or both.
Student’s ID Number
Date
Date
One Stop Enrollment Center
3820 Sen. J. Bennett Johnston Ave.
Lake Charles, LA 70615
Phone: 337-421-6545 Email: onestop@sowela.edu
www.sowela.edu/financialaid.asp
SOWELA Technical Community College does not discriminate on the basis of
race, color, national origin, gender, disability or age in its programs or
activities. The following person has been designated to handle inquiries
regarding the non-discrimination policies:
Title: Compliance Officer
Address: 3820 Senator J. Bennett Johnston Ave., Lake Charles, LA 70616
Telephone: 337-421-6565 or 800-256-0483
Email: complianceofficer@sowela.edu
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