By axing my signature, I certify that I have not completed a Bachelor’s or advanced degree and in addition, will not
complete one by July 1, 2020 I do not have a degree from another country that is the equivalent of a baccalaureate or
advanced degree.
I understand that if I purposely give false or misleading information on my financial aid application I may be fined
$10,000.00, sent to prison or both. We cannot accept digital signatures.
Student Signature
______________________________________________________________________________________________________________________________________________________________________________________________
STUDENT’S SIGNATURE DATE
20202021
Statement of Degree Information
Student Financial Services • 1 Ferncroft Road • Danvers, MA 01923-0840
978-762-4189 www.northshore.edu/paying/financial-services
sfs@northshore.edu
Required (please print) DEGREE
Student ID#
N 0 0
Last Name: __________________________________________
First Name: __________________________________________
5/1/20
We are asking you to complete this form because you
indicated on the FAFSA that you have a Bachelor’s
degree or you indicated you are currently in a
Master/Graduate program of study. You are
certifying that you do not hold a degree of a
Bachelor or beyond. Please complete and return
to the Oce of Student Financial Services.
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