Fill - Free fillable Form 5306615725: 20202021IndependentVerificationInstructionsV4 (Woodland Community College) PDF form

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YubaCommunityCollegeDistrict

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 F

inancialAidOffices

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2020‐2021IndependentVerificationInstructions–V4

Your financial aid application was selected for a process called “verification” by the Department of Education. The Financial Aid

Office is required by the federal government to verify the information you provided on your financial aid application (FAFSA) is

correct.Yourfinancialaidapplicationcannotbeprocesseduntilallrequestedinformation

isreceived. Anyrequiredcorrections

maydelaytheprocessingofyourfinancialaidawards.Theinstructionsapplytothestudentandspouse,ifmarried.

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WHATYOUNEEDTODO:

1.Complete(inink)allsectionsoftheIndependentCustomVerificationGroupWorksheet,signanddateit.

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2.SubmitallrequiredformsanddocumentstotheFinancialAidOfficeatthecampusyouareattendingassoonaspossible.

Theverificationprocesscantakeup

toseveralweekstocomplete.CheckyourYCCDstudente‐mail(@go.yccd.edu)frequently

becausewewillcontactyouthroughyourstudente‐mailifthereareproblemsorweneedadditionalinformationafterwe

reviewyourfile.

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3.Refertothechartbelowtodeterminewhichitemsarerequired

tobeverifiedandwhatdocumentationyoumustsubmittothe

FinancialAidOffice.

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ITEMSREQUIREDTOBEVERIFIED SUBMITTHEFOLLOWINGDOCUMENTATION

 HighSchoolCompletionStatus

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 ProvideproofofhighschoolcompletionstatusOR

 DDForm214thatindicatesHighschoolcompletionorEquivalent

 Identity/StatementofEducationalPurpose

 CompletetheIdentityandStatementofEducationalPurpose

 Provideagovernment‐issuedphotoIDcard

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4.TheFinancialAidOfficenolongermailawardletters.Onceyourverificationiscompletedyourfinancialaidaward(s)will

beavailableonYubaCollegeSelf‐Service

login.yccd.edu.Allawardsarecontingentuponavailable

fundingandyourmeetingallstudenteligibilityrequirementsforFederal,StateandInstitutionalfinancialaidprograms.

YCCDreservestherighttomodifyyourawardsatanytime.Arevisedawardletterwillbepostedifanawardismodified.

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TheFinancialAidOfficereviewsyourenrollmentstatus,satisfactoryacademic

progress(SAP)andothereligibilitycriteriaand

willauthorizeapaymentifyouareeligible.Theamountslistedonyourfinancialaidawardletterreflecttheawardsforafull‐

timestudent.Theamountyoureceivemaybelessbecauseitisbasedonthenumberofunitsyou

areactivelyenrolledin

whenthedisbursementsareprocessed.

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  



Rev10/11/19

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YubaCollege

2088NorthBealeRoad

Marysville,CA95901

530‐749‐7999

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WoodlandCommunityCollege

2300EastGibsonRoad

Woodland,CA95776

530‐661‐5725

LakeCounty Campus

15880DamRoadExtension

Clearlake,CA95422

707‐995‐7923

2020‐2021IndependentVerificationWorksheet

CustomGroup–V4

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A.STUDENTINFORMATION

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____________________________________________________________ ___________________________________________

LastNameFirstName M.I. SocialSecurityNumber

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____________________________________________________________ ___________________________________________

MailingAddress(includeapt.no.)DateofBirth

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____________________________________________________________ ___________________________________________

CityState  ZipCode PhoneNumber(IncludeAreaCode)

B.HIGHSCHOOLCOMPLETIONSTATUS(Student)

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Provideoneofthefollowingdocumentsthatindicateyourhighschoolcompletionstatuswhenthestudentwillbegincollegein

2020‐2021.AstudentwhoisunabletoobtainthedocumentationlistedbelowmustcontacttheFinancialAidOffice.

HighSchoolDiploma

 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DDForm214

RecognizedEquivalentofaHighSchoolDiploma

 Acopyofthestudent’sGeneralEducationalDevelopment(GED)certificate.

 AnofficialGEDtranscriptthatindicatesthestudentpassedtheexam.

 AstatecertificateortranscriptthattheStaterecognizesastheequivalentofahighschooldiploma(HiSET,TASC,orotherstate‐

authorizedexamination).

 Acopy

ofthe“secondaryschoolleavingcertificate”orothersimilardocumentforstudentswhocompletedsecondaryeducationina

foreigncountry.

 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.

Homeschool

 Forahomeschooledstudentfromastatewherestatelawrequiresthestudenttoobtainasecondaryschoolcompletioncredentialfor

homeschool(otherthanahighschooldiplomaoritsrecognizedequivalent),acopyofthatcredential.

 Forahomeschooledstudentfromastatewherestatelawdoesnotrequirethestudenttoobtainasecondaryschoolcompletion

credentialforhomeschool(otherthanahighschooldiplomaoritsrecognizedequivalent)atranscriptorequivalent,signedbythe

student’sparentorguardian,thatliststhesecondaryschoolcoursesthestudentcompletedandincludesastatementthatthestudent

successfullycompletedasecondaryschooleducationinahomeschoolsetting.

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C.IDENTITYANDSTATEMENTOFEDUCATIONALPURPOSE(Student)

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PleasereadandcompletetheIdentityandStatementofEducationalPurposeonpage2or3 ofthisform.Youmustcompleteone

oftwooptions. Witheitheroption,youmustprovideacopyof agovernment‐issuedphotoidentificationcardwiththeform.This

canincludebutisnotlimited

toadriver’slicense,otherstate‐issuedID,orpassport.

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 Option1:YoucansigntheforminthepresenceofaFinancialAidstaffmember.

 Option2:Allowsthestudenttosigntheformbeforeanotarypublic.

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D.CERTIFICATIONANDSIGNATURE(StudentandSpouse)

Eachpersonsigningthisworksheet,certifiesthatalltheinformation

providedistrueandcompletetothebestoftheirknowledge.

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____________________________________________________________________________________________________________________

StudentSignature  DateSpouse’sSignature(optional)

   Date

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Page1IndependentV4 

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WARNING:Ifyoupurposelygivefalseormisleadinginformationon

thisworksheet



ouma

befined

besentencedto

ail

orboth.

Office Use Only:

DATE received:

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StudentName(Print):___________________________________________StudentID#:_______________________________



YubaCommunityCollegeDistrict

 FinancialAidOffices



 







IdentityandStatementofEducationalPurpose



AsrequiredbytheDepartmentofEducation,youmustcompleteeitheroption 1attheFinancialAidOfficeatthecampusyouattendoroption2

withaNotaryPublic.Witheitheroption,youmustprovideacopyofavalidgovernment‐issuedphotoidentificationcardwiththisform.



A.OPTION#1

The student must appear in person at YUBA COLLEGE or WOODLAND COMMUNITY COLLEGE to verify his or her 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 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collectthe student’sID.



Inaddition,thestudentmustsign,inthepresenceoftheinstitutionalofficial,thefollowingEnglishorSpanish

statement:



STATEMENTOFEDUCATIONALPURPOSE



IcertifythatI,______________________________________________________________,amtheindividualsigningthisStatementofEducational

(PrintStudent’sName)

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

YUBACOLLEGEorWOODLANDCOMMUNITYCOLLEGEfor2020‐2021.



DECLARACIÓNDEPROPÓSITOEDUCATIVO



Certificoqueyo,___________________________________________________________,soyelindividuoquefirmaestaDeclaracióndeFinalidad

(ImprimirNombredelEstudiante)

Educativayquelaayudafinancierafederalestudiantilqueyopuedarecibir,sóloseráutilizadaparafines educativosyparapagarelcostodeasistir

aYUBACOLLEGEorWOODLANDCOMMUNITYCOLLEGEpara2020‐2021.



B.CERTIFICATIONANDSIGNATURE



Eachpersonsigningthisworksheetcertifiesthatallthe

informationreportediscompleteandcorrect.



___________________________________________________________________ ______________________________________________

StudentSignature/FirmadeEstudiante   Date/Fecha Student’sIDNumber/NúmerodeIdentificacióndelEstudiante



FINANCIALAIDOFFICEUSEONLY:



___________________________________________________________________ ______________________________________________

FinancialAidRepresentativeSignature   Date TypeofValidID



Page2IndependentV4 

YubaCollege

2088NorthBealeRoad

Marysville,CA95901

530‐749‐7999

WoodlandCommunityCollege

2300EastGibsonRoad

Woodland,CA95776

530‐661‐5725

Lake County Campus

15880DamRoadExtension

Clearlake,CA95422

707‐995‐7923

WARNING:Ifyoupurposelygivefalseormisleadinginformationon

thisworksheet



ouma

befined

besentencedto

ail

orboth.



StudentName(Print):___________________________________________StudentID#:_______________________________



YubaCommunityCollegeDistrict

 FinancialAidOffices



 



IdentityandStatementofEducationalPurpose



A.OPTION#2

IfthestudentisunabletoappearinpersonatYUBACOLLEGEorWOODLANDCOMMUNITYCOLLEGEtoverifyhisorheridentity,thestudentmust

providethefollowing:

(a) Acopyofthe validgovernment‐issuedphotoidentification(ID)thatisacknowledgedinthenotarystatementbelow,suchasbutnot



limitedtoadriver’slicense,otherstate‐issuedID,orpassport;and

(b) TheoriginalnotarizedStatementofEducationalPurpose(inEnglishorSpanish)providedbelow.



STATEMENTOFEDUCATIONALPURPOSE



IcertifythatI,__________________________________________________________,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

YUBACOLLEGEorWOODLANDCOMMUNITYCOLLEGEfor2020‐2021.



DECLARACIÓNDEPROPÓSITOEDUCATIVO



Certificoqueyo,_______________________________________________________,soyelindividuoquefirmaestaDeclaracióndeFinalidad

aYUBACOLLEGEorWOODLANDCOMMUNITYCOLLEGEpara2020‐2021.

B.CERTIFICATIONANDSIGNATURE

Eachpersonsigningthisworksheetcertifiesthatallthe

informationreportediscompleteandcorrect.



___________________________________________________________________ ______________________________________________

StudentSignature/FirmadeEstudiante   Date/Fecha Student’sIDNumber/NúmerodeIdentificacióndelEstudiante

C.NOTARY’SCERTIFICATEOFACKNOWLEDGEMENT

Stateof_____________________________________City/Countyof__________________________________________________________

On________________________________________,beforeme,______________________________________________________,personally

(Date) (Notary’sName)

appeared,____________________________________________________,andprovedtomeonbasisofsatisfactoryevidenceofidentification

(Printednameofsigner)

_____________________________________________________,tobetheabove‐namedpersonwhosignedtheforegoinginstrument.



(Typeofgovernment‐issuedphotoIDprovided)

WITNESSmyhandandofficialseal  

(seal)________________________________________________________ 

Mycommissionexpireson___________________________________   (NotarySignature)

(Date)

Page3 Independent V4

YubaCollege

2088NorthBealeRoad

Marysville,CA95901

530‐749‐7999

WoodlandCommunityCollege

2300EastGibsonRoad

Woodland,CA95776

530‐661‐5725

LakeCountyCampus

15880DamRoadExtension

Clearlake,CA95422

707‐995‐7923

FINANCIALAIDOFFICEUSEONLY:

DateAwarded/FATech:_________________________ISIR:__________EFC:__________⃝IdentityResultsReportedinFAAAcess

Comments:



WARNING:Ifyoupurposelygivefalseormisleadinginformationon

thisworksheet



ouma

befined

besentencedto

ail

orboth.

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Form 5306615725: 20202021IndependentVerificationInstructionsV4 (Woodland Community College)

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