VWD4E/VWI4E
2019-20 Verification Worksheet – Form 4
Student ID Number: S
Student Name:
Phone Numbe r:
Form must be completed in blue or black ink. Failure to accurately complete this form may result in a delay
of processing or change of financial aid eligibility. Additional documentation may be requested. Read
instructions carefully before completing.
Section 1: High School Completion Status
Please submit documentation to verify you have completed a high school education. Acceptable
documentation can include:
• A high school diploma or a copy of an official high school transcript. Transcripts must verify graduation
completion date
• GED certificate or transcript
• A transcript that indicates that you have successfully completed at least a two-year program that is acceptable
for full credit toward a bachelor’s degree at any participating school
• Home school credential or transcript
• If high school completed in foreign country, a copy of the “secondary school leaving certificate” or similar
document
Type of documentation submitted:
Designated institutional official:
(School official’s printed name)
Section 2: Identity
MUST BE COMPLETED & SIGNED AT THE FINANCIAL AID OFFICE
If unable to appear in person at the Financial Aid Office, you must complete this section with a notary
You must appear in person at
(Name of institution)
Financial Aid Office to verify your
identity by presenting a valid unexpired 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 your photo ID.
Type of documentation submitted:
Designated institutional official:
(School official’s printed name)
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Fax: (719)502-2074 Email: financialaid@ppcc.edu
