FORM SIGNPG - IDAHO STATE UNIVERSITY 19-20
SIGNATURE PAGE
You and/or your parent need to sign this certification because you or a parent did not
sign the Free Application For Federal Student Aid (FAFSA). If you were required to
provide your parent(s)’ financial information, at least one parent MUST sign this form.
You must complete and return this form or you will not be considered for federal
financial aid. Please return this completed form to:
Office of Financial Aid, Idaho State University, Museum Building, Room 337
921 S 8 Ave, Stop 8077, Pocatello, ID 83209-8077
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Phone: (208)282-2756 Fax: (208)282-4755 Email: finaidem@isu.edu
Web: https://www.isu.edu/financialaid/forms
University Place, Bennion Student Union Building, Student Services Office
1784 Science Center Dr, Idaho Falls, ID 83402 Phone: (208)282-7704
SIGNPG-20
*Student Name:
(Use blue or black ink) Last First M.I.
*ISU ID: *Last 4 Digits of Social Security #:
(Find under Academic Tools tab on BengalWeb) *Required
Student Date of Birth: (format: mm/dd/yyyy)
PLEASE READ AND SIGN
CERTIFICATION:
If you are the student, by signing this form you certify that you (1) will use federal and/or state student
financial aid only to pay the cost of attending an institution of higher education, (2) are not in default
on a federal student loan or have made satisfactory arrangements to repay it, (3) do not owe money
back on a federal student grant or have made satisfactory arrangements to repay it, (4) will notify
your college if you default on a federal student loan, and (5) will not receive a Federal Pell Grant from
more than one college for the same period of time.
If you are the parent or the student, by signing this form you agree, if asked, to provide information
that will verify the accuracy of your completed application. This information may include your U.S. or
state income tax forms that you filed or are required to file. Also, you certify that you understand that
the Secretary of Education has the authority to verify information reported on this application
with the Internal Revenue Service and other federal agencies. If you sign any document related
to the federal student aid programs electronically using an FSA ID, you certify that you are the person
identified by the FSA ID and have not disclosed that FSA ID to anyone else. If you purposely give
false or misleading information, you may be fined up to $20,000, sent to prison, or both.
Student Signature: Date:
Parent Signature: Date:
(must be signed by one parent whose information was provided, if required, on the FAFSA)
WARNING: If you purposely give false or misleading information, you may be fined, sent to prison, or both.
(v. 12/13/2018) (S:\20_Forms\formSIGNPG.wpd)
Please fill in the blanks, print, sign and return
Press tab or shift-tab to move between fields
