_______________________________________ _______________________ _____________________
Office of Financial Aid
Waycross Campus (912) 287-6584
Jesup (912) 427-5800
Alma (912) 632-0951
Camden (912) 510-3327
Hazlehurst (912) 379-0041
Baxley (912) 367-1700
Golden Isles (912) 262-4999
Website: www.coastalpines.edu
High School Completion
Verification Worksheet
Form: HSVW21
Aid Year: 2020-2021
Pleas
e Type or Print clearly.
Student Information
Full Name (last, first, and middle initial) CPTC – Student ID Number Date of Birth
Federal Student Aid Programs: Your application was selected for review in a process called “Verification.” In this process, the Office of
Financial Aid will be comparing information from your application against documentation that you submit to verify your High School
Completion status. We are required to review your FAFSA information under financial aid program rules (34 CFR, Part 668). The law states we
have the right to ask you for this information before awarding Federal Aid. If there are differences between your application information and your
financial documents, corrections to your FAFSA may be required.
Please provide proof using one of the following documents to verify your High School Completion status:
☐ A copy of the student’s High School Diploma. OR
☐ A copy of the student’s final official High School transcript denoting graduation date. OR
☐ A copy of the student’s General Education Development (GED) certificate or GED transcript. OR
☐ An academic transcript that indicates the student successfully completed at least a two-year program that is acceptable for full credit
towards a bachelor’s degree. OR
☐ If a Homeschooled student, contact CPTC’s Admissions Office for guidance in obtaining documentation to verify high school
completion. A copy of that credential must be submitted to the Office of Financial Aid.
Certification and Signature
WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, sentenced to jail, or both.
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, if a dependent student) must sign and date.
___________________________________________ _______________________________________
Student's Signature Date
___________________________________________ _______________________________________
Parent’s Signature (Required, if Dependent Student) Date
Do not mail this form to the Department of Education. Submit this worksheet to the Office of Financial Aid!
As set forth in the student catalog, Coastal Pines Technical College (CPTC) does not discriminate on the basis of race, color, creed, national or
ethnic origin, gender, religion, disability, age, political affiliation or belief, genetic information, veteran status, or citizenship status (except in
those special circumstances permitted or mandated by law). The following persons have been designated to coordinate the College’s
implementation of non-discrimination policies: Katrina Howard, Title IX Coordinator, Jesup Campus, Office 132, khoward@coastalpines.edu
,
912.427.5876; Cynthia Linder, Office 1439, Title IX Coordinator, Waycross Campus, clinder@coastalpines.edu , 912.287.4098; and Cathy
Montgomery, ADA/Section 504 Coordinator, Golden Isles Campus, Office 1141, cmontgomery@coastalpines.edu , 912.262.9995.
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