Office of Financial Aid
323 Erie Street, P.O. Box 5015, Port Huron, Michigan 48061-5015
810-989-5530 fax 810-989-5774 sc4.edu
4/9/2020
High School Identity and Statement of Educational Purpose
(to be signed at SC4)
The student must appear in person at St. Clair County Community College to verify his or her identity
by presenting an unexpired valid government-issued photo identification (ID), such as, but not limited
to, a driver’s license, other state-issued ID, or passport. SC4 will maintain a copy of the student’s
photo ID that is annotated with the date it was received and the name of the official at the institution
authorized to collect the student’s ID.
Source Documentation
Received/Made
Copy
Staff
Initials
A valid government-issued photo identification, i.e., driver’s license,
state identification card, military identification or passport.
Yes
High school diploma or General Educational Development (GED)
certificate. If you were homeschooled, you must submit high school
transcripts. A transcript must be signed by the parent or guardian and
list the secondary school courses completed by the applicant. A
secondary school completion credential for homeschool provided for
under State law is also acceptable.
Yes
In addition, the student must sign, in the presence of the institutional official, the following:
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 St. Clair County Community College for
2020-2021.
Student Signature _________________________________________ Date _______________
Student ID Number ______________________
I verified the applicant’s identity in person and received the above information directly from the applicant.
SC4 Authorized Individual ___________________________________ Date__________________
Student ID:_______________
Rec’d by:_________________
Date:____________________
Office of Financial Aid
323 Erie Street, P.O. Box 5015, Port Huron, Michigan 48061-5015
810-989-5530 fax 810-989-5774 sc4.edu
Identity and Statement of Educational Purpose
(To be signed with Notary)
If the student is unable to appear in person at St. Clair County Community College to verify his or her
identity, the student must provide:
(a) A copy of the unexpired 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 Statement of Educational Purpose, which is provided below, must be notarized.
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 St. Clair County Community College for
2020-2021.
Student Signature _________________________________________ Date _______________
Student ID Number ______________________
Notary’s Certificate of Acknowledgement
State of_____________________________________________________________
City/County of________________________________________________________
On_______________(Date), before me, __________________________________ (Notary’s name),
personally appeared, ___________________________________________ (Printed name of signer),
and provided to me on basis of satisfactory evidence of identification,
___________________________ (Type of government-issued photo ID provided) to be the above-named
person who signed the foregoing instrument.
WITNESS my hand and official seal _______________________________(Notary signature)
My commission expires on _________________________
4/9/2020