WARNING: If you purposely give false or misleading information, you may be fined, sent to prison or both.
Page 1 of 1
OFFICE OF STUDENT FINANCIAL AID
ROBESON COMMUNITY COLLEGE
Student Center Building 13
PO Box 1420
Lumberton, NC 28359
T 910.272.3352 Email: finaid@robeson.edu
F 910.272.3314 Website: https://www.robeson.edu/fa/
2020-2021 Identity and
Statement of Educational
Purpose
Student’s Name: _____________________________________________ Student ID: ____________________
Address: __________________________________________ City/State/Zip____________________________
Phone #: ______________________________________ Email: ______________________________________
Identity Statement of Educational Purpose Worksheet
(To Be Signed at the Institution)
The student must appear in person at Robeson 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. 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 receive and review the student’s
ID.
In addition, the student must sign, in the presence of the institutional official, the Statement of Educational Purpose
provided below.
Statement of Educational Purpose
I certify that I, ________________________________, am the individual signing this
(Print Student’s Name)
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 Robeson Community College for 2020-2021.
_________________________________ _______________ ________________________
(Student’s signature) (Date) (Student’s ID number)
click to sign
signature
click to edit
![]()
