IDENTITY AND STATEMENT OF EDUCATIONAL PURPOSE
Alabama Agricultural & Mechanical University P. O. Box 907 Normal, AL 35762
Phone: (256) 372-5400 Fax (256) 372-5407
Your application for Federal Student Aid was selected for review in a process called “Verification.” Complete this form
and submit it to the Office of Student Financial Aid as soon as possible, so that your financial aid will not be delayed.
Student Name (Please Print): ______________________________________________ Student ID: _____________________
Social Security #: _____________________________________ Date of Birth: ___________________________________
Address: ___________________________________________________ City/State/Zip: ________________________________
Home Phone Number: (______)_______________________________ Alternate/Cell: ________________________________
*****THIS FORM CANNOT BE FAXED*****
This form must be signed in the presence of an AAMU Office of Student Financial Aid Certifying Official.
If you are UNABLE to appear in person at the institution, see the reverse side of this document
IDENTITY AND STATEMENT OF EDUCATIONAL PURPOSE
(To be signed at the Institution)
The student must appear in person at ALABAMA A&M UNIVERSITY, OFFICE OF STUDENT FINANCIAL
AID to verify his or her identity by presenting a 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 with the date it was received and the name of the official at the institution
authorized to collect the student’s ID.
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
(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 Alabama A&M University for 2019-2020.
_________________________________ __________________ ________________________________
Student’s Signature Date Student ID
_________________________________ _________________________________ ________________
Printed Name of Certifying Official Signature of Certifying Official Date Received
Type of Document Received:
_____Driver’s License _____Passport _____Military ID _____Non-Driver’s ID
IDENTITY AND STATEMENT OF EDUCATIONAL PURPOSE
(To Be Signed with Notary)
If the student is unable to appear in person at Alabama A&M University, Office of Student Financial Aid to
verify his or her identity, the student must provide the following:
(a) Copy of a 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 NOTARIZED Statement of Educational Purpose 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 Alabama A&M University for 2019-2020.
NOTARY’S CERTIFICATION OF ACKNOWLEDGEMENT
State of ___________________________________________________________________
City/County of _____________________________________________________________
On ________________________, before me, ____________________________________________________,
(Date) (Notary’s name)
personally appeared ________________________________________________________, and provided to me
(Printed name of Signer)
On the 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:
(seal)
____________________________________________________________
(Notary Signature)
My Commission expires on ____________________________
(Date)