Identity and Statement of Educational Purpose
(To Be Signed at the Institution)
The student must appear in person at __________________________________________
(Name of Postsecondary Educational Institution)
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 _____________________________
(Print Student’s Name)
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
_______________________________________
(Name of Postsecondary Educational Institution)
for 2020-2021.
_________________________________________ _____________
(Student’s Signature) (Date)
__________________
(Student’s ID Number)
Financial Aid Official Use – MUST BE COMPLETED AT TIME OF RECEIPT
The Financial Aid Official receiving documents MUST indicate date of receipt and his/her name on ALL
documents, including the copy of the UNEXPIRED government issued ID, received in support of this
statement.
Date of Receipt of Documentation Name of Financial Aid Official
Receiving Documentation
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signature
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