Verification of Identity & Statement of Educational Purposes
2020-2021
Student's Name:________________________________USF ID or SSN________________________
Identity and Statement of Educational Purpose
(To Be Completed/Signed With Notary)
If the student is unable to appear in person at University of St. Francis to verify his or her identity, the
student must provide:
a. A copy of the 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 provided below.
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Statement of Educational Purpose
I certify that I, _________________________________________ am the individual signing
(Print Student’s Name)
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
University of St. Francis for the 2020-2021 academic year.
______________________________________________ ___________________________
Student’s Signature Date
Notary’s Certificate 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 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 ________________________
Please return the completed form to: (Date)
Financial Aid Services
500 Wilcox Street Joliet, IL 60435 | finaid@stfrancis.edu
(815) 740-3403 | Toll-free: (866) 890-8331 | Fax: (815) 740-3822
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