Fillable KL1920 Eligibility Status Identity Ed Purpose VerificationV4 (University of Hawaii at Hilo)

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KL1920 Eligibility Status Identity Ed Purpose VerificationV4 (University of Hawaii at Hilo)

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1
__________________________
UH ID Number/Username
UH Hilo Financial Aid Office
2019-2020 Verification of Identity and
Statement of Educational Purpose
Last Name First Name M. I. Phone Number (include area code)
Your application for federal financial aid was selected for review in a process called ‘Verification’. In this
process, we will be comparing information from your FAFSA application with this document. The law says we
must ask you for this information before awarding financial aid. If there are differences between your
application information and verification documents submitted, corrections will be made to your application and
your information will be reprocessed.
You must complete and sign this worksheet. We cannot continue processing your financial aid application until
verification has been completed.
Complete verification as soon as possible to avoid any delays with your financial aid. Contact the Financial Aid
Office at (808) 932-7449 if you need assistance.
VERIFICATION OF IDENTITY AND STATEMENT OF EDUCATIONAL PURPOSE –
Complete Section A OR B.
A. I, the student, am able to appear in person at the University of Hawaii at Hilo Financial Aid Office to
verify my 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. A copy of my identification will be
retained by the Financial Aid Office.
Please sign the following Statement of Educational Purpose in the presence of a Financial Aid
Official:
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 the University of Hawaii at Hilo
for 2019-2020.
_____________________________________________ ______________________
_____________________________________________
(Date)
(Student’s Signature)
(Student’s ID
(Print Student’s Name)
OVER
2
B. I, the student am NOT able to appear in person at the University of Hawaii at Hilo Financial Aid
Office to verify my identity. I have provided BOTH of the following:
(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.
(b) The original notarized Statement of Educational Purpose provided below.
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 the University of Hawaii at
Hilo for 2019-2020.
_____________________________________________ ______________________
_____________________________________________
(Date)
(Student’s Signature)
(Student’s ID
(Print Student’s Name)
NOTARY’S CERTIFICATE OF ACKNOWLEDGEMENT
State of: _______________________________________________________________
City/County of: ________________________________________________________
On ____________________________, before me, ______________________________,
personally appeared, __________________________________, and provided me on basis
of satisfactory evidence of identification _____________________________________
to be the above-named person who signed the foregoing instrument.
________________________________________ WITNESS my hand
and official seal
My commission expires on: _________________
(Date)
(Print Notary’s Name)
(Print Student/Signer’s Name)
(Type of government-issued photo ID provided)
(Notary Signature)
(Date)
(Seal)
The University of Hawai`i at Hilo does not discriminate on the basis of age, race, sex, color, national origin, or disability in its
programs and activities. For more information or inquiries regarding these policies, please contact the Equal Employment/
Affirmative Action Office at (808) 932-7640.
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KL1920 Eligibility Status Identity Ed Purpose VerificationV4 (University of Hawaii at Hilo)

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Completed 27 July 2020

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