S
2018-2019
Financial Aid Office/Enrollment Services
452 South Anderson Road, Rock Hill, South Carolina 29730
Phone (803) 327-8008 Fax (803) 981-7278
Name of Student: ____________
________________ ID: ___________________
Phone Number (include area code): _______________________
By signing, you agree, if asked, to provide information that will verify the accuracy of your completed
Free Application for Federal Student Aid (FAFSA) form. This information may include a copy of your U.S.
or state income tax form. Also, you certify that you (1) will use federal student financial aid only to pay
the cost of attending an institution of higher education, (2) are not in default on a federal student loan or
have made satisfactory arrangements to repay it, (3) do not owe money back on a federal student grant
or have made satisfactory arrangements to repay it, (4) will notify your school if you default on a federal
student loan. If you purposely give false or misleading information, you may be fined $20,000, sent to
prison, or both.
Student Signature: ______________________________________ Date: _______________
Parent Signature: _______________________________________ Date: ________________
(Signature of parent whose information is provided in Step 4 of the 2018-2019 FAFSA.)
