WARNING: If you purposely give false or misleading information, you may be fined, sent to prison or both.
Page 1 of 1
OFFICE OF STUDENT FINANCIAL AID
ROBESON COMMUNITY COLLEGE
Student Center Building 13
PO Box 1420
Lumberton, NC 28359
T 910.272.3352 Email: finaid@robeson.edu
F 910.272.3314 Website: https://www.robeson.edu/fa/
2020-2021 FAFSA
Signature Page
Student’s Name: _____________________________________________ Student ID: ____________________
Address: __________________________________________ City/State/Zip____________________________
Phone #: ______________________________________ Email: ______________________________________
Read, sign and date.
Student: If you are the student, by signing this application you certify that you (1) will use federal and/or state
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 college if you default on a federal student loan and (5) will not receive a Federal Pell
Grant from more than one college for the same period of time.
Parent: If you are the parent or the student, by signing this application you certify that all of the information
you provided is true and complete to the best of your knowledge and you agree, if asked, to
provide information that will verify the accuracy of your completed form. This information may
include U.S. or state income tax forms that you filed or are required to file. Also, you certify that
you understand that the Secretary of Education has the authority to verify information
reported on this application with the Internal Revenue Service and other federal agencies. If
you electronically sign any document related to the federal student aid programs using an FSA ID
(username and password) and/or any other credential, you certify that you are the person identified
by that username and password and/or other credential, and have not disclosed that username
and password and/or other credential to anyone else.
If you purposely give false or misleading
information, you may be fined up to $20,000, sent to prison, or both.
Certification:
I certify that the information is true and correct to the best of my knowledge and belief. I understand that RCC has the right
to require additional proof of the information provided on this form. I agree to submitting further documentation if
requested.
______________________________________ ___________________
Student Signature Date
______________________________________ ___________________
Parent Signature (if dependent student) Date
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
