11/2021 1
RETURN
T
O: Office of Financial Aid | 101 Gates Hall
1900 W. 7
th
Street, CMB #1266, Plainview, TX 79072
finaid(yourcampus)@wbu.edu or finaidhelp@wbu.edu (Plainview)
Statement of Identity and Educational Purpose
Student’s Name Student ID
Last First
STEP 1: Identity
The student must appear in person at a Wayland Baptist University campus to verify his or her identity by presenting
a current and valid government-issued photo identification (ID), such as, but not limited to,
a driver’s license,
other state-issued ID, or
passport
Wayland Baptist University will maintain a copy of the student’s photo ID that is annotated with the date it was
received and the name of the official at the institution authorized to collect the student’s ID. If the student is unable to
appear in person at a Wayland Baptist University campus, continue to STEP 3.
STEP 2: Statement of Educational Purpose
I certify that I am the individual signing this
Student Name
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 Wayland Baptist University for 2022–2023.
Student Signature Date
Financial Aid Official Date
STEP 3: Witness Before a Notary Public (if unable to present ID and sign at WBU campus)
State of _______________________, City/County of ________________________________________________
on this ________ day of the ________ month of _________, before me, _________________________________,
personally appeared, ___________________________________________________, and provided me on the basis
of satisfactory evidence of identification _________________________________________ to be the above-named
person who signed the foregoing instrument.
WITNESS my hand and official seal
Notary Signature:
My commission expires on
SEAL
click to sign
signature
click to edit