The information below is required by the Department of Education, to continue processing your
2020-2021 application for financial assistance. Please submit the completed form to Financial Aid
Services and contact our office if you need assistance or have questions regarding this form.
2020-2021 Institutional Student Information Record
Name: __________________________________ USF ID or SSN: ___________________
READ, SIGN, AND DATE.
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 for more
than one college for the same period of time.
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 your 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 sign any document related to the
federal student aid programs electronically using a Personal Identification
Number (PIN), username and password, and/or any other credential, you certify
that you are the person identified by that PIN, username and password, and/or
other credential, and have not disclosed that PIN, username and password,
and/or other credential to anyone else. If you purposely give false or
misleading information, you may be fined $20,000, sent to prison, or both.
Everyone whose information is given on this form should sign below. The
student (and at least one parent, if parent information is given) MUST sign
below.
Student Signature:_____________________________________ Date: _______________
Parent Signature:______________________________________ Date: _______________
