ISOEP
V4, V5
To Be Signed with a Notary (ONLY complete if unable to appear in person at the institution)
If you (the student) are unable to appear in person at the institution you plan to attend, then you must verify your identity as follows:
1. You must submit the ORIGINAL notarized Statement of Educational Purpose (in English or Spanish) provided below. This
document must be provided by postal mail only (a faxed or emailed Statement is NOT acceptable, and will NOT be processed);
and
2. You must submit a copy of the unexpired valid government-issued photo
identification
(ID) that is acknowledged in the notary
statement below, or that is presented to a notary, such as, but not limited to a driver’s license, other state-issued ID, or passport.
Statem
ent of Educational Purpose
I certify that I, , am the individual signing this Statement of Educational Purpose and that the
(Print Student’s Name)
Federal student financial assistance I may receive will only be used for educational purposes and to pay the cost of
attending
A Maricopa Community College or Skill Center
for 2020-2021.
(Name of Postsecondary Educational Institution)
(Student’s Signature) (Date)
(Student’s ID Number)
Declaración de Propósito Educativo
Certifico que yo, , soy el individuo que firma esta Declaración de Propósito Educativa y que la
[Imprimir Nombre del Estudiante]
ayuda financiera federal estudiantil que yo pueda recibir, sólo será utilizada para fines educativos y para pagar el costo de asistir
a Cualquiera de Los Colegios Comunitarios de Maricopa o Skill Centers para 2020–2021.
[Imprimir Nombre de Institución Educativa Postsecundaria]
[Firma del Estudiante] [La Fecha]
[Número de Identificación del Estudiante]
Notary’s Certificate of Acknowledgement
State
of
,
City/County
of
On , before me, , personally appeared ,
(Date) (Notary’s name) (Printed name of signer)
and proved to me on basis of satisfactory evidence of identification to be the
(Type of unexpired government-issued photo ID provided)
above-named person who signed the foregoing instrument.
WITNESS my hand and official seal
(seal)
(Notary signature)
My commission expires on
_
(Date)
----------------------------------------------------------------------------------------------------------------------------------------
For Official Use only to be completed by an Institutionally Authorized Staff Member at the institution. Review the
student’s Statement of Educational Purpose and photo ID before completing and initialing below.
I certify that on this date , I obtained the ORIGINAL notarized Statement of Educational Purpose along with a copy of
(Date Received)
this student’s valid unexpired government-issued photo Identification (ID).
(Print Name of Institutionally-Authorized Staff) (Staff Initials)
Non-Discrimination Statement
The Maricopa County Community College District (MCCCD) is an EEO / AA institution and an equal opportunity employer of protected veterans and individuals with
disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, or
national origin. A lack of English language skills will not be a barrier to admission and participation in the career and technical education programs of the District.
The
Maricopa County Community College District does not discriminate on the basis of race, color, national origin, sex, disability or age in its programs or activities.
For Title IX / 504 concerns, call the following number to reach the appointed coordinator: (480) 731-8499. For additional information, as well as a listing of all
coordinators within the Maricopa College system, visit http://www.maricopa.edu/non-discrimination
