IDENTITY AND STATEMENT OF EDUCATIONAL PURPOSE
2015-2016
Student Name
ID #
You must verify your identity to Calvin College by presenting valid government-issued photo
identification (ID), such as, but not limited to, a driver’s license, other state-issued ID, or passport. This
will be done in person or with the below Notary’s Certificate of Acknowledgement.
In addition, you must sign, in the presence of the institutional official or a Notary, the following:
Statement of Educational Purpose
I certify that I,
, am the individual signing this Statement of Educational
(print your name)
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 Calvin College for 2015-2016.
Student Signature
Date
Notary’s Certificate of Acknowledgement
State of
, City/County of
, on
(date)
before me,
, personally appeared,
(Notary’s name)
(printed name of signer)
and provided to me on basis of satisfactory evidence of identification
(Type of government-issued photo ID provided)
to be the above-named person who signed the Statement of Educational Purpose above.
WITNESS my hand and official seal
(seal)
(Notary Signature)
My commission expires on
(date)
Office of Admissions and Financial Aid 3201 Burton St SE
616-526-6134 800-688-0122 Fax 616-526-6883
R:\ADM-FAO\FAO Office Forms\LRQ Request\Educational Purpose
Grand Rapids, MI 49546
finaid@calvin.edu