Clear Form 4-2015 IDENTITY AND STATEMENT OF EDUCATIONAL PURPOSE 201 Print Form

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Clear Form

201

4-2015 IDENTITY AND STATEMENT OF EDUCATIONAL PURPOSE

Must Be Filled Out in Person at

:

CAL POLY

, SAN LUIS OBISPO

FINANCIAL AID OFFICE

BUILDING 1, ROOM 212

Student Last Name:

Student First Name:

Phone # EMPL ID#:

SAN LUIS OBISPO, CA 93407-0201

DEADLINE: All documents should be submitted as soon as possible.

Documents must be submitted no later than

June 30, 2014 to keep campus based aid (FWS, SEOG, Perkins). In all

circumstances, documents must be submitted prior to the last day of a student’s enrollment for any aid.

.

For Office Use Only

The Department of Education has selected your FAFSA for review in a process called

Verification.

You must appear in person and present the following documentation to the

Financial Aid Office to verify your identity.

AcceptableDocumentation:

A valid government-issued photo identification:

Driver’s License / Identification Card

Passport / Military ID

Initials _______

Other government issued photo identification

To Be Signed at Cal Poly

, San Luis Obispo

The student must appear in person at CAL POLY, SAN LUIS OBISPO to verify his or her identity by presenting a valid government-issued photo identification (ID), such as, but not limited to, a driver’s license, other state-issued ID, or passport. The institution 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.

In addition, the student must sign, in the presence of the institutional official, the following:

Statement of Educational Purpose

I certify that I ______________________________________________ am the individual signing this Statement of

(Print Student’s Name )

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 CAL POLY

, SAN LUIS OBISPO for 2014-2015.

_______________________________________________________

Student’s Signature *Witness Required: Sign in front of Financial Aid Staff

_________________

Date

_____________________________________________________

Financial Aid Staff Name (required)

_________________

Date

FID1

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