Declaración de Propósito Educativo (To Be Signed With

Declaración de Propósito Educativo
(To Be Signed With Notary)
Your 2014–2015 Free Application for Federal Student Aid (FAFSA) was selected for review. The law says that before awarding Federal
Student Aid, we may ask you to confirm the information you reported on your FAFSA. To verify that you provided correct information
the financial aid administrator at your school will compare your FAFSA with the information on this worksheet and with any other
required documents. If there are differences, your FAFSA information may need to be corrected. You must complete and sign this
worksheet, attach any required documents, and submit the form and other required documents to the financial aid administrator at your
school. Your school may ask for additional information. If you have questions about verification, contact your financial aid administrator
as soon as possible so that your financial aid will not be delayed.
A. Student’s Information
_____________________________________________________________
Student’s Last Name
Student’s First Name
Student’s M.I.
____________________________________
Student’s Social Security Number
_____________________________________________________________
Student’s Street Address (include apt. no.)
____________________________________
Student’s Date of Birth
_____________________________________________________________
City
State
Zip Code
____________________________________
Student’s Email Address
_____________________________________________________________
Student’s Home Phone Number (include area code)
Student’s ID #
____________________________________
Student’s Alternate or Cell Phone Number
If the student is unable to appear in person at Caldwell University to verify his or her identity, the student must provide:
(a) A copy of the valid government-issued photo identification (ID) that is acknowledged in the notary statement below,
such as but not limited to a driver’s license, other state-issued ID, or passport; and
(b) The original notarized Statement of Educational Purpose provided below.
Statement of Educational Purpose
Certifico que yo, __________________________, soy el individuo que firma esta
[Imprimir Nombre del Estudiante]
Declaración de Finalidad Educativa y que la ayuda financiera federal estudiantil que yo pueda
recibir, sólo será utilizada para fines educativos y para pagar el costo de asistir a Caldwell
University para 2014–2015.
_____________________________________________
[Firma del Estudiante]
________________________________
[Número de Identificación del Estudiante]
________________
[la Fecha]
________________________________________
Imprimir Nombre del Estudiante
________________________
Número de Identificación del Estudiante
Notary’s Certificate of Acknowledgement
State of ________________________________________________________________________
City/County of ___________________________________________________________________
On_____________________, before me, ____________________________________________,
(Date)
(Notary’s name)
personally appeared, ____________________________________________, and provided to me
(Printed name of signer)
on basis of satisfactory evidence of identification _______________________________________
(Type of government-issued photo ID provided)
to be the above-named person who signed the foregoing instrument.
WITNESS my hand and official seal
(seal)
________________________________________
(Notary signature)
My commission expires on _________________________
(Date)