Identity and Statement of Educational Purpose

IDED
Weber State University—Financial Aid and Scholarships
Academic Year 2015-2016
Identity and Statement of Educational Purpose
This form must be signed at Weber State University Financial Aid Office .
Student Name: ________________________________________________
W#_______________________________
The student must appear in person at Weber State University’s Financial Aid Office 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. WSU will maintain a copy of the student’s photo ID that is annotated by the institution with the date it was
received and reviewed 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 WSU administrator, the following English or Spanish Statement:
Statement of Educational Purpose
I certify that I, _________________________________________, (student’s name) am the individual signing this
Statement of 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 Weber State University for the academic school year 2015-2016.
Student Signature______________________________________________________
Date:___________________________
Government Issued ID Number:_______________________ Type of Government Issued ID:_____________________________
Declaración de Propósito Educativo
Certifico que yo,___________________________,(Imprimir Nombre del Estudiante) soy el individuo que firma esta
Declaración de Finalidad Educativa y que la ayuda financier federal estudiantil que yo pueda recibir, sólo será utilizada
para fines educativos y para pager el costo de asistir a Weber State Universidad para 2015-2016.
Firma del Estudiante _______________________________________________la Fecha ________________________________
Número de Identificación del Estudiante: _______________________________
Please do not write below this area. To be completed by the WSU Financial Aid Office.
I certify that I viewed this student’s government issued ID and made a copy to keep on file.
Print WSU Financial Aid Administrator Name: ___________________________________
WSU Financial Aid Administrator Signature:_____________________________________ Date:________________________
REV 10/14
3885 W. Campus Dr. Dept. 1136, Ogden UT 84408-1136 Office: 801.626.7569 Fax: 801.626.7408 Email: [email protected]