Download Identity and Statement of Educational Purpose and more Exams Computer Networks in PDF only on Docsity! Identity and Statement of Educational Purpose Identity and Statement of Educational Purpose 2022-2023 Please submit this document to your respective Financial Aid Office. STEP 1 – STUDENT INFORMATION Last Name First Name Social Security Number Student ID Number Permanent Address Street & Number City/State/Zip Date of Birth Local Phone Number (Include Area Code) Permanent Phone Number (Include Area Code) Email Address STEP 2 – IDENTITY & STATEMENT OF EDUCATIONAL PURPOSE (To Be Signed with Notary) If you are unable to appear in person at Columbia University to verify your identity, you must provide: (a) 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; and (b) The original Statement of Educational Purpose provided below, which must be notarized. If the notary statement appears on a separate page than the Statement of Educational Purpose, there must be clear indication that the Statement of Educational Purpose was the document notarized. Statement of Educational Purpose I certify that I 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 Columbia University for 2021-2022. Student Signature Date Student ID Number Notary’s Certificate of Acknowledgement State of City/County of On , before me, , personally appeared, , and proved to me on basis of satisfactory evidence of identification to be the above-named person who signed the foregoing instrument. WITNESS my hand and official seal My commission expires on STEP 3 – CERTIFICATION By signing this worksheet, I certify all the information reported is complete and correct: Student Signature Date Student Name (Please Print) Student ID Number NOTE: Additional documents and/or information beyond those listed in this form may be needed to satisfy the requirements of Verification. Your respective Financial Aid Office will notify you of additional requirements, if applicable. (Date) (Notary’s Name) (Printed Name of Signer) (Type of government-issued photo ID provided) (seal) (Notary’s Signature)
