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: finaid@weber.edu