USVI Public Records

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1 University of the Virgin Islands - Office of Financial Aid 2022-2023 CUSTOM Verification Worksheet www.uvi.edu ________________________________________________________________ _____________I_________________________ Last Name First Name M.I. Last 4 Digits of SSN ID Number _______________________________________________________________ _______________________________________ Mailing Address Date of Birth _______________________________________________________________ _______________________________________ City State Zip Code Email Address _______________________________________________________________ _______________________________________ Home Phone Number (include area code) Alternate or Cell Phone Number List below the people in your parents’ household. Include:  Yourself and your parents (including a step-parent) even if you don’t live with your parents.  Your parents’ other children if your parents will provide more than half of their support from July 1, 2022 through June 30, 2023, or if the other children would be required to provide parental information if they were completing a FAFSA for 2022-2023. Include children who meet either of these standards, even if they do not live with your parents.  Other people if they now live with your parents and your parents provide more than half of their support and will continue to provide more than half of their support from July 1, 2022 through June 30, 2023. Include the name of the college for any household member, excluding your parents, who will be enrolled, at least half time (six credit hours) in a degree, diploma, or certificate program at a postsecondary educational institution any time between July 1, 2022 and June 30, 2023. If more space is needed, attach a separate page with the student’s name and UVI student ID number at the top. Full Name Age Relationship College/University Will be Enrolled at least half time (6 or more credits) Missy Jones (example) 18 Sister Central University Yes Self University of the Virgin Islands Note: Additional documentation for the household member(s) enrolled at an eligible postsecondary educational institution may be required. What you should do 1. Talk to your financial aid administrator if you have any questions about completing this worksheet. 2. Complete and sign the worksheet – you and at least one parent. 3. Submit the completed worksheet and any other required documents your school requests to your financial aid administrator. 4. Your financial aid administrator will compare information on this worksheet and any supporting documents with the information you submitted on your FAFSA. You or your school may need to make corrections electronically or by using your Student Aid Report (SAR). A. Student’s Information B. Dependent Student’s Family Information Your 2022-2023 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. Federal law states that before any Federal Student aid can be awarded, you must confirm Identity and Educational Purpose as outlined in this worksheet. The documents will be used to verify that the information reported on your FAFSA is correct. Any discrepancies will result in revision of your FAFSA. You must complete and sign the worksheet, attach all required documents, and submit to the University of the Virgin Islands Financial Aid Office. If you have questions about verification, contact us at financialaidstx@uvi.edu or 340-692-4193, St. Croix or at financialaidstt@uvi.edu 340-693-1090, St. Thomas. V4 Dependent 2  If you are able to submit this form in person, you must complete Section F - Part 1 in the presence of your Financial Aid Officer at your school.  If you are unable to submit this form in person, you must complete Section F - Part 2 in the presence of a Notary Public and mail the completed form and notarized document to your school’s Financial Aid Office. Each person signing this worksheet certifies that all of the information reported is complete and correct. The student and one parent must sign this worksheet. Warning: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both. ____________________________________________________________ ___________________________________________________________ Student’s Signature Date Parent’s Signature Date Do not mail this worksheet to the U.S. Department of Education. Submit this worksheet to the University of the Virgin Islands financial aid office. C. Identity and Statement of Educational Purpose (See Enclosed Supplement Form) Student’s Information D. Certification & Signatures Student Name:____________________________ Id: 22-23 CUSTOM Verification Worksheet V4-Dependent pg. 2 3 University of the Virgin Islands University of the Virgin Islands 22-23 CUSTOM Verification Worksheet V4-Dependent pg. 3 www.uvi.edu _______________________________________________________________ _______________________I_________________ Last Name First Name M.I. Social Security Number ID Number If you are able to submit this form in person, you must complete Section F - Part 1 in the presence of your Financial Aid Officer at your school. The student must appear in person at _______________________________________________ to verify (Name of Postsecondary Educational Institution) his or her identity by presenting a valid, not expired, 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 (Print Student’s Name) 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 __________________________________ for 2022-2023. (Name of Postsecondary Educational Institution) ______________________________________ ________________ ___________ (Student’s Signature) (Student’s ID Number) (Date) Section F - Part 1: Identity and Statement of Educational Purpose Office Use Only ______________________________ ________________________________ ___________ Financial Aid Officer’s Name Financial Aid Officer’s Signature Date 4 University of the Virgin Islands University of the Virgin Islands 22-23 CUSTOM Verification Worksheet V4-Dependent pg. 4 www.uvi.edu _______________________________________________________________ _______________________I_________________ Last Name First Name M.I. Social Security Number ID Number If you are unable to submit this form in person, you must complete Section F - Part 2 in the presence of a Notary Public and mail the notarized documents to your school’s Financial Aid Office. If the student is unable to appear in person at _______________________________________________to (Name of Postsecondary Educational Institution) verify his or her identity, the student must provide: (a) A copy of a valid, not expired, 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 I certify that I _________________________________________ am the individual signing this (Print Student’s Name) 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 __________________________________ for 2022-2023. (Name of Postsecondary Educational Institution) ______________________________________ ________________ ___________ (Student’s Signature) (Student’s ID Number) (Date) Notary’s Certificate of Acknowledgement State of ______________________________, City/County of _______________________________ On _________________, before me, ______________________________, personally appeared, (Date) (Notary’s name) ______________________________________, and provided to me on basis of satisfactory evidence of (Printed name of signer) Identification ___________________________________________ to be the above-named person (Type of government-issued photo ID provided) who signed the foregoing statement. WITNESS my hand and official seal (seal) __________________________________ (Notary signature) My commission expires on ________________________ (Date) Section F - Part 2: Identity and Statement of Educational Purpose