Waldorf University 2023-2024 Verification Identity and Statement of Educational Purpose (To Be Signed in the Presence of a Notary) If the student is unable to appear in person at Waldorf University, 106 South 6" Street, Forest City, IA 50436, to verify his or her identity, the student must provide to Waldorf University: (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 a clear indication that the Statement of Educational Purpose was the document notarized, Statement of Educational Purpose Icertify that!___ Brunna O'hava _am the individual signing this (Print Student's Name) Statement of Educational Purpose and that the Federal student financial assistance | may receive will only be used for educational purposes and to pay the cost of attending Waldorf University for 2023-2024. On bz 04-13-2024 (Student's Signature) | (Date) (Student's School ID Number or SS#) Notary’s Certificate of Acknowledgement State of Flovida City/County of Qcala On_4 45-2024. __, before me, (Date) (Notary’s name) personally appeared, q (Printed name of signer) of satisfactory, evidence of identification EARNER'S LICENSE and proved to me because SDASOLE (Type of unexpired government-issued photo ID provided) tobe the sBavertiomed ope son who signed the foregoing instrument. ix/s ¥ Ameloa {Notary signature)Waldorf University 2023-2024 Verification Identity and Statement of Educational Purpose (To Be Signed at Waldorf University) The student must appear in person at Waldorf University, 106 South 6" Street, Forest City, IA 50436, to verify his or her identity by presenting an unexpired valid government-issued photo identification (ID), such as, but not limited to, a driver’s license, other state-issued ID, or passport. Waldorf University 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 Waldorf University authorized to receive and review the student's ID. In addition, the student must sign, in the presence of the institutional official, the Statement of Educational Purpose provided below. If the student is unable to sign this document in person at Waldorf Univer side of this document , please see the reverse Statement of Educational Purpose jual signing this I certify that | Brynna O'hara am the (Print Student's Name) ‘Statement of Educational Purpose and that the Federal student financial assistance | may receive will only be used for educational purposes and to pay the cost of attending Waldorf University for 2023-2024. Eric Or faze. 04-13-2024 (Student's Signature) | (Date) ——294S19505 __ (Student's School ID Number or SS#) Failure to complete this form in the presence of an authorized Waldorf employee or failure to complete the attached document which requires a notary signature may result in a delay or hold on the student's financial aid award. Your 2023-2024 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The law says that before awarding Federal Student Aid, we may ask you to confirm the information you and/or your parents reported on the FAFSA. To verify that you provided correct information, the financial aid administrator at Waldorf University 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.Florida LEARNER'S LICENSE oO 2 ety gece -95-684-0' “ae MMA KATH a ALA, FL Saar oe + 908 5 nernte8 ‘Som F apexe 06/24/2025 ener 5-03" ramet A * ewe NONE Poonor SAFE DRIVER 5 ves 06/17/2016 $00 G!)1enet /oo7e REPLACED O©17/2019 Operation of @ motor wéieche coo wntutrs CONsert fo any Sobevety feet requared by ‘ow