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2024-2025 Identity and Statement of Educational Purpose
crow BLAKE 901401321
Students LastName Students Fist Name wr 1D Number
Instruction to notary: If the notary statement appears on a separate page than the Identity and Statement of Educational
Purpose, it must include
1. a clear indication thatthe Statement of Educational Purpose was the document notarized and
2. a description ofthe unexnired valid govemmmentissued photo ID presented to the notary
‘Statement of Educational Purpose
icentiy nat, hake Grow :
(Pint Sorts Nore)
am the individual spring is Staten of Educational Pupece an hl he Federal shen rani askance may recive wil
iy be used for edueabonal purposes and to py recast atending Sinclar Colege for 2024-2028,
Gn &-31- QOS oot4o1321
(Siudents Signature) (Date) ‘Gaiden 1D Number)
s\a\ eons
‘Firancial Aa Acris ators Signaare) (Cato)
Notary's Certificate of Knowledge
State of ol. 2 Gitycounty of Lhermber —on_ tharos
before me, CZachbrse eo personaly appeared, Sarde, _Crrow) ;
(Printed name of signer)
(Type of governmentissued photo ID provided)
tobe the above-named person who signed the foregping instrument.
WITNESS my hand and official seal Wl id aor &
Sioned) (Date Commision Expires)
and proved tome on bas Sato SY edenc of Wenicaton
CATHER ERIC
Notary Publ, State of Ohio
‘Rotum this original form withthe copy of your unexpired valid government-issued photo identification (1D) acknowledged in the
‘notary statement to your school's financial aid office. You must return all pages of this document.