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Navarro College

Student Financial Aid Office

Student Name:

Student ID:

-- If You Choose To Fill This Form Out By Hand, Please Print Legibly in Blue or Black Ink Only --

Name, Date of Birth, and/or Social Security Number Verification

The information provided below is that of the

Student

Mother

Father

We have been asked by the U.S. Department of Education to verify your name, date of birth and Social

Security number. Please complete, sign and return this form along with the required attachments

(indicated below) to the Financial Aid Office as soon as possible. Your completed form must be

received in our office at least 30 days prior to your last date of enrollment for the academic year

you are requesting financial aid.

Street Address:

City:

State:

Zip Code:

Daytime Phone:

E-Mail Address:

Required attachments for ALL Social Security verification:

•

Please attach one of the following: A copy of your birth certificate, driver's license (copy the back

side if there are changes on your license), state I.D. card, or passport to verify your date of birth.

•

A copy of your Social Security card to verify your name and social security number.

•

If the name you are currently using does not match the name on your social security card, please

also attach a copy of the legal documentation of the name change (e.g. marriage certificate, divorce

document, etc.) Note: You should also change your name with the Social Security Administration

to avoid future difficulties.

Date

Student Signature:____________________________________________

Date

Parent Signature:_____________________________________________

We cannot proceed with your application for financial aid until your social security verification is

complete. Many financial aid programs have specific deadlines, and delays in processing may result in

a reduction or loss of potential financial aid awards. Be sure to include your name and student ID or Social

Security number on any documents you submit. If you have any questions or need assistance, please

Please mail documents to the campus you will be attending. Students attending the NC

South campus will need to mail documents to the Corsicana campus.

Navarro College

Financial Aid Office

3200 West 7th Avenue

899 Mt. Zion Road

1900 John Arden Drive

Corsicana, Texas 75110

Midlothian, Texas 76065

Waxahachie, Texas 75165

(903) 875-7363 or 7634

(972) 775-7243

(972) 937-7612

Navarro College - Name, Date Of Birth, And/or Social Security Number Verification

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