I am a U.S. citizen
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Northeast Wisconsin Technical College/Financial Aid
2009-10 Citizenship Verification
We have completed the initial review of your 2009-10 Free Application for Federal Student Aid (FAFSA). It has been determined
that we need more information regarding your citizenship status. Please complete this form, attach the appropriate documentation,
and return it to Financial Aid as soon as possible.
**PROCESSING OF YOUR AID HAS STOPPED UNTIL THIS FORM AND ALL DOCUMENTS ARE RETURNED**
Please check the boxes that apply to you and attach the requested documentation:
I am a U.S. citizen.
ATTACHED is verification of my citizenship.
(U.S. Birth Certificate, Certificate of Naturalization, U.S. Passport, etc.)
I am an eligible noncitizen
ATTACHED is a legible copy (both sides) of my Alien Registration Receipt Card (I-151 or I-551).
ATTACHED is a legible copy of my Conditional Permanent Resident Card (I-151C).
ATTACHED is a legible copy of my Arrival Departure Record (I-94) from the Department of Homeland Security
showing any one of the following designations:
“Refugee”
“Asylum Granted”
“Indefinite Parole” and/or “Humanitarian Parole”
“Cuban/Haitian Entrant”
ATTACHED is a legible copy of my Temporary Resident Card (I-688) from the Department of Homeland Security.
**You must possess one of the documents listed above to be eligible for financial aid. You are not eligible for financial aid if you
are in the United States under one of the following designations:
An F1 or F2 student visa
A J1 or J2 exchange visitor visa, or
A G series visa (pertaining to international organizations), or
If you have only an Employment Authorization Card (I-688A).
Statement of Certification: I certify that the information given on this form is true and complete.
___________________________________________________ _________________________________
Student’s Signature Date Student ID#
___________________________________________ ___________________________
Student’s Name (please print) Social Security Number
PLEASE RETURN TO:
Northeast Wisconsin Technical College, Financial Aid
P.O. Box 19042, 2740 W. Mason St., Green Bay WI 54307-9042
Office use only: Comments:_______________________________________________
corr sent: _____y _____n ssn orig rptd: ________-________-________ _______________________________________________
I:\Q2602\PS.DOC\2009-10\CITIZN10.DOCX
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