Sworn Statement Of Commuting Status printable pdf download

Sworn Statement of Commuting Status

Although the University feels that students will have their best opportunities for a well-rounded

educational experience living in a supervised residence hall designed for student living, there are some

circumstances under which a student may be approved to live off campus. In the event a student is

residing and continues to reside in the established primary residence of her/his parents (or legal guardian)

if it is within a 30-mile radius of Oklahoma State University and the parents must have established their

primary residency at least six months prior to the request for an exemption, and legal

guardianship must have been established by a court of law at least one year prior to a request for an

exemption in order to be considered, the student may receive approval to live off campus.

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, swear that I am the parent or legal guardian of

, a full-time student at Oklahoma State University, and I

do hereby declare that I understand the University’s requirement that all full-time freshmen reside in

university residence halls, unless such student is approved for an exemption.

Having declared my full knowledge of this Housing Policy, I now hereby affirm that my son/daughter

will continue to reside, on a daily basis, with me at my primary residence until my student earns 28 hours

or moves into a university residence hall.

I verify that the information provided here is true and correct, and I understand that false or misleading

information provided by me shall be grounds for taking disciplinary action against my student in

accordance with the Student Code of Conduct. I also understand that all information provided is subject

to verification and that additional information may be required by Housing & Residential Life.

Parent’s Signature

Parent’s Name (please print)

Telephone Number

Date

State of Oklahoma

County of _______________

Before me, (insert the name and character of the officer), on this day personally appeared

____________________, known to me (or proved to me on the oath of ______________ or through

(description of identity card or other document)) to be the person whose name is subscribed to the

foregoing instrument and acknowledged to me that he executed the same for the purposes and

consideration therein expressed.

Given under my hand and seal of office this __________ day of __________, (year).

______________________

Notary Public's Signature

Please return to: OSU Housing & Residential Life, 100 Iba Hall, Stillwater, OK 74078 or Fax it to 405-744-6775

Sworn Statement Of Commuting Status