Affidavit (Or Affirmation) And Application For Certificate Of Residence Pursuant To Section 6305 And 6301 Of The Education Law In Connection With Attendance At A Community College printable pdf download

Affidavit (or Affirmation) and Application for Certificate of Residence

Pursuant to Section 6305 and 6301 of the Education Law in connection with

Attendance at a Community College

NAME

___________________________________________________________________________________

LAST

FIRST

SOCIAL SECURITY NO

DATE

. ______________________________________

_____________________

_______________________does hereby affirm that the applicant RESIDES AT: ___________________

_____________________________in the City or Town of ______________________________________________

MAILING ADDRESS: __________________________________________________________________________

Street

City, Village, Town

COUNTY OF _____________________, State of New York; that the applicant is, and has for a period of at least one year

immediately prior to the date of this affidavit (or affirmation) and applicant has been a resident of the State of New York;

that the applicant now is, and has been, for any part of the last six(6) months immediately prior to the date of this affidavit

(or affirmation) been a legal resident of the County of ________________________________; and that the applicant has

lived at the following places during the year immediately prior to the date of this affidavit (or affirmation) and application:

Address

Dates

_______________________________________________________ _______________________________

Applicant further states that the applicant plans to enroll in WESTCHESTER COMMUNITY COLLEGE and that this

Affidavit (or Affirmation) and application is made for the purpose of securing from the Chief Fiscal Officer of the County

of ___________________________ a certificate that the applicant has met the residence requirements of Articles 119 and

126 of the Education Law.

_________________________________________________________

Signature of Applicant

Date

Sworn to (or affirmed) before me this

________________ Day _______________ 20_____

___________________________________________

Notary Public or Commissioner of Deeds

THIS SPACE FOR USE BY CHIEF FISCAL OFFICER OF THE COUNTY

Certificate Issued ( ) Certificate Not Issued ( )

Date ______________________ By _______________________________________

Education Law, Section 6305 provides The Chief Fiscal Officer of each county, as defined in Section 2.00 of the Local Finance Law, shall upon

application and submission to them of satisfactory evidence, issue to any person desiring to enroll in a community college as a non-resident

student, a certificate of residence showing that said person is a resident of said county. . . . Such person shall, upon registration for each college

year, file with the college such a certificate of residence ISSUE NOT EARLIER THAN TWO MONTHS PRIOR THERETO, and such certificate of residence

shall be valid for one year from date of issuance.

Education Law, Section 6301, paragraph 4, defines: Resident – A person who has resided in the state for a period of at least one year and in the

county, city, town, intermediate school district or school district, as the case may be, for a period of at least six months, both immediately

preceding the date of such person’s registration in a community college, or for the purpose of Section Sixty-Three Hundred Five of this chapter, his

application for a certificate of residence.

Affidavit (Or Affirmation) And Application For Certificate Of Residence Pursuant To Section 6305 And 6301 Of The Education Law In Connection With Attendance At A Community College

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