Application For Iowa Resident Classification Form Page 2
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1
2(a) Date of marriage
(mm/dd/yy)
(b) Was spouse resident of Iowa at date of marriage?
(c) Is spouse currently enrolled in college?
Yes
No
If yes, what is the name of the college?_________________________
(d) Is your spouse enrolled full time or part time?
FT
PT
(e) Did you move because you or your spouse took full-time employment in the state of Iowa?
Yes
No
If yes, briefly explain
(f) If married, when did your spouse begin working in Iowa?
___________________________________________
(mm/dd/yy)
(g) Does he/she work
FT
PT
(h) Spouses current hourly wage. $ ________________
22. What relative(s) do you have in Iowa? (list, i.e: mother, father, grandparents)
23. What is your current job, hours, and rate of pay?
Title
Name of Company
Stated Pay
Hours per Week
24. For last year, in what state did you file your income tax return?
25. If you did not file an Iowa tax return, explain why.
26. In what state is your auto registered?
27. Do you have an Iowa Drivers License?
Yes
No
If yes, list your license number:
28. Are you registered to vote in the state of Iowa? ___________________________________________________
Note
A student who gives incorrect or misleading information on this form shall be unconditionally
disqualified for Iowa Resident Classification.
I certify that the information on this Application for Iowa Resident Classification and attached statements are correct. I
authorize the Iowa College Student Aid Commission to access enrollment history information from the National Student
Loan Data System (NSLDS) on my behalf.
Date
Signature
THIS SECTION TO BE COMPLETED BY AN OFFICIAL IN THE FINANCIAL AID OFFICE.
FINANCIAL AID OFFICE CERTIFICATION: The information provided on this form is consistent with admissions data
that we have received for this student.
___________________________________________
________________________________________
Date
Signature
Comments: Do you support this student’s claim of being an Iowa resident?
___________________________________________________________________________________________________
___________________________________________________________________________________________________
**Return this form to your school’s Financial Aid Administrator**
2015
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