Residency Application For Military Form
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2RESIDENCY APPLICATION FOR MILITARY
This form is to be completed by students who are seeking to establish eligibility to pay the in-state rate on tuition and fees
at Clemson University. The form should be completed, signed, notarized and returned to the address below no later than
the day before classes begin for any semester for which the student is attempting to qualify to pay the in-state rate on
tuition and fees (please note that depending on the time of year it can take between 4 to 8 weeks before an application
will be reviewed). Determination of residency status will be made on the basis of the South Carolina Code of Laws and
regulatory guidelines promulgated by the South Carolina Commission on Higher Education.
PLEASE RETURN THIS ORIGINAL FORM NOTARIZED TO: Office of Student Financial Aid
Clemson University
G-01 Sikes Hall
Clemson, SC 29634
Please check ONE of the following:
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Continuing Undergraduate Student
Incoming Freshman Student
Transfer Student
Graduate Student
PERSONAL INFORMATION
(Student)
1. Applicant’s Name: _______________________________________________________________________________
LAST FIRST
MIDDLE
(Preferred)
2. Clemson University XID: _________________________ E-Mail Address: _________________________________
3. In what category are you requesting residency status? Please check ONE of the following:
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Independent Student
Dependent of: _____________________________ Relationship? ______________
4. Date of Birth: ______________________ Age: ________ Student Marital Status: ___________________________
5. Phone where you can be reached: _______________________ Can a message be left at this number? __________
6. Address: Present _________________________________________________________________________________
Permanent_______________________________________________________________________________
7. For what semester are you requesting in-state tuition to begin? ___________________________________________
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8. Have you applied for in-state tuition before?
YES
NO If yes, When? ______________________________
PARENTAL/SPOUSAL INFORMATION:
(COMPLETE IF STUDENT IS DEPENDENT)
9. Parent’s marital status: ____________________________________________________(married,separated/divorced)
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10. Do you claim the student or file married joint on Federal taxes? :
YES (If yes, provide copy of most recent filed Federal
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taxes showing claimed your child)
NO If No, Is there joint custody or full custody due to divorce?
YES
NO
(if yes, please provide court papers to support this)
11. Parent/Spouse present address (street, city and state): __________________________________________________
12. Parent Spouse email address: ______________________________________________________________________
OFFICE OF RESIDENCY CLASSIFICATON
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