Application For The Benefit Of A Reduced Tuition Rate As A Member Of The Armed Services Or Dependent Relative Form

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APPLICATION FOR THE BENEFIT OF A REDUCED
TUITION RATE AS A MEMBER OF THE ARMED SERVICES
OR DEPENDENT RELATIVE
This application and all supporting documentation is due by 5:00 P.M. on the
first official day of UNCW classes, as listed in the
Registrar’s
calendar, for the
term in which residency classification is sought.
PLEASE RETURN TO:
Prospective Undergraduate Student
Current Undergraduate Student
Current/Admitted Graduate Student
Office of the Registrar
Office of Admissions
Graduate School
UNC Wilmington
UNC Wilmington
UNC Wilmington
601 South College Road
601 South College Road
601 South College Road
Wilmington, NC 28403-5904
Wilmington, NC 28403-5618
Wilmington, NC 28403-5955
undergradresidency@uncw.edu
registrar@uncw.edu
gradresidency@uncw.edu
Under North Carolina General Statues Section (G.S.) 116-143.3 certain members of the armed services and their
dependent relatives may be eligible to be charged a tuition rate less than the out-of-state rate whether or not they
qualify as residents for tuition purposes under G.S. 116-143.3. The pertinent law and implementing regulations are
available for inspection online and at the Reserve Desk in Randall Library and may be examined upon request.
Included among the requirements is that the member of the armed services and a relative claiming the benefit through
a member are living together in North Carolina incident to the supporting member’s active military duty and that the
applicant for the benefit qualifies for academic admission at the pertinent institution.
You may review the residence manual for statutory and related regulatory conditions online at: 
DIRECTIONS
1. ANSWER ALL QUESTIONS; INCOMPLETE FORMS CANNOT BE SUBMITTED. If any question is not applicable
to your situation, type “Not Applicable” or “N/A.”
2. TYPE ALL RESPONSES. If you need more space to answer, type “see attached” in the space provided, and use
separate additional sheets, numbering your responses the same as the corresponding question and send
these sheets with this application form. (electronic or fax)
3. IF NOT COMPLETING THE FORM ELECTRONICALLY, you MUST use black or blue ink.
4. BE COMPLETELY ACCURATE to the best of your knowledge and understanding. Knowing falsification of your
responses may subject you to disciplinary action including dismissal from the institution. When “date” is
requested, give month, day, and year.
5. SIGN AND DATE this application where indicated to make those acknowledgements and certifications necessary to
render this a viable application.
6. ATTACH THE REQUIRED AFFIDAVIT(S)
(See Part I, item 7, or Part II, item 7, as appropriate.)
*** Note to MAC users – please use Adobe Reader, not Preview, to fill out and save this document.
UNIVERSITY OF NORTH CAROLINA WILMINGTON 
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