Residency Information For Tuition Purposes For Post-Traditional Students Form

Download a blank fillable Residency Information For Tuition Purposes For Post-Traditional Students Form in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Residency Information For Tuition Purposes For Post-Traditional Students Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

WINTHROP UNIVERSITY

Residency Information for Tuition Purposes for Post-Traditional Students

Return to: Office of Admissions, Winthrop University, Rock Hill South, Carolina 29733

** CLASSIFICATION AS A RESIDENT FOR TUITION PAYMENT PURPOSES IS NOT AUTOMATIC. **

All applicants who claim residency in South Carolina or entitlement to in-state tuition are required to provide the requested information.

Please complete this form in its entirety. Incomplete forms will be returned for completion. Additional information may be requested per SC Law 59-112.

Name of Student:

Winthrop ID Number

___

________ ______________________

________

Last

First

Middle

City of Birth: ___________________________________ State of Birth: ___________ Country of Birth: ____________________________________

Date of Birth:

(Month/Day/Year) ____________________________

Applying as (check one):  Freshman  Transfer  Second Undergraduate Degree  Other:_______________________________________

Semester you expect to begin classes:

Year: __________________________________________

Spring Summer Fall

1. What is your citizenship status?

 US Citizen

 US Permanent Resident

Date permanent residency granted (month/day/year) ____________________________

 Foreign Citizen with valid Visa

Visa Type: __________________

 Deferred Action for Childhood Arrivals

2. List all addresses where you have lived for the past two years (do not use Post Office box number).

Address

Dates

______________________________________________________________________________

______________________________________

Street, City, State, Zip code

From: (month/year) To: (month/year)

______________________________________________________________________________

______________________________________

Street, City, State, Zip code

From: (month/year) To: (month/year)

______________________________________________________________________________

______________________________________

Street, City, State, Zip code

From: (month/year) To: (month/year)

3. Are you employed?

 No  Yes (If yes, provide employer’s information below)

_______________________________________________________________________________________________________________________

Employer

City, State, Zip code

Beginning date of employment

Hours per week

4. Telephone number where you can be reached: (______)______________

Can a message be left at this number?  Yes  No

5. Have you been in active military service within the last two years?  Yes  No

If Yes, State of Legal Residence _______________________

If yes, current duty station: ______________________________

Discharge date if applicable: ______________________

6. Do you have a driver’s license?  Yes  No If yes, from what state? ________ Issue date on current license (Month/Day/Year) _______________

If less than 12 months from your planned enrollment date (January, May or August), what is the original date of issue? (Month/Day/Year)_______________

7. Do you have a motor vehicle registered in your name?  Yes  No

If yes, in what state is the vehicle registered? _________ Issue date on current motor vehicle registration (Month/Day/Year) _____________________

If less than 12 months from your planned enrollment date (January, May or August), what is the original date of issue? (Month/Day/Year)_________________

8. Did you file a South Carolina Income Tax Return for the 2013 tax year?

 Yes  No

If yes, under what status did you file the return? Full-year resident

Part-year resident

Non-resident

9. Did you file a South Carolina Income Tax Return for the 2014 tax year?

 Yes  No

If yes, under what status did you file the return? Full-year resident

Part-year resident

Non-resident

10. Did you or will you file a South Carolina Income Tax Return for the 2015 tax year?

 Yes  No