Residency Application Student Form Page 2

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9. Why did you come to South Carolina and what are your plans after graduation? _______________________________
__________________________________________________________________________________________________
q
q
10. Do you plan to remain in South Carolina after college graduation?
YES
NO
11. Please list schools attended in the past five years, and include dates of attendance (including study abroad).
Schools
Dates
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
q
q
12. Are you a citizen?
YES
NO
q
q
13. Are you a permanent resident of the United States?
YES
NO
What is your nationality? ___________ ____________________________________________
IF YOU ARE UNMARRIED AND are 24 years old or younger, PLEASE ANSWER QUESTIONS #14 to #17 (IF NOT SKIP TO
#18)
14. What is your parents’ marital status? ____________________ If your parents are divorced, was any court order
q
q
made assigning you to the custody of either parent?
YES
NO If yes, to whom? ___________________________
15. Name of custodial parent(s) and their present address : __________________________________________________
__________________________________________________________________________________________________
16. Does either parent contribute to your support?_________________________________________________________
17. Did either parent claim you as a tax dependent on the last Federal Income Tax Return filed? ____________________
IF YOU ARE MARRIED, PLEASE ANSWER QUESTIONS #18 TO #22 (IF NOT SKIP TO #24)
18. If you are married please give full name of spouse (if wife, include maiden name) and present address:___________
__________________________________________________________________________________________________
19. Spouse’s last home address: _______________________________________________________________________
q
q
20. Is your spouse dependent upon you (are you his/her predominant source of financial support)?
YES
NO
q
q
21. Are you dependent upon your spouse (is he/she your predominant source of financial support)?
YES
NO
q
q
22. Spouse’s place of employment: _______________________________________
Full-time
Part-Time
EMPLOYMENT AND FINANCIAL DATA
q
q
23. Are you employed?
YES
NO If yes, by whom? __________________________________________________
q
q
q
q
24. Dates of employment: ________________
Full-time
Part-Time SC Company?
YES
NO
25. What is your present predominant means of financial support?___________________________________________
OFFICE OF RESIDENCY CLASSIFICATION

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