Application For Reactivation Form Page 2
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1
2Is your father a Michigan Resident?
Yes _____
No _____
Is your mother a Michigan Resident?
Yes _____
No _____
Are you a Michigan Resident?
Yes _____, since__________________________
No _____
If you answered “yes” and any of the following circumstances apply, you must file an Application for Resident
Classification and be approved to qualify for in-state tuition:
•
You currently live outside the state of Michigan for any purpose, including, but not limited to, education, volunteer
activities, military service, travel, employment.
•
You have attended or graduated from a college outside the state of Michigan.
•
You have been employed or domiciled outside of the state of Michigan within the last 3 years.
•
You are not a U.S. citizen or Permanent Resident Alien (if you’re a Permanent Resident Alien, you must have a
Permanent Resident Alien card).
•
Your spouse, partner, or parent is in Michigan as a nonresident student, medical resident, fellow, or for military
assignment or other temporary employment.
•
You are 24 years of age or younger and a parent lives outside the state of Michigan.
•
You are 24 years of age or younger and have attended or graduated from a high school outside the state of Michigan.
•
You have attended or graduated from an out-of-state high school and have been involved in educational pursuits for
the majority of time since high school graduation.
•
You previously attended any U-M campus (Ann Arbor, Dearborn, or Flint) as a nonresident.
Other circumstances may also require you to file a residency application.
Other circumstances may also require you to file a residency application. The University’s Residency Classification
Guidelines and Application for Resident Classification can be found on the web at If you
have questions or need assistance, contact the Residency Classification Office at (734)764-1400.
The deadline dates for submitting an Application for Resident Classification apply to the term for which residency is
sought and are as follows: September 30 for Fall Term, January 31 for Winter Term, July 31 for Spring, Spring/Summer,
and Summer Terms. Applications must be received in the Residency Classification Office by 5 p.m. on the deadline date.
Applicants who do not file by the deadline will be responsible for paying nonresident tuition.
By my signature, I certify that all answers I have given on this application are complete and accurate to the best of my
knowledge. I understand that the College may revoke my reactivation if I falsify or omit information this form requests.
Student’s Signature: _____________________________________ Date: _______________
For Board Member
Reactivated On M-Pathways?
Interviewer: __________________________________
Yes _____
No _____
Date: _______________________________________
If no, give reason
Expected Graduation Term: _____________________
______________________________________
(For F-1 & J-1 Students Only)
Provided Information Sheet? Yes _____ No ______
Date: _________________________________
Advisor Assigned?
_____ Yes, list advisor if not yourself
Signature: ________________________________
______________________________________
Excel Stats ______
_____ No Advisor Assigned
Send copy of form to Residency Office
For Administrative Staff
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