Tuition Residency Reclassification Application Page 2
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2Framingham State University – Office of the University Registrar
Tuition Residency Reclassification Application
This application and all supporting documents must be filed no later than the last day of Course Add/Drop period for the semester in
which the reclassification is to take effect. Refer to the “Academic Calendar” within the appropriate semester’s calendar for deadlines.
The Office of the University Registrar will not provide a final decision until the student and the claimant, if different, have
submitted all requested documents. Additional documentation may be requested from the Claimant after the required materials
have been reviewed.
Section I: Student Information
Student’s Name: ________________________________________________________________________________________________
Student’s FSU ID#: _______________________________ or Student’s Social Security Number (SSN): __________________________
or Student’s Taxpayer Identification Number (TIN):__________________________
Student’s FSU E-mail: ________________________________________@student.framingham.edu
Student’s Phone (Cell preferred) Number: __________________________
Email will be used as primary means of communication.
Term for which Reclassification is requested (circle one):
Fall
Spring
Year: __________
Section II: Claimant Information
The “claimant” is the person claiming Massachusetts residency. If the student is financially independent, then the student is the claimant.
If the student is financially dependent, then the student’s parent or legal guardian is the claimant. If the student is married to a
Massachusetts resident, the spouse may be the claimant. See the Tuition Residency Reclassification Application Instructions for
information and definitions. All questions below pertain to the claimant. Note:
A person shall be classified as a Massachusetts resident if he
or she (or the parent of an unemancipated student) shall have resided in the Commonwealth of Massachusetts for purposes other than attending an
educational institution (public or private) for twelve months immediately preceding the student's entry or reentry as a student.
Claimant’s Name: _______________________________________________________________________________________________
Claimant’s Relationship to Student: _________________________________________________________________________________
Claimant’s Permanent Legal Address: _______________________________________________________________________________
Street Address Apt. #
City
State
Zip Code
Claimant’s E-mail: _____________________________________ Claimant’s Telephone (Cell preferred) Number: __________________
Email will be used as primary means of communication.
D
C
Massachusetts
ate the
laimant began establishing legal
residence and domicile:
____/____/____
Month Day Year
____/____/____
Claimant’s voter registration: State: _______ City/Town: ____________________________________
(If completing this item, a copy of the claimant’s voter registration card must accompany this form.)
Month Day Year
(Date of Issue)
____/____/____
Claimant’s driver’s license: State: _______ Number:__________________________
(If completing this item, a copy of the claimant’s currently active driver's license must accompany this form.)
Month Day Year
(Date of Issue)
____/____/____
Claimant’s vehicle registration: State: __________ Plate#: _____________________
(If completing this item, a copy of the claimant’s current vehicle registration must accompany this form.)
Month Day Year
(Date of Issue)
____/____/____
If the Claimant is a non -U.S. citizen, the Claimant’s Resident alien #: ___________________________
(If completing this item, a copy of the claimant’s resident alien card must accompany this form.)
Month Day Year
(Date of Issue)
Special Categories for Residency Eligibility
The following category is treated as an exception to the requirements indicated the reverse of this form. If you believe that you may
qualify under this special category, mark appropriately, complete the application and provide detailed documentation to support your
claim.
_____ Member of the Armed Forces on active duty, their spouse and/or dependent children.
(A copy of DD-214 or Active Duty Orders is required.)
I am the claimant and I have met all requirements for classification as a Massachusetts resident for tuition purposes. I understand that
concealment of facts or false statement in this application may subject the student to be denied admission to the University or dismissal
from the University.
______________________________________________________________________________________________________________
Claimant’s Signature
Date
______________________________________________________________________________________________________________
Student’s Signature (required if Student is not the Claimant)
Date
rev.09mar2015
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