SECTION 3.
Dependent Student – Georgia Residency Requirements
For students under the age of 24 and your parent/guardian claimed you on their most recent tax return.
Please attach to this form:
A. A copy of your parent’s/legal guardian’s most recent Georgia (500 long form) tax records showing that he/she
claimed you on their taxes. (All information can be blacked out except the student’s Social Security Number.)
B. At least one or more of the following items to prove Georgia residency for the past 12 consecutive months for
your parent or guardian.
Georgia State Income Tax Form 500
Georgia Automobile Registration
Georgia Voter Registration
Georgia Driver’s License
Notarized letter on company letterhead indication lease status
Proof of ownership of primary residence in Georgia
Utility bill in your name (example: electricity, cable, water, telephone:
not cellular phone)
ependent Student – Georgia Residency Requirements
Ind
For students over the age of 24 or those under 24 not being claimed by a parent/guardian on their most recent tax return.
Please attach to this form:
A. At least two (2) of the following items to prove Georgia residency for the past 12 consecutive months.
Georgia State Income Tax Form 500
Georgia Automobile Registration
Georgia Voter Registration
Georgia Driver’s License
Notarized letter on company letterhead indication lease status
Proof of ownership of primary residence in Georgia
Utility bill in your name (example: electricity, cable, water, telephone:
not cellular phone)
Please submit this form to:
Director of Admissions
Southern Crescent Technical College
501 Varsity Road
Griffin, GA 30223
SECTION 4.
Reminders:
Do not submit a document that is not listed as an acceptable document. It will delay your petition.
Your petition will not be considered if you do not complete the entire form.
This form is NOT for Financial Aid purposes.
Current students will receive notification of the outcome of this petition via their SCTC email address. New students will
receive notification via the email address the college has on file.
Student’s Signature ________________________________________________________ Date ___________________
Submission of this form does not guarantee a change of residency status. Per state policy:
Determining a student’s residency status must be based on the existence of surrounding objective
circumstances that indicate a student’s intent to maintain a permanent residence, or domicile, in the State of
Georgia.
The decision to change residency is at the discretion of the college and its officers. Students will be notified via
email or phone call with a decision by the college. Change of status in no way guarantees financial aid.
As set forth in full in its Course Catalog/Student Handbook, Southern Crescent Technical College is an Equal Opportunity Institution and does not discriminate on the basis of race, color, creed, national or ethnic origin, gender, religion, disability, age, political
affiliation or belief, genetic information, disabled veteran, veteran of the Vietnam Era, or citizenship status (except in those special circumstances permitted or mandated by law). The following persons have been designated to handle inquiries regarding the non‐
discrimination policies: Title IX/Equity Coordinator (Griffin Campus, Butts County Center, Henry County Center, and the Jasper County Center) Toni Doaty, Griffin Campus, Room 303, 501 Varsity Road, Griffin, GA 30223, (770)228‐7382, tdoaty@sctech.edu;
ADA/Section 504 Coordinator (Griffin Campus, Butts County Center, Henry County Center, and the Jasper County Center) Teresa Brooks, Griffin Campus, Room 303, 501 Varsity Road, Griffin, GA 30223, (770)228‐7258, tbrooks@sctech.edu; Title IX/Equity and
ADA/Section 504 Coordinator (Flint River Campus and Taylor County Center) Mary Jackson, Thomaston Campus, Room 252A, 1533 Highway 19 South, Thomaston, GA 30286, (706)646‐6224, mjackson@sctech.edu. Any complaints filed against the Title IX/ Equity
Coordinator or ADA/Section 504 Coordinator on any campus/center shall be handled by Xenia Johns, Griffin Campus, Room 700, 501 Varsity Road, Griffin, GA 30223, (770)228‐7348, xjohns@sctech.edu.
Revised: 7/28/2014