Fillable Residency Classification Form printable pdf download

ALABAMA A&M UNIVERSITY

GRADUATE STUDIES (256-372-5266)

Residency Classification Form

Certification for Reclassification of Residency for Tuition Purposes

Deadlines for submission of this form:



Return this form with Supporting Documentation to the appropriate department:

July 15 - for consideration effective beginning

with the impending Fall term

Office of Graduate Studies



November 15 - for consideration effective

Patton Hall, Suite 300

beginning with the impending Spring term

P.O. Box 998



April 15 - for consideration effective beginning

Normal, AL 35762

with the impending Summer term

Full Name: ___________________________________ _________________________________ _________________________________________

First

Middle

Last

Social Security Number: __________________________________ Date of Birth: ____________________________________________________

Address of permanent residence: ________________________________________ __________________________________ ______ _________

Street Address

City

State

Zip Code

Since (date): _______________

(If less than 12 months, list previous addresses below, to include all addresses 12 months prior to application.)

mm/yy

(dates): ___________________

________________________________________ __________________________________ ______ _________

mm/yy to mm/yy

Street Address

City

State

Zip Code

(dates): ___________________

________________________________________ __________________________________ ______ _________

mm/yy to mm/yy

Street Address

City

State

Zip Code

Reclassification Qualifications (Must meet all three qualifications):

___ U.S. Citizen

___ Permanent Resident Alien (Must provide documentation)

___ 12 months of continuous residence in the State of Alabama

___ Alabama Driver’s License

Reclassification Requirements: Check all that apply but must have a minimum of three forms of documentation for application to be considered

for reclassification of residency for tuition purposes.

___ Payment of Alabama state income taxes as a resident

___ Ownership of a residence or other real property in the state and payment of state ad valorem taxes on residence or property

___ Full-time employment in the state for at least one year prior to application

___ Primary residence in the State of Alabama of a spouse, parents or children

___ Voter registration and voting in the state at least one year prior to application for reclassification

___ Possession of current state or local licenses to do business or practice a profession in the state valid at least one year prior to

application for reclassification

___ Ownership of personal property in the state, payment of state taxes on the property, and possession of state license plates

___ In-state address shown on selective service registration, automobile title registration, hunting and fishing licenses, insurance policies,

stock and bond registrations, last will and testament, annuities, or retirement plans for a continuous period of one year prior to

application for reclassification.

Certification

I, ____________________________________ swear and affirm that the address stated above is within the State of Alabama and is my residence

and that I intend to remain at this address indefinitely.

I further declare, swear and affirm that the information provided above is true and accurate to the best of my knowledge and belief; that in order

to be eligible for resident tuition rates, the burden of proof lies with me, and that I have supplied the documentation for any and all of the items

that I checked above.

I further understand that failure to provide the documentation will result in an immediate change to nonresident classification and immediate

payment due for nonresident tuition for all previous semesters in which I was enrolled under resident classification. I agree to notify the Alabama

A&M University Office of Admissions or Office of Graduate Studies if there are any changes In the information submitted on this form.

I further understand that falsifying information may lead to criminal prosecution and/or disciplinary action, including dismissal from the

University.

SWORN TO AND SUBSCRIBED TO BEFORE ME, THIS

_______________________________________________________________ _____________

THE ____ DAY OF ________________, __________

Signature of Applicant

Date

__________________________________________

Signature of Notary

_______________________________________________________________ _____________

My Commission Expires: ______________________

Signature of parent or guardian if applicant is under 19 years of age

Date

Residency Classification Form

Related Articles

Related forms

Related Categories