Residency Amendment Form - University Of Colorado Denver Downtown Campus

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University of Colorado Denver Downtown Campus
Residency Amendment Form
You have indicated on your application for admission that you are a Colorado resident for tuition purposes. However,
you have not provided sufficient information to be classified as a resident. If you wish further consideration,
please complete this form in its entirely, so that your residency review is not delayed. Return it to
Please print clearly. Thank you
the Admissions Office within ten days.
Section A- To be completed by the student:
Indicate the term you will begin classes at CU Denver:
Fall
Spring
Summer 20______
Student’s Full Name Last, First, Middle:________________________________________________
_________________________________________________________________________________
Address
Apt #
City
State
Zip
Student ID #__________________ Phone_______________ 1. Email _________________________
2. Email _________________________
Birth
Marital
Date
Maiden
(Select)
Age _______ Date_______________ Status_________ Married ____________Name____________
MM/DD/YY
MM/DD/YY
Student status:
Undergraduate
Graduate
Non-Degree
Are you a citizen of the United States?
Yes
No
**If not, are you a permanent resident?
Yes
No
Attach a photocopy of both sides of the student’s Alien Registration Card.
If Visa is non-educational, attach a copy and an explanation for its issuance.
Section B- Student or Parent
(Please read instructions before completing)
If you are a student who will be 23 years of age or older on the first day of the semester for which you are
enrolling at CU Denver, complete this section with your information.
If you are a student who will be under the age of 23 on the first day of the semester for which you are enrolling
at CU Denver, complete this section with information relevant to your parent(s).
STUDENT
PARENT
Check whether the following information is for the
or the
.
##
##
1.
When did you first begin living in Colorado?
Month _______ Day _______ Year _______
Have you left Colorado for any reason (a length of 1 year or more) since that time?
Yes
No
##
##
##
##
If yes, FROM Month_____ Day_____ Year _____ to Month _____ Day _____ Year _____
##
##
When did your last continuous period of residence in Colorado begin? Month___ Day____ Year ___
Please explain on an attached sheet, any absences of more than one year, with supporting evidence.
(OVER)
Revised 01/28/16

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