North Carolina Residence & Tuition Status Application Form printable pdf download

University of North Carolina

At Pembroke

NORTH CAROLINA RESIDENCE & TUITION STATUS APPLICATION

SUPPLEMENT NON-U.S. CITIZEN

Complete this form, in addition to the Residence and Tuition Status Application,

if you are not a citizen of the United States.

Non-U.S. citizens must show that they have certain visa or immigration statuses in order to have the legal

ability to maintain a domicile in North Carolina. Upon meeting these requirements, applicants who are

non-U.S. citizens will be subjected to the same considerations as a U.S. citizen in determining residence

status for tuition purposes. If you are a dependent relying upon the domicile of your parent(s) or legal

guardian(s) to establish residence for tuition purposes, this form should be completed by those parent(s) or

guardian(s).

1. Applicant’s Full Name:

Banner ID #:

2. Full Name of Parent(s)/Guardian(s) (if applicable):

☐ Yes

☐ No

3. Do you (the student or parent/guardian) possess a valid and current visa?

(A – V, or TN plus a number. Example: J-2 or B-1)

If yes, what is the designation of your current visa?

4. What date was your current visa (listed above) issued?

What date does your current visa expire?

5. Please identify each and every immigration status, if any, that have been issued to you by the United States

government and, where necessary, identify the specific types of visas by both letter and number (e.g., A-1, E-2, G-4,

H-1B, etc.) in the space provided. Please identify only those statuses which are presently valid and in effect:

☐ A Visa Type(s): __________

☐ L Visa Type(s): __________

☐

Pending Form I-485 (Application to

Adjust Status)

☐ B Visa Type(s): __________

☐ M Visa Type(s): __________

USCIS-issued Notice of Approval of

☐ C Visa Type(s): __________

☐ N Visa Type(s): __________

☐

)

Form I-485 (

Application to Adjust Status

☐ D Visa Type(s): __________

☐ O Visa Type(s): __________

☐ Approved I-130 Immigrant Petition

☐ E Visa Type(s): __________

☐ P Visa Type(s): __________

☐ Approved I-360 Immigrant Petition

☐ F Visa Type(s): __________

☐ Q Visa Type(s): __________

☐ Approved I-140 Immigrant Petition

☐ G Visa Type(s): __________

☐ R Visa Type(s): __________

☐ Permanent Resident Card I-551

☐ H Visa Type(s): __________

☐ S Visa Type(s): __________

☐

Conditional Permanent Resident Card

☐ I Visa Type(s): __________

☐ T Visa Type(s): __________

☐

Refugee Status Approval Documentation

☐ J Visa Type(s): __________

☐ U Visa Type(s): __________

☐

Asylee Status Approval Documentation

☐ K Visa Type (s): __________

☐ V Visa Type(s): __________

☐ Other: ______________________

North Carolina Residence & Tuition Status Application Form

Related Articles

Related forms

Related Categories