The University of Iowa Application
for Resident Classification for Tuition
and Fee Purposes
Return your signed original application by mail or in person to: Residency, 34 Macbride Hall, Iowa City, IA 52242
The University of Iowa requests this information for the purpose of determining your classification for tuition purposes. No
persons outside the University are routinely provided this information. Responses to all items are required. If you fail to
provide the required information or documentation as requested, the University will not act favorably on this application.
Today’s date:
UID/SSN:
Applying for (Session/Year):
Student Information:
1. Name
Last
First
MI
Former/Maiden
2. Current Address
Street
City
State
Zip
Phone
3. Permanent Home Address
Street
City
State
Zip
Phone
4. List your E-mail address
5. Birth Date
Birthplace
Country of Citizenship
City/State/Country
6. (For aliens only) What is your current visa classification?
(If Permanent Resident, please provide a photocopy of your “Green Card” – I551 Resident Alien Card)
7. Month and year of high school graduation
Name of high school _______________________ located in
City/State or City/Country
8. Are you currently e nrolled at the University of Iowa? Yes
No
Number of credits taken each semester and summer session d uring the last 12 months:
Session
Year
Credits
Summer
2014
9. Have you been enrolled at another college or university during the last 12 months? Yes
No
If so, where did you attend, how many credits did you take each term and when were you enrolled?
10. Date you moved to Iowa
a. Reason for coming to Iowa
b. Activities primarily engaged i n since moving to Iowa