Independent Student Form - University Of St. Francis (Page 2 of 2) in pdf

Independent Student Form - University Of St. Francis Page 2

Illinois Residency Verification

2016-2017

I understand that I must be a resident of Illinois to receive financial assistance under the Illinois

Student Assistance Commission (ISAC) Monetary Award Program. Further, I understand that

Illinois residency is defined by the ISAC to be the following:

"An Independent Student is a Resident of Illinois if the applicant has a true, fixed and

permanent home within the State of Illinois (at the time of application) and has so resided

for a period of 12 continuous, full months immediately prior to the start of the academic

year for which assistance is requested."

I certify that I was living in the State of Illinois at the time I filed the 2016-2017 Free

Application for Federal Student Aid (FAFSA) and that I have physically resided in the State of

Illinois 12 continuous full months since

August 24,

2015. I have attached the following

document(s) with an issue date prior to

August 24, 2015

to verify my Illinois residency in

accordance with the above definition:

 Illinois Driver's License

 Utility or rent bills in my name

 Illinois High School or College transcript

 Illinois Auto Registration Card

 Residential lease with my name appearing on the lease

 Wage and tax statements (IRS W2 Form)

 State of Illinois Identification Card issued by the Secretary of State

 Statement of benefits history from the Illinois Department of Public Aid

 Statement of benefits history from the Illinois Department of Employment Security

____________________________________

_____________________________

Student Name

USF ID or SSN

(please print)

____________________________________

_____________________________

Student Signature

Date

Please return this signed statement and documents to:

Financial Aid Services

500 Wilcox Street Joliet, IL 60435 | finaid@stfrancis.edu

(815) 740-3403 | Toll-free: (866) 890-8331 | Fax: (815) 740-3822

ILResidencyform

Independent Student Form - University Of St. Francis Page 2