Application For Classification To In State Fee Status
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3MICHIGAN STATE UNIVERSITY
Application for Classification to In-State Fee Status
This application is for students requesting in-state fee classification for tuition purposes. Application and supporting documents should
be submitted at least one month prior to the semester of reclassification.
STUDENT INFORMATION
Last Name
First Name
M.I.
Current
Apartment #
Address
City
State
ZIP
How long at
current address
Phone
E-mail Address
Date of Birth
Student PID
Are you a U.S.
YES
NO
If no, are you a Permanent Resident?
YES
NO
Citizen?
If you are neither a U.S. Citizen nor a
If yes, Indicate your
Permanent Resident Alien, do you hold a
YES
NO
VISA status:
VISA?
Requesting in-state classification effective
Year
Fall
Spring
Summer
(indicate only one semester)
1. Establishing Eligibility Through Domicile
Requesting in-state classification under which provision?
2. Establishing Eligibility through High School Attendance and
Read through the regulations to determine
Graduation
3. Other: ________________________________________
Have you previously submitted an application for in-state
If yes, for what
YES
NO
classification?
term and year?
Has a parent, sibling, or spouse ever applied for in-state
If yes, provide
YES
NO
classification?
name
Are you or your spouse (if applicable):
Serving on active duty in the U.S. Uniformed Services?
YES
NO
Serving in the guard or reserves in one of those reserve components?
YES
NO
Have you received an honorable discharge from the U.S. Uniformed Services or reserve
YES
NO
components?
Are you a dependent of a service member?
YES
NO
List high schools, secondary schools, technical schools, and all colleges and universities you have attended or are attending. Give the
dates of attendance at each school and the name of the diplomas, certificates and degrees received from each:
Dates attended
Graduation
Institution
City/State
From
To
Degree name
Date Earned
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Version 4.11.16
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