Undergraduate Application For Instate Classification
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4Undergraduate Application for In-State Classification
_______________
Effective Semester
Return to: The University of Tennessee
Office of the University Registrar
209 Student Services Building
Knoxville, TN 37996-0200
In accordance with the rules adopted by both the Board of Trustees of The University of Tennessee and the
board of Regents, individuals domiciled in the State of Tennessee are classified as in-state residents. All individuals
not having a domicile in Tennessee are classified as out-of-state. In determining whether a student is domiciled in
Tennessee all pertinent evidence is considered by the University. Presence or absence of any particular item(s) of
evidence will not automatically result in an in-state or out-of-state classification.
In order that we may have full information with which to determine your classification for admission and
fee purposes, please complete and return this application to the above address. You may wish to attach supportive
materials (letters, photocopies of documents, etc.), particularly at the places marked “Documentation.”
All decisions regarding classification for fee and admission purposes are made in accordance with
Regulations for Classifying Students In-state and Out-of-state for the Purpose of Paying College or University Fees
and Tuition and for Admission Purposes. For further information, please go to
The Office of the University
Registrar’s
website.
Please type or print legibly in black ink.
PERSONAL INFORMATION
1. Name ______________________________________________________________________
(Last Name)
(First Name)
(Middle Name)
2. Student Identification Number (Not SSN) _____________________________
3. Present Address ______________________________________________________________
(Street & Number)
(City)
(State)
(Zip Code)
4. Permanent Address ___________________________________________________________
(Street & Number)
(City)
(State)
(Zip Code)
5. Telephone Number _________________ E-mail Address ___________________________
6. Date of Birth ___________________ Place of Birth ________________________________
7. Have you domiciled in Tennessee continuously since birth? Yes ___ No ___ If no, date you
began your most recent domicile in Tennessee? ____________ Address you began your most
recent domicile ______________________________________________________________
Reason for coming to Tennessee to establish your most recent domicile? _________________
__________________________________________________________________________________________
___________________________________________________________________________
8. High School(s) attended _________________________________
________
________
from
to
(Name)
(City)
(State)
(Dates of Attendance)
_________________________________
________
________
from
to
(Name)
(City)
(State)
(Dates of Attendance)
9. All colleges and universities attended (other than The University of Tennessee)
_______________________________________________________
________
________
from
to
(Name)
(City)
(State)
(Dates of Attendance)
_______________________________________________________
________
________
from
to
(Name)
(City)
(State)
(Dates of Attendance)
_______________________________________________________
________
________
from
to
(Name)
(City)
(State)
(Dates of Attendance)
_______________________________________________________
________
________
from
to
(Name)
(City)
(State)
(Dates of Attendance)
(If more, attach separate sheet)
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