Application For Virginia Instate Tuition Rates (Page 3 of 3) in pdf

Application For Virginia Instate Tuition Rates Page 3

a. If you are active duty military, are you currently assigned to a permanent duty station in Virginia?

Yes

Indicate the location of your permanent duty station:

You must also provide the University with copies of your official military orders assigning you to a permanent

duty station in Virginia and official documentation of your residence in Virginia (deed, lease, or letter from

landlord).

c. Does your Leave and Earnings Statement (LES) reflect Virginia as your current state of residence?

Yes

If YES, please provide a copy to the University.

7. Are you married?

Yes

8. Are you a ward of the court or were you a ward of the court until age 18?

Yes

9. Do you have legal dependents other than a spouse?

Yes

Note: Answer the following question ONLY if you worked in Virginia but currently reside outside of Virginia.

10. Did you file Virginia taxes on all taxable income earned in Virginia for the last tax year?

Yes

D. Signature(s)

The applicant must sign below or this application will not be processed. If Section B has been completed by a parent,

spouse, or legal guardian*, that person’s signature must also appear below.

I certify under penalty of disciplinary action that the information I have provided is true.

_________________________________________________________________________________

________________________

SIGNATURE OF APPLICANT

DATE

_________________________________________________________________________________

________________________

SIGNATURE OF PARENT, SPOUSE, OR LEGAL GUARDIAN*

DATE

*Note: Copy of court order establishing the legal guardianship prior to the student’s 18

birthday is required.

Students who are approved for the in-state tuition status are expected to maintain a permanent address in Virginia.

Application For Virginia Instate Tuition Rates Page 3