Uccs Petition For In State Tuition - University Of Colorado Page 2

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UCCS PETITION FOR IN-STATE TUITION
FIRST DAY OF SEMESTER
DEADLINE FOR SUBMITTING ALL MATERIALS:
6. Are you registered to vote in Colorado? Yes_____ No_____
If yes, the date of your registration?____________________
If no, and you are registered to vote in another state, what state?____________________________
(If yes, attach a copy of your Certificate of Registration from your County Clerk’s Office )
7. Have you filed Colorado State Income Tax returns? Yes_____ No______
If yes, for what years?______________________
If you did NOT file a return in the last 12 months, state the reason:
________________________________________________________________________________
For which years did you file in another state?____________________________________________
(If yes, attach a copy of your COLORADO State Income Tax return for the most recent last two years
you filed. If you did not file, submit your W-2 forms)
8. Did you accept employment in Colorado prior to moving here? Yes_____ No_____
(If yes, attach a copy of your Letter of Offer/Acceptance, or contract)
9. List all employment for the past year: (Attach a statement from each Colorado employer on company’s
letterhead (with signature) verifying exact dates of employment)
EMPLOYER
LOCATION
EXACT DATES OF EMPLOYMENT
10. Have you served in the armed forces? Yes_____ No______
If yes, list dates of service: From____________ To____________
Stationed in Colorado: From___________ To____________
(If yes, attach a verified copy of your most recent DD-2058 or copies of your LES for the past 12
months. If discharged, attach a copy of your DD-214, containing Character of Service)
11. Did you attend any college or university in the past two years, including CU? Yes_____ No_____
If yes, at what schools were you assessed non-resident tuition?
_____________________________________________________________________________________
____________________________________________________________________________________
Note: You may supply any other information which you feel would help to show that it was your intent, one full
year before the term begins, to make Colorado your permanent home. Please attach additional sheets for this
purpose, if desired.
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