College of DuPage
2016-2017 Proof of Illinois Residency - Independent
Office of Student Financial Assistance
Last Name___________________________ First Name________________________ Student ID ____________
Illinois MAP Grant Residency Verification
The Monetary Award Program (MAP) provides grants, which do not need to be repaid, to Illinois residents who
attend approved Illinois colleges and demonstrate financial need, based on the information provided on the Free
Application for Federal Student Aid (FAFSA). Students eligible for the MAP Grant will be required to verify Illinois
An independent student must have resided in Illinois for 12 continuous months prior to start of classes of the
academic year the student is applying for the MAP grant to be considered an Illinois resident. For the 2016-2017
academic year, the student must have been an Illinois resident continuously from August 2015 to August 2016.
Illinois must be their permanent home.
Please check which document(s) are being submitted and attach it to this form. Note: The following
documentation must be in the student’s name and must cover the full 12 months of August 22, 2015 to August 22,
2016. This may require multiple documents to be submitted.
Valid Illinois driver's license or State of Illinois identification card, issued by the Secretary of State
If valid and issued on/before August 22, 2015
If issued after August 22, 2015, you may combine with any combination of documents listed to
prove your continuous Illinois Residency for the twelve (12) month period from August 22, 2015 to
August 22, 2016.
Residential lease agreement
Utility or rent bills (i.e water, electric, gas. A cell phone bill is not acceptable)
Illinois auto registration card
Valid 2015 State of Illinois Tax Return - signed (this will only verify 2015 residency)
Illinois high school or college transcript
Statement of benefits history from the Illinois Department of Healthcare and Family Services
Statement of benefits from the Illinois Department of Employment Security
Statement of benefits from the Social Security Administration
Please return this form to:
College of DuPage, Office of Student Financial Assistance – SSC 2220
425 Fawell Blvd., Glen Ellyn, IL 60137 FAX (630) 942-2151 EMAIL:
The college will not discriminate in its programs and activities on the basis of race, color, religion, creed, national origin, sex, age, ancestry,
marital status, sexual orientation, arrest record, military status or unfavorable military discharge, citizenship status, physical or mental
handicap or disability (Board Policy 5010; 20-5).
2016-2017 Proof of Illinois Residency – Independent