Resident Status Appeal Form - Washburn University printable pdf download

Resident Status Appeal Form - Washburn University

Resident Status Appeal Form

Name

WIN

Address

Street

City

State

Zip

Daytime Phone

A. I understand that based on my Admissions Application I have been classified a non-resident for tuition purposes.

B. I hereby request that my residency classification appeal be presented to the Residency Status Appeal Committee.

C. I wish to present the item(s) listed below as new and/or additional information for the committee to consider for my

residency appeal.

D. I am applying for the following change to my residency status.

Permanent Resident Status Change

Tuition Waiver

Indicate which waiver you are applying for (see back for a full list)

E. Please give a brief explanation to why you are submitting this appeal.

F. Below please list the documents you have attached to support your appeal.*

I certify that the information on this Appeal of Resident Classification is correct and that the information on my Application for

Classification is still correct.

Student Signature

Date

For office use only:

Term: ___________

Continuing Student

New Student

Processed by: ___________ Process date: ___________

SGASTDN/SFAREGS

SAAADMS

SOATEST

SOAHOLD

Sent to FA/BO

*You will not be able to submit additional documentation once your appeal is submitted.

Resident Status Appeal Form - Washburn University