Certification of Eligibility for In-State Residency

CERTIFICATION OF ELIGIBILITY FOR IN-STATE RESIDENCY

Student Name
In order to be eligible for in-state tuition, you MUST complete this form and fall into ONE or more of the following categories:
I. I AM A LEGAL RESIDENT OF THE STATE OF ALABAMA.
CHECK ALL THAT APPLY:
II. I AM A NON-RESIDENT WHO MEETS THESE QUALIFICATIONS FOR IN-STATE TUITION
I understand that I may be asked to provide documentation for items that I have checked. I agree to notify the college if there are any changes in the information submitted with this form. I understand that an out-of-state student cannot attain residency simply by attending school for 12 continuous months in the State of Alabama.
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The Alabama Community College Board of Trustees through the Alabama Community College System proclaims nondiscriminatory practices in Alabama two-year institutions under the jurisdiction of the Alabama Community College Board of Trustees. It is the official policy of the Alabama Community College System and Bishop State that no persons shall, on the basis of race, color, disability, sex, religion, creed, national origin, or age, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program, activity, or employment. Rev. 10/2018