RHODE ISLAND COLLEGE RESIDENCY APPLICATION FOR TUITION PURPOSES

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INSTRUCTIONS: RHODE ISLAND COLLEGE RESIDENCY APPLICATION FOR TUITION PURPOSES All students applying for in-state status must submit the attached Rhode Island College Residency Application for Tuition Purposes accompanied by the documentation listed below. Incomplete applications will be returned unless a written explanation is included for each item of documentation you are unable to provide. Classification as a resident student becomes effective with the beginning of the term following the determination of residency. The policy established by the Rhode Island Board of Governors for Higher Education (RIBGHE), by which petitions requesting in-state residency will be approved or denied, is rigorous. The complete policy, most recently amended on 11 May 2009, can be found on the RIBGHE web site at www.ribghe.org/residency1.pdf. If you are claiming recognition as a DEPENDENT STUDENT, please provide the following: A photocopy of each of the following items: 1. Page 1 of your parents' Federal Income Tax Return for the most recent year. a. Both parents' Rhode Island driver's licenses and vehicle registrations. b. All Trusts, Wills, Support or Custody Decrees or Agreements affecting you. c. Your parents' current rental lease(s) or evidence of property ownership. 2. A certified copy of your parents' most recent R. I. State Income Tax Return. (You may obtain a copy from the R. I. Division of Taxation, One Capitol Hill, Providence, RI 02908.) 3. Notarized statement from the Town Clerk indicating the original date(s) of voter registration for both parents. If you are claiming recognition as an INDEPENDENT STUDENT, please provide the following: 1. A photocopy of each of the following items: a. Your Federal Income Tax Return for the last two years.

b. Your parents' Federal Income Tax Return for the last two years or a notarized statement from your parents that you were not claimed as a dependent on their Federal Income Tax Return for the last two years and that they have no intention of such claim in the future. c. A certified copy of your parents' most recent R. I. State Income Tax Return. (They may obtain a copy from the R. I. Division of Taxation. One Capitol Hill, Providence, RI 02908.) d. Your Rhode Island driver's license and vehicle registration(s). e. Current rental lease and leases covering your residency at addresses listed in Part III, #14 on the attached application. If formal leases are unavailable, a notarized statement from the landlord detailing dates and remittances may be substituted. f. Copies of all loan agreements in their entirety (signatures of all parties to these agreements must show clearly.) 2. A notarized statement from the Town Clerk indicating the original date of your voter registration. IMPORTANT INFORMATION 1. Materials should be submitted as a single, complete packet. 2. Be sure to include a full explanation for each item of documentation not submitted. 3. Classification becomes effective with the beginning of the term following the determination of residency. 4. Study the regulations defining resident and non-resident students carefully. The burden of proof is upon the person making the claim.

Rhode Island College Residency Application For Tuition Purposes Student's Name: Permanent Address: Mailing Address: Social Security Number: (optional) RIC ID Number: Date of Birth: Date First Entered RIC: Phone: E-Mail address: Please type or print all responses clearly. Attach a separate sheet if more space is needed. PART I 1. I hereby request that I be classified as a resident student for the academic term beginning, 20. 2. My request is based upon the fact that I am dependent upon my parents (or guardian) for support and my parents (or guardian) are legal residents of Rhode Island. YES NO. If yes, complete Part II and Part IV. 3. My request is based upon the fact that I am an emancipated student, independent of my parents, and have established my legal residence in Rhode Island. YES NO. If yes, skip Part II and complete Part III and Part IV. PART II - DEPENDENT STUDENT 4. My father's full name: 5. My father's present address and phone #: 6. My mother's full name: 7. My mother's present address and phone #: 8. My RI parent(s) own or rent a home in Rhode Island at the following address: 9. My RI parent(s) are registered voters in the town/city of: and have lived in that town/city since (date):

10. My RI parent(s) have maintained their legal residence in Rhode Island since (date): 11. My RI parent(s) filed a state income tax return for the year 20 as residents of the State of. PROCEED TO PART IV AND COMPLETE THE CERTIFICATION

PART III - INDEPENDENT STATUS 12. My home address now is 13. I have lived there since 14. Below are listed all other addresses at which I have resided during the last 24 months: From To From To From To 15. My residence in Rhode Island began on (date):, and has continued without lengthy interruption except for (dates): 16. (If married): My spouse's full name is: 17. I shall file a Rhode Island income tax return for year 20 as a Resident or Non-Resident. 18. I filed a state income tax report for year 20 in the State of. 19. My automobile driver's license was issued by the State of on (Date). My automobile registration number is (State) (Number). 20. I financed my studies this past year from the following sources. Savings $ *Loans $ Earnings $ *Scholarships $ Spouse's Earnings $ *Gifts $ VA. Benefits $ *Other $ *Attach a separate sheet and list all loans, scholarships, gifts, and other income fully. 21. In the space below (or on a separate sheet) I wish to add the following information which may be helpful in establishing my right to classification as a Rhode Island resident student at RIC. PROCEED TO PART IV AND COMPLETE THE CERTIFICATION PART IV - CERTIFICATION

22. I declare Rhode Island to be my state of legal residence. I certify that the information offered in support of this application is true and correct. Signed: (To be signed in presence of Notary Public) 23. Notarization: (To be completed by a Notary Public). Subscribed and sworn to before me this Day of, 20. Notary Public: My commission expires: WARNING: Section 11-18-1 of the General Laws of Rhode Island provides severe penalties for giving a false document to a public official. Return the completed application to the appropriate office below. Records Office Rhode Island College 600 Mount Pleasant Avenue Providence RI 02902 Fax (401) 456 8108