OHIO RESIDENCY RECLASSIFICATION APPLICATION PACKET You may submit the completed application along with all required documentation to: Columbus Campus: Delaware Campus: VIA E-MAIL: residency@cscc.edu OR IN PERSON: Student Central, Upper Level, Madison Hall Student Services, Moeller Hall NOTE: Reclassification decisions can be made only for packets received, by the appropriate semester deadline, with completed applications and all required documentation. Incomplete applications and/or documentation cannot be processed and may result in denial of reclassification. FOR MORE INFORMATION GO TO: WEB: http://www.cscc.edu/services/recordsandregistration/residency.shtml OR E-MAIL: residency@cscc.edu VOICE MAIL: 614-287-5533 Effective August 2017
RESIDENCY GUIDELINES It is the intent of the Ohio Department of Higher Education in promulgating this rule to exclude from treatment as residents, as that term is applied here, those persons who are present in the State of Ohio primarily for the purpose of receiving the benefit of a state-supported education. This rule is adopted pursuant to Chapter 119 of the Ohio Revised Code, and under the authority conferred upon the Ohio Department of Higher Education by Section 3333.31 of the Ohio Revised Code. OHIO RESIDENCY STATUS FOR TUITION SURCHARGE PURPOSES All public, state-supported institutions are required to report enrollment data to the State of Ohio, according to Section (F)(4) of the Ohio Administrative Code, Section 3333-1-10. A student s residency status is initially determined by the information they provide about themselves at the point of their application for admission. Ohio Residency Verification reviews are conducted each semester to assist students in a redetermination of their current residency status with Columbus State Community College. According to the Residency Rule 3333-1-10, Section (F)(5), it is incumbent upon a student to apply for a change in residency, and failure to do so as soon as they are entitled to a change shall preclude the granting of residency retroactive to that date. A change in residency shall be prospective only from the date such application is received. A change in residency status under this section is never automatic, and must be initiated by an application for such a change by the person seeking it. Please be advised that Retroactive Residency reclassifications are not allowed under the guidelines of the Residency Rule. If a student is designated as an out-of-state resident, they may qualify for in-state residency by meeting certain qualifications. A Residency Reclassification Application must be completed, important Verification Documentation submitted, and residency determination approved prior to the first day of the academic semester for which the student desires reclassification to be effective. The completed application and all appropriate documentation must be submitted to Columbus State Community College prior to the start of the semester of enrollment in order to be reviewed for the desired semester. Reclassification decisions can be made only for packets received, by the appropriate semester deadline, with completed applications and all required documentation. Please note that students are expected to make full payment (including non-resident fees) by the appropriate payment due date. Payment deadlines cannot be waived or extended while a student s residency is being reviewed. If a student fails to apply for residency reclassification prior to the start of the semester of enrollment, their application will be given consideration for the next semester of enrollment. Incomplete applications and/or documentation cannot be processed and may result in denial of reclassification. It is the student s responsibility to check their Columbus State Community College student e-mail account for communication regarding the status of their Ohio Residency Reclassification application and or status.
RECLASSIFICATION SUBMISSION DEADLINES DATES TO SUBMIT THE COMPLETED APPLICATION AND ALL REQUIRED DOCUMENTATION FOR OHIO RESIDENCY FOR TUITION SURCHARGE PURPOSES ARE: TERM REVIEW PROCESS BEGINS REVIEW PROCESS ENDS Spring Semester 2018 October 12, 2017 January 10, 2018 Summer Semester 2018 March 07, 2018 May 15, 2018 Autumn Semester 2018 June 01, 2018 August 22, 2018 Spring Semester 2019 October 12, 2018 January 10, 2019 Summer Semester 2019 March 07, 2019 May 15, 2019 Autumn Semester 2019 June 01, 2019 August 22, 2019 Spring Semester 2020 October 12, 2019 January 10, 2020 Summer Semester 2020 March 07, 2020 May 15, 2020
OHIO RESIDENCY RECLASSIFICATION REQUIRED DOCUMENTS CHECKLIST The following is a checklist of documents that you will need to provide before your request for residency reclassification can be approved. *Please note* this list is NOT all inclusive. Residency Officers are permitted by law to request additional documentation if needed to reach a determination. Please provide one-sided, unstapled photocopies as documents will not be returned to you. Do not submit original documents, except where requested. C1: DEPENDENT ON AN OHIO RESIDENT - ALL DOCUMENTS LISTED BELOW ARE REQUIRED Copy of Ohio Driver s License or State of Ohio ID card of BOTH Student and Parent, Spouse or Legal Guardian. Copies of current immigration or Visa status for BOTH Student and Parent, Spouse or Legal Guardian (if applicable) Copy of student birth certificate, (if residency is based on parent), or a copy of a marriage certificate, (if residency is based on spouse). Copy of Parent, spouse, legal guardian Federal tax return or transcript* for most recent tax year(s) showing the student was claimed as a dependent in the most recent tax year. Copy of Parent, spouse, legal guardian Ohio tax return or transcript~ for most recent tax year(s). Proof of Ohio Domicile showing 12 CONSECUTIVE MONTHS: Copy of signed Rental agreement, lease, and/or HUD settlement statement of property owned by parent/spouse/legal guardian. **If student is NOT listed, an original, notarized statement from the person with whom they reside is ALSO REQUIRED. Proof of Employment for Parent, Spouse or Legal Guardian: An original letter from the employer on official company letterhead stating: Name of employed person Date the employment began Employee is full-time and the annual salary Copies of Parent, Spouse or Legal Guardian s most recent pay stubs. C3: DEPENDENT OF A PERSON EMPLOYED FULL-TIME IN OHIO - ALL DOCUMENTS LISTED BELOW ARE REQUIRED Copy of Ohio Driver's License or State of Ohio ID card for BOTH Student and Parent, Spouse or Legal Guardian Copies of current immigration or Visa status for BOTH Student and Parent, Spouse or Legal Guardian (if applicable) Copy of Parent, Spouse or Legal Guardian s Federal tax return or transcript* for most recent tax year (s) showing the student was claimed as a dependent in the most recent tax year Copy of Parent, spouse, legal guardian Ohio tax return or transcript~ for most recent tax year(s) showing the student was claimed as a dependent in the most recent tax year. Copy of a marriage certificate (if residency is based on spouse). Proof of Ohio Domicile: Copy of signed Rental agreement, lease, and/or HUD settlement statement of property owned by parent/spouse/legal guardian. **If student is NOT listed, an original, notarized statement from the person with whom they reside is ALSO REQUIRED. Proof of Employment: An original letter from the employer on company letterhead stating: Name of employed person Date the employment began Employee is full-time and the annual salary Copies of Parent, Spouse or Legal Guardian s most recent pay stubs, (must be submitted EVERY semester until 12 consecutive months of residency are established.)
OHIO RESIDENCY RECLASSIFICATION REQUIRED DOCUMENTS CHECKLIST C2: INDEPENDENT STUDENT - ALL DOCUMENTS LISTED BELOW ARE REQUIRED Copy of Ohio Driver's License or State of Ohio ID card. Proof of citizenship: A copy of current immigration/visa status, US birth certificate or US passport (as applicable). Proof of Ohio Domicile showing 12 CONSECUTIVE MONTHS: Signed copies of Rental agreement, lease, and/or HUD settlement statement of property owned. **If student is NOT listed, an original, notarized statement from the person with whom they reside is ALSO REQUIRED. Copy of student s Federal tax return or transcript* for most recent tax year(s) Copy of student s Ohio tax return or transcript~ for most recent tax year(s) Copies of proof of financial resources for the past twelve (12) months: Income includes: employment, unemployment, Social Security/SSI, Retirement pay, State benefits (food stamps, WIC, cash benefits), savings, mutual funds, gifts of support from Ohio resident, financial aid Copies of monthly bank statements for all accounts on which the student is named or has access to for the past twelve (12) consecutive months. Provide documentation of all deposits/incoming transfers over $100. An example of this is the image of the cancelled check. E1: GAINFUL EMPLOYMENT IN OHIO PURSUING PART-TIME PROGRAM, (LESS THAN 12 CREDIT HOURS) - ALL DOCUMENTS LISTED BELOW ARE REQUIRED Copy of Ohio Driver s License or State of Ohio ID card. Proof of citizenship: A copy of current immigration/visa status, US birth certificate or US passport (as applicable). Proof of Ohio Domicile: Copy of signed Rental agreement, lease, and/or HUD settlement statement of property owned. **If student is NOT listed, an original, notarized statement from the person with whom they reside is ALSO REQUIRED. Copies of most recent pay stubs showing earnings of at least $300 per week (must be submitted EVERY semester) An original letter from the student's employer on official company letterhead or an original, notarized statement that indicates: Student's name and CougarID Semester for which the student is applying for E(1) residency Date employment began Number of hours student is working per week Rate of pay per hour D1: FOREVER BUCKEYE - ALL DOCUMENTS LISTED BELOW ARE REQUIRED Copy of Ohio Driver's License or State of Ohio ID card. Proof of citizenship: A copy of current immigration/visa status, US birth certificate or US passport (as applicable). Proof of Ohio Domicile: Copy of signed Rental agreement, lease, and/or HUD settlement statement of property owned. **If student is NOT listed, an original, notarized statement from the person with whom they reside is ALSO REQUIRED. Official Ohio high school transcript or a verification letter of your graduation on the high school's letterhead in a sealed envelope. (Note: a copy of your high school diploma is not sufficient proof of high school graduation.)
OHIO RESIDENCY RECLASSIFICATION REQUIRED DOCUMENTS CHECKLIST E4: OHIO RESIDENTS TRANSFERRED OUT OF THE US BY THEIR EMPLOYER - ALL DOCUMENTS LISTED BELOW ARE REQUIRED Copy of Ohio driver's license or State of Ohio ID card. Statement on employer's letterhead indicating the employee was an Ohio resident at the time of being transferred. Copy of employee s Ohio tax return transcript~ for most recent tax year(s). Proof of Ohio Domicile: Copy of signed Rental agreement, lease, and/or HUD settlement statement of property owned. **If student is NOT listed, an original, notarized statement from the person with whom they reside is ALSO REQUIRED. Dependents: (spouse or children) additionally, submit an original, notarized statement** from the spouse, parent, or legal guardian living in Ohio that includes the following information: Student's name and Cougar ID number Dates parent or spouse has lived in Ohio. Number of years parent or spouse has paid taxes in Ohio. Whether or not at least one parent or spouse has claimed the student as a dependent for tax purposes in the previous year. Substantiate by attaching a photocopy of Federal tax return or transcript*. Copy of marriage certificate (for spouse only) E5: MIGRANT WORKERS - ALL DOCUMENTS LISTED BELOW ARE REQUIRED Statement from the Ohio Department of Job and Family Services verifying the parent/student/spouse has been working in Ohio at least four months during each of the previous three years. For Dependents Only: Submit an original, notarized statement** from the spouse, parent, or legal guardian living in Ohio that includes the following information: Student's name and Cougar ID number Dates parent or spouse has lived in Ohio. Number of years parent or spouse has paid taxes in Ohio. Whether or not at least one parent or spouse has claimed the student as a dependent for tax purposes in the previous year. Copy of marriage certificate (for spouse only) E6: OHIO RESIDENTS WHO ARE COMMUNITY SERVICE WORKERS - ALL DOCUMENTS LISTED BELOW ARE REQUIRED Copy of Ohio driver's license or State of Ohio ID card. Proof of citizenship: A copy of current immigration/visa status, US birth certificate or US passport (as applicable). Copy of a sworn statement from the community service group verifying Ohio home of record for the individual. An original, signed statement on letterhead verifying Ohio home of record for the individual. For Dependents Only: Submit an original, notarized statement** from the spouse, parent, or legal guardian living in Ohio that includes the following information: Student's name and Cougar ID number Dates parent or spouse has lived in Ohio. Number of years parent or spouse has paid taxes in Ohio. (Attach Ohio tax return or transcript~ as proof) Whether or not at least one parent or spouse has claimed the student as a dependent for tax purposes in the previous year. Copy of marriage certificate (for spouse only)
OHIO RESIDENCY RECLASSIFICATION REQUIRED DOCUMENTS CHECKLIST E7: MARITAL HARDSHIP (OF THE STUDENT) - ALL DOCUMENTS LISTED BELOW ARE REQUIRED Copy of Ohio driver's license or State of Ohio ID card. Proof of citizenship: A copy of current immigration/visa status, US birth certificate or US passport (as applicable). Copy of court papers verifying the couple has taken legal steps to end the marriage Proof of Ohio Domicile: Copy of signed Rental agreement, lease, and/or HUD settlement statement of property owned by parent/legal guardian. **If student is NOT listed, an original, notarized statement from the person whom they reside with is ALSO REQUIRED. An original, notarized statement** from the parents stating the following: The student's name and last four digits of social security number. Whether or not they are providing more than 50% of the financial support for the student. Number of years parent has paid taxes in Ohio. Whether they are U.S. Citizens or current immigration/visa status Copy of parent s Ohio tax return or transcript~ for most recent tax year(s) **NOTARIZED STATEMENT: A written declaration made under oath in front of a Notary Public. This must be the original. WE DO NOT ACCEPT COPIES OR FAXES. *TO OBTAIN YOUR COPY OF THE FEDERAL TAX RETURN TRANSCRIPT: Online: In person: http://www.irs.gov John W. Bricker Federal Building 200 N. High Street, Room 101 Columbus, OH 43215 ~TO OBTAIN YOUR COPY OF THE OHIO TAX RETURN TRANSCRIPT: Online: In person: https://www.tax.state.oh.us/ifile/ifileregweb/login.jsp Ohio Department of Taxation P. O. Box 2476 Columbus, OH 43216-2476
VERIFICATION OF DOMICILE AND SUPPORT FOR THE PURPOSE OF DOCUMENTING STATE RESIDENCY FOR FURTHER INFORMATION CONTACT: Ohio Residency Officer E-mail: residency@cscc.edu Voice mail: 614-287-5533 PLEASE PRINT CLEARLY I Tenant Landlord Owner (Please check one) of this address: Street Name and Number Apartment Number City: State: ZIP Code: do certify that lives lived with me Student Name (Please check one) from / / to / /. I provide support for this person in the form of: Rent (amount per month): $ Room and Board All Living Expenses Educational Expenses Other (please explain): I Do Not Provide Financial Support Signature must be verified by a Notary Public and have the Notary Seal Signature: Date: / / The above signed has duly sworn that the information provided is true and accurate to their knowledge. Signed before me on this day of, 20 Notary Seal: Signature of Notary: Name (Please print): My commission expires on: / /
Validation of Ohio Residency Status SUBMIT COMPLETED APPLICATION AND ALL REQUIRED DOCUMENTATION TO: VIA E-MAIL: residency@cscc.edu IN PERSON: Columbus Campus: Student Central, Upper Level, Madison Hall Delaware Campus: Student Services, Moeller Hall FOR MORE INFORMATION: E-MAIL: residency@cscc.edu VOICE MAIL: 614-287-5533 Ohio Residency Reclassification Application INSTRUCTIONS: Please read and carefully consider all of the questions before answering. This application must be submitted as noted above with all required documentation as outlined on the checklist. Submit the completed application and all required documentation prior to the first day of the academic semester you desire reclassification to be effective. Incomplete applications and/ or documentation cannot be processed and may result in denial of reclassification. This form is not to be used to appeal a decision for reclassification. Please use the Ohio Residency Reclassification Decision Appeal Request Form for that purpose. RETROACTIVE RESIDENCY DETERMINATIONS CANNOT BE MADE FOR TUITION SURCHARGE PURPOSES. Note: For further completion and submission instructions please refer to the documentation and deadline information on our web page at: http://www.cscc.edu/services/recordsandregistration/residency.shtml PLEASE PRINT CLEARLY *NAME (Legal name required): *INDICATES RESPONSE REQUIRED *Cougar ID LAST FIRST MI FORMER NAME *Social Security Number: *Date of Birth (mm/dd/yyyy): / / *Marital Status: Single Married: Month Year *Present Address: NUMBER AND STREET APT NUMBER CITY STATE ZIP CODE *Date present address was established (mm/dd/yyyy): / / *Date entered Ohio (mm/dd/yyyy): / / *Daytime Telephone Number:( ) *History of residence for 24-month period preceding above address: Evening Telephone Number:( ) Number and Street City and State From: Month/Year To: Month/Year *Please indicate the year of: *First term/year in attendance at CSCC Autumn Winter Spring Summer *Term/year for which residency is requested Autumn Spring Summer *Do you have an Ohio driver s license or state ID? Yes No *Do you own or have use of a car? Yes No *Is it currently registered in Ohio? Yes No Are you a citizen of the United States? Yes No *If No, what type of visa do you hold? Permanent Resident Alien Student Other: PROVIDE PROOF OF CURRENT LEGAL STATUS TO REMAIN IN THE UNITED STATES Permanent Resident Alien visa number: A- Date issued: / / *Male 18 yrs - 26 yrs Indicate Your Selective Service Number: *In what state are you registered to vote? Not applicable PAGE 1
PLEASE PRINT CLEARLY *Have you registered to vote outside Ohio within the past 12 months? Yes No *If Yes, which state? *List all sources of financial support received during the 12-month period preceding enrollment (e.g. employment, spouse s employment, parents loans, savings, financial aid, etc.). Please be prepared to substantiate with documents, including complete bank statements with proof of deposits over $100 that are not directly deposited from an Ohio employer: *Have you filed an Ohio personal income tax statement for the past 12 months? Yes No *Who claimed you as an exemption on the past year s federal income tax return? Self Other *If Other : Name: Relationship: Year: ADDRESS CITY STATE ZIP CODE *Will this person claim you on the next year s tax return? Yes No *Substantiate by attaching a photocopy of the latest IRS Tax Return Transcript available at: http://www.irs.gov/individuals/get-transcript Also, substantiate residency of the person declaring you as an exemption by verifying they have lived in Ohio the past twelve (12) months. Use this space for any comments you wish to make to support your validation of Ohio residency: *Select the status under which you applying for reclassification: C1 C2 C3 D1 E1 E4 E5 E6 E7 By my signature below, I attest that the information included on this form is accurate and that the information and documentation I am submitting is true to the best of my knowledge. Falsification or failure to report information, income or documentation pertinent to determining your eligibility for Ohio residency for tuition surcharge purposes will result in denial. *Student signature (Required): Date: / / FOR OFFICE USE ONLY Residency is granted denied If denied, why: Residency is permanent conditional C1 C2 C3 D1 E1 E4 E5 E6 E7 Residency determination processed by: Date: / / Comments (if needed): Signature: Date: / / RLR:prc/Residency Application/08-14-2017 PAGE 2