Fillable Printable Verification Of Nevada Residency
Fillable Printable Verification Of Nevada Residency
Verification Of Nevada Residency
Admis sions and R e c ords7000 Dandini Blvd. RDMT 319, Reno, NV 89512| 775-673-7042
VERIFICATION OF NEVADA RESIDENCY
Page 1 of 4; Verification of Nevada Resi denc yRev.: 1/14/2016
TMCC is an EEO/AA inst itution. For more infor mation , visit //eeo.tmcc.edu
FOR NEWSTUDENTS
Attention: Students who are U.S. militaryveterans or afamily member o f a veter a n, please do not use this form; instead, pleaseuse the form pro v ided by
NSHEand linked here: Veterans, Spouses and Dep end ents: Information Request Form for Determination of Tuition Charges
Submission Information
IN PERSON or by MAIL to:
Trucke e M eadows Communit y College
Admission s and Rec ords
7000 Dandini Blvd RDMT 319
Reno, NV 89512-3999
FAX to: 775-673-7028
EMAIL to:admissions@tmcc.edu
Last Name
First Name
MI
Date of Birth
NSHEID#
Email Address
Telephone (Day)
Telephone (Evening)
Address
Street
City
State
Zip Code
Dates you have resided at your physical address
From(mm/dd/yyyy)
To (mm/dd/yyyy)
If at above address for less than twelve (12) months, list previous addresses
Street
City
State
ZipCode
Street
City
State
Zip Code
If you are not a U.S. citizen
Do you have an alien registration(permanent res iden t)card, or have been granted official asylum or refugee status?
YesNo
If "Yes", provide a copy of the Alien Registration card, temporary resident alien card, or proof of official asylum or refugee status.
Visa Status
Effective Fall 2014, students in certain visa categories can apply for in-state tuition with proof of visa status.Please ref er t othe Acceptable Non-Immigrant
Aliens Visa Classificationssection in this document.
Have you lived in the state ofNevada for at least 12 months?YesNo
Do you have proof of visa status?
YesNoVisa Status __________
Please submit a copy of your I-94 (Arrival/Departure Record)along w ith pr oo f of V isa Status.
I hereby certify that under the penalties of perjury, all statements are true and correct; and I fully understand the institution reserves the
right to recover any fees which are legally authorized, due, and payable; and further, that the institution may take legal action necessary to
recover any outstanding financial obligations.
SignatureDate
Instructions
Reset
Print
Verification of Nevada Residency
Page 2 of 4; Verification of Nevada ResidencyRev.: 1/14/2016
TMCC is an EEO/AA inst itution. For more infor mation , visit //eeo.tmcc.edu
Submit Documentation From One of the Following Options
OPTION 1: NEVADA HIGH SCHOOL ATTENDEE/GRADUATE
If you a r e a tten ding or have graduate d from a Nevad a high s ch ool, sub m it a n off icial high school transcript.U.S.
citizenship or Permanent Resident card not required.
High School: __________________________________________________________/_______/_________
NameGraduation Date
OPTION 2: A FINANCIALLY DEPENDENT STUDENT
A dependen t pers on whose s pouse, fa m ily or legal guardian is a verifiable res iden t of the State of Nevada for at least 12
month s immediately prior to th e d a te of ma tricula tion.
____ Submit a c opy of Pa r e nt /Guar dian/Spouse Fede ra l Income Ta x Re t urn (1040)for the most recent tax
year with the student listed as a de pendent.
AND oneof the following documents:
____ Copy of mar r ia g e license or b ir th certificate or cou rt-appoin ted guardians hip of student.
____ Evidenc e of Nevada a s the spouse’ s , pa r ent’s or legal guardia n’s perma nent, prima r y residenc e ( examples of
evidence in c lude home ownership, lea s e a greem ent, ren t rec eipts, u tili ty bills ) dated a t leas t 12 m onths prior to the
date of m a tr iculation.
____ A Nevada dr iver’s license or N evada identific a tion c a r d for the spou s e, parent or legal guar dia ndated at leas t 12
month s p r ior to the date of matriculation.
____ A Nevada vehicle registrat ion for the spou s e, pa r ent or legal guar dian dated at least 12 months prior to the date of
matriculation.
____ Nevada voter registration f or the spouse, parent or legal guardiandated at leas t 12 m onths p r ior to the date of
matriculation.
____ Evidence of active bank account in Nevadaissuedat lea s t 12 mon ths priorto the date of m a tr iculation.
____ Evidenc e that the stu dent’s spou s e, pa r ent or legal gu a r dia n has r eloca ted to Nevada for the primar y purposes of
permanent full-time emplo ymen t or to establish a bus iness in Nev a d a (Su b m it letter f r om the employ e r on c om pany
letterhead s ta ting spouse, parent or guardianhas been offered fu ll time employment or has transferred to N ev a da
for f ull time employment. Letter must ind ic a te s pous e , parent or guardian has either been work ing inNevada for at
least 12 months befor e the star t of the s emester for which the s tudent is app lyin g for in -state tuition or is moving
from a nother s tate for em p loymentand wa s of fered employment or job transfer before they moved to Nevada).
Instructions
Reset
Print
Verification of Nevada Residency
Page 3 of 4; Verification of Nevada ResidencyRev.: 1/14/2016
TMCC is an EEO/AA inst itution. For more infor mation , visit //eeo.tmcc.edu
OPTION 3: INDEPENDENT STUDENT
A financially independent person whois:
1.a verifiable re s ident of the s ta te of Nevada;
2.for at least 12 months immedia tely pr ior to th e d a te of matriculation;
3.and whose fa m ily resides outside the state of Ne vada.
Submi t t woof the f ollowing documents:
____ Copy of a Nevada driver’s license or Nevada identification cardissued at lea s t 1 2 m onths pr ior to th e d a te of
matriculation.
____ Evidenc e of 12 mont hs physica l, c on tinuous presen c e in the State of N ev a da pr ior to the date of matr ic ulati on
(examples of evidence in c lude hom e ow nership, lea s e/ r ental agreem ent, utili ty bills).
____Copy of student’s first page of their f eder a l tax return (1040)for the most recent tax year, indicating a Nevada
address.
____ If n o federal tax r eturn h a s been filed by the student becau s e of minimal or no taxable inc om e, documented
infor m a tion con c e r ning the receip t of suc h nontaxa b le inc om e .
____ Copy of student’s Nevada vehicle registra tion is s ued at leas t 1 2 m onths pr ior to th e d a te of matriculation.
____ Proof of voter reg is tration in Nevada issued at le a st 12 months prior to the date of ma tr iculation.
____ Evidenceof active bank account in Nevadaissuedat lea s t 12 mon ths prior to the date of ma tr iculation.
OPTION 4: EXCEPTIONS
Submit oneof t he foll owing documents:
____ A studentwho has relocated to Nevada forfu ll tim e employment(submit letter fr om the employer o n compan y
letterhead s ta ting stu dent has be en off e r ed full time e m ployme nt or ha s tran s ferred to Nevada for full time
employment. Letter m ust in dicate stu d ent is mov ing from another state for employment).
____ A student or their spouse who h as relocated to Nev a d a for the pr im ary pur p os e of establish ing a busines s in Nevada
(submit copy of business licenseand proof that the student applied for the bu s iness license).
____ A member of the Armed For c es of the United S ta tes, on activ e duty, sta tion ed in Nev a da a s a result of a per m a nent
change of duty station pursuant to military ord e r s or a person wh os e s pouse, parent or legal guardia n is a member
of the Armed F or ces of the Unite d States s tation ed in N e vada a s a re s ult of a p erman ent ch an ge of duty station
purs uant to m ilitary or ders, including a Marine currently stationed a t the Mar ine Cor psMountain Warfare Training
Center at Pickel Mea dows, Califor nia. (Submit c opy of milita ry orders. If the s tud ent is the s p ouse, child or legal
guard ia n of the military member , also submit proof of relationship, such as Federa l T a x Return 1040 listing the
student as a dependent or s p ouse.)
____ A professional emplo yee, c lassif ied em p loyee, postdoctoral f ellow, r e s id ent physician or r esident dentist of the
Nevada S ystem of H igher Education c urrently em plo yed at least ha lf time, or the spouse or dependent child of such
an employee (submit copy of employment contract o r le tter f r om employer. In th e case of a depend ent or spouse,
submit empl oy ee pr oof of employment A N D copy of 1040 federal income ta x retu r n show in g dependent or spou s e).
____ A teacher whois curren tly employ ed full-time b y a private elementary, sec ondary of P os ts e c ondary educational
institut ion whose curricula meet the requirements of NR S 394.130 or the spou s e or dependent childof such
employee (submit cop y of employme nt contr act or letter from employer).
____ Native A m erican who cur rently r e s ide s on tribal lan ds located wh olly or par tia lly w ithin the boundaries of th e State of
Nevada (submit a copy of tribal card or blood document re quired).
Instructions
Reset
Print
Verification of Nevada Residency
Page 4 of 4; Verification of Nevada ResidencyRev.: 1/14/2016
TMCC is an EEO/AA inst itution. For more infor mation , visit //eeo.tmcc.edu
ACCEPTABLE NON-IMMIGRANT ALIENSVISA CLASSIFICATIONS(EFFECTIVE FALL 2014)
Submi t one of the followi ng visas:
____ For e ign Gov er nmen t O fficial (A-1, A-2 or A-3)
____ TreatyTraders and Treaty Investors (E-1 or E-2)
____ For e ign Gov er nmen t O fficialsto I ntern a tional Or ganiz a tions (G-1, G-2, G-3, G-4, G-5)
____ Temporary Workers (H-1B, H-1C, H4 ) Note: spouse a nd children ofH-2A , H-2B or H-3 not eligible.
____ Foreign Media Repres entative (I)
____ Fiancéor spouse of U.S . citizen (K-1, K-2, K-3, K4)
____ Intracompany Transferee (L-1A, L-1B, L-2)
____ Certain Parents and Children of Spec ia l Immigr ants ( N-8, N-9)
____ Nor th Atlantic Tr e a ty Orga nization: (NATO-1, NATO-2, NATO-3, NATO 4, NATO-5, NATO-6, NATO-7)
____ Workers with Extr aordinary A b ilities (O-1, O-3) Note: spous e or c hild ofO-1 only.
____ Athletes and Entertainers (P-1 , P-2, P-3, P-4)
____ Rel igious W orkers (R-1, R-2)
____ Witness or Informant (S-5, S-6, S-7)
____ Victims of a Severe Form of Trafficking in Pers ons (T-1, T-2, T-3, T-4, T-5)
____ Victims of Certain Crim es (U-1, U-2, U-3, U-4, U-5)
____ Certain Second P r ef er ence Beneficiaries ( V-1, V-2, V-3)
For Admissions Staff
ApprovedDeniedInitials________Date_____/_____/_________
Instructions
Reset
Print
