tuitionpurposes,youmustbeaU.S.Citizen,permanentresidentalien,orlegalaliengrantedindenitestaybytheImmigrationandNaturalizationService.Otherpersonsnotmeetingthetwelve-monthlegal

residence requirement may be classied as Florida residents for tuition purposes only if they fall within one of the limited special categories, authorized by the Florida Legislature and Board of Regents. All other

persons are ineligible for classication as a Florida ìresident for tuition purposes.î Living in or attending school in Florida will not, in itself, establish legal residence. Students who depend on out-of-state parents

for support are presumed to be legal residents of the same state as their parents.

I understand that I do not qualify as a Florida resident for tuition purposes for the term for which this application is submitted and that if I should qualify for some future term, it will be necessary for me to

le the required documentation prior to the beginning of the term to be considered for Florida residency classication.

Signature(inink)______________________________________________________________________Date________________________________

is section must be completed in full if you claim Florida residency for tuition purposes. Attach copies (if any) of document(s) required. A notarized copy of your and/or your parentsí most recent tax return

___(D)IammarriedtoapersonwhohasmaintainedlegalresidenceinFloridaforatleast12months.IhavenowestablishedlegalresidenceandintendtomakeFloridamypermanenthome.(Required:Copy

of marriage certicate, claimantís voter registration, driverís license and vehicle registration.)

___ (E) I was previously enrolled at a Florida state institution and classied as a Florida resident for tuition purposes. I abandoned my Florida domicile less than 12 months ago and am now re-establishing

Florida legal residence.

___(F)AccordingtotheUnitedStatesImmigrationandNaturalizationService,IamapermanentresidentalienorotherlegalaliengrantedindenitestayandhavemaintainedadomicileinFloridaforatleast

12months.(Required:INSdocumentationandproofofFloridaresidencystatus.)

___ (G) I am a member of the armed services of the United States and I am stationed in Florida on active military duty pursuant to military orders, or whose home of record is Florida, or I am a memberís

spouseordependentchild.(Required:CopyofmilitaryordersorDD2058showinghomeofrecord.)

___ (H) I am a full-time instructional or administrative employee employed by a Florida public school, community college or institution of higher education, or I am the employeeís spouse or dependent child.

(Required: Copy of employment verication.)

Documentssupportingtheestablishmentoflegalresidencemustbedated,issued,orled12monthsbeforetherstdayofclassesofthetermforwhichaFloridaresidentclassicationissought.All

documentation is subject to verication. Additional documentation other than what is required above may be requested in some cases.

Please Print:

1.NameofStudent:________________________________________________2.StudentSocialSecurityNumber:_________/________/_________

3.NameofpersonclaimingFloridaresidency:_____________________________________4.Claimantísrelationshiptostudent:_________________________________________

5. Claimantís permanent legal address:_______________________________________________________________ 6. Claimantís telephone number:(________)_______________

7.DateclaimantbeganestablishinglegalFloridaresidenceanddomicile:____/____/____

8.ClaimantísVoterregistration:State:_____Number:_____________________________________County:____________________________________IssueDate:____/____/____

9.DriverísLicense:State____Number________________IssueDate____/____/____10.Vehicleregistration:State____TagNumber_______________IssueDate:____/____/____