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NACC www.nacc.edu Certification of Eligibility for In-State Residency THE FOLLOWING ITEMS WILL BE CONSIDERED BY NORTHEAST ALABAMA COMMUNITY COLLEGE IN DETERMINING ELIGIBILITY FOR RESIDENT TUITION RATES. STUDENT NAME: SS# (Check categories where documentation has been or can be provided.) Location of high school graduation Ownership of personal property in the state, payment of state taxes on the property, and Payment of Alabama (Georgia or Tennessee for possession of state license plates approved counties) state income taxes as a resident Continuous physical presence in the state for a purpose other than attending school, excluding Ownership of a residence or other real property in temporary absences for travel, military service, the state and payment of state ad valorem taxes on and temporary employment the residence or property Membership in religious, professional, business, Full-time employment in the state civic, or social organizations in the state In-state residence of a spouse, parents, or Maintenance in the state of checking and savings children accounts, safe deposit boxes, or investment accounts Previous periods of residency in the state for one year or more In-state address shown on selective service registration, driver’s license, automobile title Voter registration and voting in the state for at registration, hunting and fishing licenses, least one year insurance policies, stock and bond registrations, last will and testament, annuities, or retirement Possession of state or local licenses to do plans business or practice a profession in the state PLEASE NOTE: INSTITUTIONAL POLICY REQUIRES AT LEAST FIVE CONNECTIONS FOR ALABAMA RESIDENCY. HOWEVER, ALL CONNECTIONS WHICH PERTAIN TO YOU AS AN ALABAMA RESIDENT SHOULD BE CHECKED. MINOR DEPENDENT STUDENTS MAY COMPLETE THE ITEMS ON THE BACK OF THIS PAGE AS THEY APPLY TO PARENT(S) OR LEGAL GUARDIAN. NACC www.nacc.edu Non-Resident Student / Minor Dependent Student THE FOLLOWING ITEMS WILL BE CONSIDERED BY NORTHEAST ALABAMA COMMUNITY COLLEGE IN DETERMINING ELIGIBILITY FOR RESIDENT TUITION RATES. (A student checking any of these items must attach documentation.) I submit this application for in-state residency for tuition purposes based on one of the following: I am a non-resident minor dependent student*, and my supporting person** is a full-time permanent employee of Northeast. I am a non-resident minor dependent student*, and my supporting person** can verify full-time permanent employment in Alabama, and said employment will begin within ninety (90) days of my registration. I am a non-resident minor dependent student*, and my supporting person** is a member of the United States military on full- time active duty stationed in Alabama under orders for duties other than attending school. I am a non-resident minor dependent student*, and my supporting person** is an accredited member of a consular staff assigned to duties in Alabama. I (or my spouse) am a full-time permanent employee of Northeast. I (or my spouse) can verify full-time permanent employment in Alabama, and said employment will begin within ninety (90) days of my registration. I (or my spouse) am a member of the United States military on full-time active duty stationed in Alabama under orders for duties other than attending school. I (or my spouse) am an accredited member of a consular staff assigned to duties in Alabama. I reside in the county of Franklin Hamilton Lincoln Marion in Tennessee; or Bartow Catoosa Chattooga Dade Floyd Gordon Haralson Polk Walker Whitfield in Georgia. A PERSON IN THIS CATEGORY MUST ALSO CERTIFY AND PROVIDE DOCUMENTATION OF AT LEAST FIVE OF THE THIRTEEN SUBSTANTIAL CONNECTIONS LISTED ON PAGE 1 FOR THE GEORGIA OR TENNESSEE COUNTY OF RESIDENCE. A PERSON IN THIS CATEGORY MUST MEET THE THREE (3) CRITERIA ON THE ADMISSIONS APPLICATION FOR THE COUNTY OF RESIDENCE. I understand that in order to be eligible for resident tuition rates, the burden of proof lies with me. Appropriate documentation is attached or can be provided in support of my request for eligibility for resident tuition rates. I agree to notify Northeast if there are any changes in the information submitted with this form. I understand that an out-of-state student cannot attain resident student status simply by attending school for 12 months in the State of Alabama. ________________________________________________________ _________________________ Signature of Student Date * A minor is defined as an individual who, because of age, lacks the capacity to contract under Alabama law. Under current law, this means a single individual under 19 years of age and a married individual under 18 years of age, but excludes an individual whose disabilities of nonage have been removed by a court of competent jurisdiction for a reason other than establishing a legal residence in Alabama. ** A supporting person is defined as either or both of the parents of the student, if the parents are living together, or if the parents are divorced or living separately, then either the parent having legal custody or, if different, the parent providing the greater amount of financial support. If both parents are deceased or if neither has legal custody, supporting person shall mean, in the following order: the legal custodian of the student, the guardian, and the conservator.
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