Clayton State University APPLICATION FOR OUT-OF-STATE TUITION DIFFERENTIAL WAIVER NON-RESIDENT STUDENTS Prior to submitting a Non-Resident Students out-of-state tuition waiver application, students are advised to review the University System of Georgia Non-Resident Students out-of-state tuition waiver policy found in Section 7.3.4.1 of the Board of Regents Policy Manual (. Section I To be completed by the STUDENT – Name: Student ID: Address: City: Zip: Email: Phone: Term applying for waiver: Fall Spring Summer Year: This out-of-state tuition waiver request is based on the Georgia domicile of: Parent (students under the age of 24 only) U.S. legal guardian (students under the age of 24 only) Spouse Name of the above individual upon whom this waiver application is based: Will Georgia have been the present and permanent home (domicile) for the above individual for at least 12 consecutive months immediately preceding the first day of classes for the term the waiver is requested? Has the above individual ever lived outside of the state of Georgia? If Yes: They have continuously in Georgia since: (mm/yyyy) Briefly explain the reason they moved to Georgia: Regarding the individual listed above, please provide the following information: Do they hold a current driver’s ID? Yes No State issued? _____________ Do they own a motor vehicle? Yes No State registered? __________ Are they registered to vote? Yes No State registered? __________ Did they file a income tax return for the most recent tax year? Yes No State filed? _______________ Section II STUDENT Oath and Affirmation –
Clayton State University APPLICATION FOR OUT-OF-STATE TUITION DIFFERENTIAL WAIVER NON-RESIDENT STUDENTS Prior to submitting a Non-Resident Students out-of-state tuition waiver application, students are advised to review the University System of Georgia Non-Resident Students out-of-state tuition waiver policy found in Section 7.3.4.1 of the Board of Regents Policy Manual (. Section I – To be completed by the STUDENT Name: Student ID: Address: City: Zip: Email: Phone: Term applying for waiver: Fall Spring Summer Year: This out-of-state tuition waiver request is based on the Georgia domicile of: Parent (students under the age of 24 only) U.S. legal guardian (students under the age of 24 only) Spouse Name of the above individual upon whom this waiver application is based: Will Georgia have been the present and permanent home (domicile) for the above individual for at least 12 consecutive months immediately preceding the first day of classes for the term the waiver is requested? Has the above individual ever lived outside of the state of Georgia? If Yes: They have continuously in Georgia since: (mm/yyyy) Briefly explain the reason they moved to Georgia: Regarding the individual listed above, please provide the following information: Do they hold a current driver’s ID? Yes No State issued? _____________ Do they own a motor vehicle? Yes No State registered? __________ Are they registered to vote? Yes No State registered? __________ Did they file a income tax return for the most recent tax year? Yes No State filed? _______________ Section II – STUDENT Oath and Affirmation
Out%20of%20State%20Tuition%20Waiver.docx