Fillable 20192020 FLORIDA DATA DEADLINES:FallSept. 30, 2019SpringFeb. 17, 2020 (Florida Institute of Technology)

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20192020 FLORIDA DATA DEADLINES:FallSept. 30, 2019SpringFeb. 17, 2020 (Florida Institute of Technology)

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DEADLINES: Fall—Sept. 30, 2019 Spring—Feb. 17, 2020
Student ID:
FLORIDA STATE RESIDENCY CONDITIONS
The Florida Legislature has established student aid programs for Florida residents who attend institutions in the state of
Florida. For the purpose of determining eligibility for state nancial assistance and tuition subsidy programs, a Florida “resident
for tuition purposes” is a person who has, or a dependent whose parent or legal guardian has, established and maintained legal
residence in Florida for at least 12 months. Residence in Florida must be for the purpose of establishing a permanent home
rather than for the purpose of maintaining a residence incident to enrollment at an institution of higher education. Students
who are less than 24 years of age or who depend on out-of-state parents for support are presumed to be legal residents of the
same state as their parents.
SECTION 1: SUPPORTING STATEMENT OF APPLICANT ELIGIBILITY
I, _______________________________________________________________________ , cerify that:
(Student Name)
❏
 I understand and meet the residency requirements.
❏
 I am not in default on any educational loan and do not owe a repayment on a state or federal grant or scholarship.
❏
 I have not previously earned a bachelor’s degree.
SECTION 2: FLORIDA RESIDENTS FOR TUITION PURPOSES AFFIDAVIT
(Independent students must meet one of the following: born before 1/1/1996, a veteran, married, as of age 13 a ward of the court/both parents deceased,
have legal dependents other than a spouse, active duty in U.S. Armed Forces/other than training. If you are an emancipated minor or in guardianship
as determined by court, or an unaccompanied youth, please call the nancial aid oce at 321-674-8070. All others are considered dependent.)
Please check the appropriate statement(s) and sign:
❏
 I am a dependent person and my parent or legal guardian (claimant) has maintained legal residence in Florida for at least 12 months.
(Attach documentation of proof of parents’ Florida residency)
❏
  I am a dependent person who has resided for three years with an adult relative other than my parent or legal guardian, and my relative (claimant) has
maintained legal residence in Florida for at least 12 months. (Attach copies of tax returns on which you were claimed and proof of adult relative’s Florida
residency)
❏
  I am married to a person who has maintained legal residence in Florida for at least 12 months; I have established legal residence and intend to make
Florida my permanent home. (Attach documentation of marriage and proof of spouse’s Florida residency)
❏
  I am an independent person and have established legal residence in Florida BEFORE enrolling in a Florida college or university. I have resided in Florida
for at least 12 months for the purpose of maintaining a bonade domicile rather than a temporary residence for enrollment in college. (Attach docu-
mentation of independence and proof of Florida residency)
❏
  According to the United States Immigration and Naturalization Service, I am a permanent resident alien or other legal alien granted
indenite stay. I have maintained domicile in Florida for at least 12 months.
Non U.S. citizens must provide Resident Alien Number: _____________________________________Issue Date: _______________________________
(Attach copies of INS documentation)
❏
  I am a member of the armed services of the United States and am stationed in Florida on active duty pursuant to military orders, or whose military
home of record is Florida, or I am an armed services member’s spouse or dependent child. (Attach copy of military orders or military document show-
ing home of record)
❏
  I am a full-time instructional or administrative employee of a Florida public school, community college or institution of higher education,
or I am the employee’s spouse or dependent child. (Attach copy of employment record)
❏
  I am part of the Latin American/Caribbean scholarship program. (Attach copy of scholarship papers)
YOU MUST CONFIRM ALL THREE STATEMENTS.
444-0719
Page 1 of 2
2019–2020 FLORIDA DATA
Florida Institute of Technology
■
Oce of Financial Aid
150 West University Boulevard, Melbourne, FL 32901-6975
■
321-674-8070
■
Fax 321-724-2778
naid@t.edu
SECTION 3: PERSON CLAIMING RESIDENCY MUST COMPLETE THIS SECTION IN FULL
• Documents supporting the establishment of legal residence must be dated, issued or led at least 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.
Student Name __________________________________________________________________________ Student ID Number _________________________________
Name of Person Claiming Florida Residency _____________________________________________ Relationship to Student _________________________________
Claimant’s Permanent Legal Address __________________________________________________________________________________________________________
City ___________________________________________________________________________________________ State ______________ ZIP __________________
Claimant’s Telephone Number ________________________________________________________________________________________________________________
Date Claimant Began Establishing Legal Florida Residence and Domicile ___________________________________________________________________________
CLAIMANT MUST PROVIDE TWO OF THE FOLLOWING DOCUMENTS AS PROOF THAT FLORIDA RESIDENCE WAS ESTABLISHED
AND MAINTAINED FOR AT LEAST 12 MONTHS PRIOR TO THE FIRST DAY OF CLASSES
• Florida driver’s license (licenses from any other state must be relinquished)
• A Florida ID Card
• Florida voter’s registration card
• Florida vehicle registration
• Proof of purchase of a permanent home in Florida that is occupied as a primary residence of the claimant
• Transcripts from a Florida high school for multiple years [if Florida high school diploma or GED was earned within the last twelve (12) months]
• Proof of permanent full-time employment in Florida for at least a twelve (12)-month period. This may include paycheck stubs from the previous twelve
(12) consecutive months of work in Florida and/or a letter on ocial company letterhead from the employer verifying the previous twelve (12) consecu-
tive months of employment in Florida
• Proof of Homestead exemption in Florida
NOTE THAT NO SINGLE DOCUMENT SHALL BE CONCLUSIVE, AND ALL DOCUMENTATION IS SUBJECT TO VERIFICATION. EVIDENCE OF TIES TO
ANOTHER STATE INVALIDATES THE ELIGIBILITY OF FLORIDA RESIDENCY CLASSIFICATION.
I do hereby swear or arm that the above-named student meets all requirements indicated in the checked category on page 1 for classication as a
Florida resident for tuition purposes. I understand that a false statement in this adavit will subject me to penalties for making a false statement
pursuant to 837.06, Florida Statutes and to FBOE Rule 6C-7.005 F.A.C.
Student Handwritten Signature ________________________________________________________________________ Date ________________________________
Claimant Handwritten Signature _______________________________________________________________________ Date ________________________________
if other than student
444-0719
Page 2 of 2
DEADLINES: Fall—Sept. 30, 2019 Spring—Feb. 17, 2020
Student ID:
2019–2020 FLORIDA DATA
Florida Institute of Technology
■
Oce of Financial Aid
150 West University Boulevard, Melbourne, FL 32901-6975
■
321-674-8070
■
Fax 321-724-2778
naid@t.edu
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20192020 FLORIDA DATA DEADLINES:FallSept. 30, 2019SpringFeb. 17, 2020 (Florida Institute of Technology)

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