Albany State University
APPLICATION FOR BORDER STATE WAIVER
(Alabama, Florida, North Carolina, South Carolina & Tennessee ONLY)
TUITION DIFFERENTIAL WAIVER
Prior to submitting a Border State Residents out-of-state tuition waiver application, students are advised to review the University
System of Georgia Border State Residents out-of-state tuition waiver policy found in Section 220.127.116.11 of the Board of Regents
Policy Manual (www.usg.edu/policymanual). Please note that the Border State Residents out-of-state tuition waiver is available
to qualifying undergraduate students only. Documentation must be provided with application.
Section I – To be completed by the STUDENT
Term applying for waiver: Fall Spring Summer
Will you be attending as an Yes No
This waiver application is based on your present and permanent home (domicile) in the following eligible state (Alabama, Florida,
North Carolina, South Carolina) bordering Georgia:
Will you have lived in the above state for at least 12 consecutive months immediately preceding the first day of classes for the term the
waiver is requested? Yes No
Have you graduated or will you graduate from a high school in the above state? Yes No
Have you ever lived outside of the above state above? Yes No
If Yes: The above has been your state of domicile since: (mm/yyyy)
Briefly describe your reason for moving to the above state:
Do you hold a current driver’s license/state-issued ID? Yes No State issued?
Do you own a motor vehicle? Yes No State registered?
Are you registered to vote? Yes No State registered?
Did you file a state income tax return for the most
recent tax year?
Employment Information – Please list all employment for the past two years, including military service. Attach additional sheets if needed.
From To Employer City State # of hours worked per week
Students under the age of 24 must complete the following:
Do you have a parent or U.S. court-appointed legal guardian who has established and maintained domicile in an eligible state (AL, FL,
NC, SC, & TN) bordering Georgia for at least 12 consecutive months immediately preceding the first day of classes for the term the
waiver is requested? No State:
Name of the above individual:
Relationship: Parent U.S. court-appointed legal guardian
Has that individual ever lived outside of the above state? Yes No
They have maintained domicile in the above state since: (mm/yyyy)
Briefly describe their reason for moving to the above state: