CLARIFICATION OF TRANSFER RESIDENCY STATUS FALL 2022
We are unable to determine your residency status for admission and tuition purposes because you did not completely
answer the questions related to residency on your application for admission to San Diego State University. Please
complete Section A, and sign Section B, scan or take pictures of the completed form and upload the form (PDF or jpg
format) to the SDSU WebPortal at sdsu.edu/portal. Select Upload Admission Documents on the left-hand menu,
which will enable you to upload this form.
Failure to provide complete and accurate information may result in your having to provide supporting documentation
(e.g., driver’s license, state income tax return) to the Oce of Admissions to verify your residency status. If you do not
return the completed form, you will be classified as a non-resident and subject to non-resident tuition and fees.
SECTION A Student Information
1. List the places you lived before your present stay in California began and the name of the person with whom
you resided.
From Month/Year To Month/Year State or Country Resided With
2. What U.S. state/possession do you regard as your permanent home?
3. Do you claim California Residency? Yes No
4. Have you lived in California continuously since your birth?
Yes No
If No, when did your present stay in California begin?
Month/Day/Year
5. Are you a foster youth, orphan, or ward of the court or were you until age 18? Yes No
6. Are you a member or veteran of the U.S. Armed Forces?
Yes No
If Yes, answer the following questions.
• Indicate the date you joined the military.
• From what state did you join the military?
• Indicate the date you separated from active duty or plan on separating, if any.
• Indicate the state that appears in the “St” (state) box on the FICA Taxes line of the September 2021 Leave
and Earnings Statement.
• Enclose a copy of September 2021 Leave and Earnings Statement.
7. Are you a dependent of U.S. military service personnel? Yes No
If Yes, answer the following questions.
• Indicate the date the service person joined the military.
Continued on the next page
Student Name:
Last Name First Name
Student RedID: Date:
UPLOAD COMPLETED FORM ON THE:
SDSU WebPortal
sdsu.edu/portal
Select Upload Admission Documents
on the left-hand menu.
• From what state did s/he join the military?
• Indicate the date s/he separated from active duty or plan on separating, if any.
• Indicate the state that appears in the “St” (state) box on the FICA Taxes line of the September 2021 Leave
and Earnings Statement.
• Enclose a copy of September 2021 Leave and Earnings Statement.
SECTION B Certification—Print and sign form
I certify that all information reported on this form is true, complete and accurate. False statements or
misrepresentations will be cause for denial of admission to San Diego State University.
Student Signature Date
Student Daytime Telephone
UPLOAD COMPLETED FORM TO:
SDSU WebPortal
sdsu.edu/portal
Select Upload Admission Documents on the left-hand menu.
Enrollment Services, 3/2022
click to sign
signature
click to edit