Distribution: Campus Residency Office
SS AFDVTVETS 11/2017
San Diego Community College District
California Nonresident Tuition Exemption Request
Affidavit for Eligible Veterans
Fall Spring Summer Year:
Student Name: Student ID Number:
(PRINT) as it appears on your college student records
Address:
Street City State Zip
E-mail: Telephone:
I, the undersigned, am applying for a California Nonresident Tuition Exemption at San Diego City,
Mesa or Miramar College for eligible veterans who are either:
a) Discharged from a military installation in California within the past two years.
I DECLARE THE FOLLOWING, UNDER PENALTY OF PERJURY:
I, , am a veteran previously stationed in California
Student Name
who has been discharged from a California military installation within the past two years. I further
declare that I fully intend to establish California residency as soon as possible, and within the two (2)
year deadline.
Discharge Date: (Attach a copy of your DD214 with this affidavit)
b) Currently residing in California and discharged from a military installation within three years and have
more than 90 days of active duty service, and will be using GI Bill Benefits while enrolling at San
Diego City, Mesa or Miramar Colleges.
I DECLARE THE FOLLOWING, UNDER PENALTY OF PERJURY:
I, , am a veteran (or eligible dependent) currently
Student Name
residing in California, discharged from a military installation within three years, have more than 90
days of active duty service, and will be using GI Bill Benefits while enrolling at San Diego City, Mesa
or Miramar College.
Discharge Date: (Attach a copy of your DD214 and/or your Certificate of
Eligibility (COE/TOE) or printout of VONAPP confirmation number with this affidavit)
I understand that if any of the above information is untrue, I will be liable for payment of all nonresident
charges from which I was exempted and may be subject to disciplinary action by the college.
Signature: Date:
OFFICIAL USE ONLY
Date Received: Received by: Discharge Date:
Effective Term: DD214/COE Verify Date: Processed by:
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