Fill - Free fillable Florida-residency-appeal - FL Residency Appeal Form rev 030210 _2

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Rev03/02/2010

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Priortocompletingthisappealform,pleasereadthestepsbelowandtheguidelinesonthereverseside.

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Name:StudentNumber:

Address:City:

State:    ZipCode:  HomePhoneNumber:

CellularPhone:E‐mailaddress:

Pleasestatethereasonsfortheappealbelow;bespecific.Also,identifythetypeanddateofissuanceforeach

documentsubmittedasproofofFloridaresidencyfortuitionpurposes.Attachadditionalpagesif

necessary.

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_______________________________________________ __________________________

Student’sSignatureDate

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CampusRegistrar’sComments:

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New:______ Reclassification:______DAVEattachedYESNO

FloridaResidencyAffidavitattached:____

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______________________________________ ________________

Registrar’sSignatureDate

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ForCollege‐wideAppealCommitteeUseOnly

Comment(s)________________________________________________________________________________________

____________________________________________________ ________________________________________

Approved:Yes No ____________________________ ___________________________________

SignatureName/TitleofApprover 

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Dateapproved_______________________________Studentnotifieddate:_______________________________

College‐wideAppealofFloridaResidencyClassificationforTuitionPurposesForm

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Rev03/02/2010

GUIDELINESFORAPPEALOFFLORIDARESIDENCYCLASSIFICATIONFORTUITIONPURPOSES

1. Thestudentshallexhaustallappealsatthecampuslevelpriortosubmittingarequesttothe

college‐wide appeal committee.The student must appeal to the Registrar’s Office area

supervisorandCampusRegistrarordesigneepriortorequestingan

appealfromthecollege‐

widecommittee.

2. ThestudentmustcompletetheCollege‐wideAppealforFloridaResidencyClassificationfor

Tuition Purposes  Form and state the reason(s) for appealing the campus’ decision. The

explanation should address any information that was not previously submitted or

consideredbythecampus.

3. A

copy of all new and previously submitted documents supporting the Florida  residency

claimmustbeattachedtotheform. 

4. The form must be signed by the student and subm itted with required documents to the

CampusRegistrar’sOfficewheretheprocessbegan.

5. TheCampusRegistrarordesigneewillreviewthe

requesttoensurethatthestudentalready

appealedtotheappropriatecampusregistrarpersonnel.Ifthestudentdidnotcompletethe

campus appeal process, the Campus Registrar or designee must initiate such process,sign

theappealformandforwardittothecollege‐widecommitteewithallattacheddocuments

and

any necessarycomments withinfive business daysof receiptof thecompletedappeal

form.

6. At its regularly scheduled meetings, the college‐wide committee will review the appeals 

submitted for that month.The committee may request additional informati on from the

studentorthecampusinordertomakeitsdecision.

Uponreview,thecollege‐widecommitteewillinformthestudentofitsdecisioninwriting.

8. Thecollege‐widecommittee’sdecisionisfinalandmaynotbeappealed.

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