3. At least one of my parents or guardian has been a resident of:
Asotin County Washington for at least 12 months prior to the start of the term.
I have attached a copy of my birth certificate or legal papers (for guardianship).
I have attached a copy of my parent/guardian’s Washington driver’s license or Washington ID card.
I have attached at least 2 pieces of documentation with my parent/guardian’s name and an Idaho or
an Asotin County address.
One piece of documentation is dated at least 12 months prior to the beginning of the term.
One piece of documentation is currently dated with address on this Residency Request.
My parent/guardian has signed this form indicating the attached documentation is accurate.
4. I am a member of the Armed Forces stationed in Asotin County Washington on military orders.
I have attached a copy of my orders assigning me to Asotin County.
5. My parent or legal guardian is a member of the Armed Forces stationed in Asotin County Washington
on military orders and I receive at least 50% or more support from this parent/guardian.
I have attached a copy of my parents/guardian’s orders assigning them to Asotin County.
I have attached a copy of my birth certificate or legal papers (for guardianship).
I have attached a copy of my parent/guardian’s last year’s tax form.
My parent/guardian has signed this form indicating the attached documentation is accurate.
6. I have been separated from the military after 2 years of service and I designated Asotin County
Washington, as my intended domicile or indicated Idaho as my home of record of service; and I am
entering LCSC within one year from the date of separation.
I have attached a copy of my DD 214.
7. I am a member of one the following Native American Indian tribes: Nez Perce, Coeur d’Alene,
Shoshone-Paiute, Shoshone-Bannock or Kootenai.
I have attached a copy of tribal membership papers.
8. I have been away from the county of Asotin Washington for a period of less than one calendar year and
have not established legal residence elsewhere; and I was classified as a resident of Asotin County for
a continuous twelve month period immediately prior to departure.
I have attached a copy of my Washington driver’s license or Washington ID card.
I have attached at least 3 pieces of documentation with my name and an Asotin County address.
One piece of documentation is dated with an Asotin County address prior to when I left
Asotin County.
One piece of documentation is at dated is dated within the 12 month period prior to the term
beginning.
One piece of documentation is currently dated with my address on this Residency Request.
I testify by my signature below that I am a citizen of the United Stated states.
I testify by my signature below that I have been physically present in Asotin County Washington primarily
for purposes other than educational for the past 12 months and can show satisfactory proof that I have no
intention to return to such other state or to acquire a domicile at some other place outside of Asotin County
Washington.
Student’s signature _______________________________________________________ Date __________
Spouse’s signature (if box 2 is checked) _________________________________________ Date __________
Parent/Guardian signature
(if box 3 or 5 are checked) ________________________________ Date __________
Residency /Asotin country residency form 8/7/18
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