_College-wide Appeal of Florida Residency Classification for Tuition Purposes_
Steps for Appealing Florida Residency for Tuition Purposes per Florida Statute 1009.21
1. The student shall have been denied at the campus level prior to submitting a request to the college-wide appeal committee. The
tudent must appeal to the College Registrar’s Office and may submit the appeal to any Campus Registrar’s Office for processing.
2. The student must complete the college-wide Florida Residency for Tuition Purposes Appeal form. The appeal must state the
easons for the appeal and provide clear and convincing documentation to support the appeal. The appeal should address a
nformation that was not previously submitted or considered in the original residency request.
3. A copy of all new and previously submitted documents supporting the Florida residency claim must be attached to the form.
he form must be signed by the student and submitted with required documents to one of the previously stated offices prior t
the first day of the term in which the student is requesting residency.
he office receiving the appeal will review the information for completeness and insure the student was previously denied at the
campus level. After review the receiving office will scan the appeal to the student records and inform the committee chairperson of
the appeal within 5 business days of receipt.
he committee chairperson will schedule a meeting to review any submitted appeals in a timely manner. The committee may
request additional information from the student or campus in order to make a decision.
pon review, the college-wide committee will inform the student of its decision in writing within 2 weeks after the appeal review.
he college-wide committee’s decision is final in accordance with FS 1009.21 and no further appeal exists.
Please Print:
Student ID:_______________________________________ Name:_____________________________________________________
Phone: _____________________________________ PBSC Email:________________________________@my.palmbeachstate.edu
Please check the term for which Florida residency for tuition purposes is being sought: Fall_____ Spring_____ Summer_____
Student Signature:____________________________________________________________________ Date:__________________
Please attach a statement listing the specific reason or circumstances for your appeal. Be sure to provide copies of ALL
DOCUMENTATION you wish for the committee to consider. You will be notified of the committee’s decision via your Palm Beach
State student email account.
Action: ________Approved ________Denied Term:_____________
Committee Chair Signature:_____________________________________________________________ Date:__________________