Bucks County
Community College
275 Swamp Road
Newtown, PA 18940-
4106
(215) 968-8100 Phone
Office of Admissions, Records, and
Registration
Student Number: ______________________
Student Name:
LAST FIRST M.
RESIDENCY CHECKLIST
(See reverse side for residency requirements)
All applicants for admission and enrolled students are legally bound to certify the County and State of their legal residency
and are obligated to the college for the established tuition and fees.
In order for a student to be classified as a Bucks County resident for a given semester, the classification must be
received by the Office of Enrollment Services via an email from your Bucks email account to
Residency@bucks.edu
. Emails from personal email accounts will not be accepted. no later than the end of the third
week of that semester.
CERTIFICATION OF DOMICILE
I certify that my domicile listed below is the place where I intend to and do, in fact, permanently reside.
Address: ____________________________________________________________
NUMBER STREET
____________________________________________________________
APARTMENT/UNIT
____________________________________________________________
CITY STATE ZIP
cell home Phone Number: ___________________________
I fully understand that the College may require some or all of these items as well as additional proof of convincing
evidence of residency to determine if domicile in Bucks County exists.
I realize that any false statement concerning residency or domicile could result in a violation of the Code of Conduct
leading to my permanent separation from the College.
/_____/__________________________________ ____ ____
Student Signature Date
*********************************************************************************************
OFFICE USE ONLY:
Approve More Documentation Deny-1 yr in PA not met
VP, Strategic Enrollment and Planning
/__/Date Processed:County Code: _____ ____ ____ __
List A
List B
(must provide at least one)
(must provide at least one)
Deed, Lease, Mortgage Statement or Rent Receipts
Vehicle Operator’s License/State Issued Photo ID
Card
Personal or Real Estate Tax Receipts
Vehicle Registration
Alien Registration Receipt Card or Refugee Card (Non-
US Citizens Only)
Voter Registration Certificate
Verification letter (on company letterhead) from an
employer indicating the address on record with the
employer is in Bucks County
Bank Statement
AN EXPLANATION ON LEGAL RESIDENCY FOR TUITION REQUIREMENTS AT BUCKS
COUNTY COMMUNITY COLLEGE
All applicants for admission and enrolled students are legally bound to certify the County and State of
their legal residency and are obligated to the college for the established tuition and fees.
Ownership of property or a business in Bucks County while not actually residing in Bucks County does
not qualify a person to attend the college as a Bucks County resident.
A student in attendance under Foreign Student classification requiring an I-20 Form for student visa
purposes cannot be classified as a legal resident of Pennsylvania.
The following statements are taken from the State Code on Commonwealth residency:
(Paragraph 35.29b)
a) Domicile is the place where one intends to and does, in fact, permanently reside. In order to
establish Commonwealth residency, the following presumptions shall be considered along with
documentary evidence or statements from disinterested persons, or both:
1) Continuous residence in this Commonwealth for a period of 12 months prior to
registration as a student. A student may rebut this presumption by convincing evidence.
2) A non-citizen shall have taken formal action toward becoming a citizen or shall have
been admitted to the United States on an Immigrant Visa.
3) A minor, under the age of 18, shall be presumed to have the domicile of parents or
guardian. A minor may prove emancipation and independent domicile through
convincing evidence.
4) A United States government employee or a member of the armed forces who was
domiciled in this Commonwealth immediately preceding entry into government service,
and who continuously maintained legal residence in this Commonwealth, shall be
presumed to have domicile. Others in government service may, by convincing evidence,
establish domicile.
b) Domicile may not be established for a student receiving a scholarship or grant dependent upon
domicile from another state.
c) Examples of factors which may provide convincing evidence include the following:
1) Lease or purchase of a permanent independent residence.
2) Payment of appropriate State and local taxes. Special attention shall be given to payment
of Commonwealth taxes on income earned during periods of temporary absence from this
Commonwealth.
3) Transfer of bank accounts, stock, automobile and other registered property to this
Commonwealth.
4) Pennsylvania driver’s license.
5) Agreement for permanent full-time employment in this Commonwealth.
6) Membership in Commonwealth social, civic, political, athletic and religious
organizations.
7) Registration to vote in this Commonwealth.
8) Statement of intention to reside indefinitely in this Commonwealth.
9) Statement from the parents or guardian of a minor setting forth facts to establish the
financial independence and separate residence of the minor.
If a student believes he has been erroneously classified as a non-resident, or if the above criteria have
been met after a period of attendance, a request for reclassification of the resident status may be made
with the registrar of the College. Acceptable evidence must be presented for consideration.