Fillable Form 6.: FOREIGNSTUDE NT TUITIONSTATUSTOCALIFORNIARESIDENT PETITIONFORCORRECTIONORRECLASSIFICATIO NFROMNONRE SIDENT (Chabot College)

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Form 6.: FOREIGNSTUDE NT TUITIONSTATUSTOCALIFORNIARESIDENT PETITIONFORCORRECTIONORRECLASSIFICATIO NFROMNONRE SIDENT (Chabot College)

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Rev. PL; na / rb / tr 01.08.2019 1

Youarepetitioningtoamendtheresidencyratedeterminedbythedatayouenteredonyournewapplicationortonotify

thecollegeofachangetoyourformerstatus.AccordingtoTitle5section54024,amongacceptableevidenceofintentto

establishCaliforniaresidenceincludesbutisnotlimitedto:



1. Ownershipofprincipalresidencepropertyorcontinuousoccupancyof

rentedorleasedpropertyinCalifornia.

2. RegisteringtovoteandvotinginCalifornia.

3. LicensingfromCaliforniaforprofessionalpractices.

4. Activemembershipinservicesorsocialclubs.

5. ShowingCaliforniaashomeaddressonfederalincometaxform.

PaymentofCaliforniastateincometaxasaresident.

7. PossessingCaliforniamotorvehiclelicenseplate.

8. PossessingaCaliforniadriver’slicense.

9. EstablishingandmaintainingactiveCaliforniabankaccounts.

10. BeingthepetitionerforadivorceinCalifornia.

11. MaintainingpermanentmilitaryaddressorhomeofrecordinCalifornia

withthearmedforces.



AccordingtoTitle5section54024,conductinconsistentwithaclaimofCaliforniaresidenceincludesbutisnotlimitedto:



1. Maintainingvoterregistrationandvotinginanotherstate.

2. Beingthepetitionerforadivorceinanotherstate.

3. Attendinganout‐of‐stateinstitutionasaresidentofthatotherstate.

4. Declaringnon‐residenceinCaliforniaforstateincometaxpurposes.



Ifyourcitizenship/immigrationstatusneedstobeclarified,youwillbeaskedtoenterthetitleofthedocumenta tionyou

are submitting as evidence of the immigrant status that allows you to estab lish California residency.Non U.S. Citizen

documentationtoproveimmigrationstatusmaybesuchthingsas:



1. Passport.

2. PermanentresidentcardI‐551.

3. ProofoforiginalfiledateI‐130,I‐94,Letterfromfilingattorney.

4. I‐688orI‐688AEmploymentAuthorizationCard.



SpecialConsiderationsforDACAstudentswhowillsubmitorhavesubmittedtheDreamApplication:

IfyouareaDACAstudentwhowillsubmitorwhohassubmittedtheDreamApplication,wealsorecommendthatyou

submitthefollowingadditionaldocumentation:



1. Proofofeither:

 HavingattendedacombinationofCaliforniahighschool,adultschool,andcommunitycollegeforthe

equivalentofthree(3)yearsormore.

 Havingthree(3)ormoreyearsofCaliforniahighschoolcourseworkandattendedacombinationof

Californiaelementary,secondary,andhighschoolofthree(3)yearsormore.

2. Proofofcom pletion:

 GraduatedwithaCaliforniahighschooldiplomaorhavetheequivalent(i.e.,California‐issuedGED,

CHSPE).

 CompletedanAssociate’sdegreefromaCa liforniaCommunityCollege.

 CompletedtheminimumrequirementsataCaliforniaCommunityCollegefortransfertothe

California

StateUniversityortheUniversityofCalifornia.



Please com pletepages2 through4,attach requireddocumentation,andsubmitin‐personat theAdmissions andRecords

Office(Building700,Lobby).Youwillbenotifiedviaemailfollowingreceiptofyourrequest.



PETITIONFORCORRECTIONORRECLASSIFICATIO NFROMNONRE SIDENT OR 

FOREIGNSTUDE NT TUITIONSTATUSTOCALIFORNIARESIDENT

Attach2(minimum)documentsthat

containthefollowing:

 Yourname

 Californiaaddress

 Datethatis366daysoldpriorto

firstdayofsemester.



Example:Ifthetermstartson

1/14/2019,thedocumentsmustbe

datedonorbefore1/13/2018.

Rev. PL; na / rb / tr 01.08.2019 2

WID#:

StudentName:

TheCaliforniaEducationCodeSection68044requiresthatthefinancialindependenceofanonresidentstudentseekingreclassification

asaresidentbeincludedinthefactorstobeconsideredinthedeterminationofresidence.Inordertoestablishfinancialindependence,

astudentseekingreclassificationmustmeetthefollowingcriteriaforthecurrent

andimmediatelyprecedingthreecalendaryears:(1)

thestudenthasnotbeenclaimedasanexemptionforstateandfederaltaxpurposesbyhisorhernonresidentparents,(2)thestudent

has notreceived more than$750 fromhis or hernonresident parents, and(3) the student hasnot lived

in thehome of his orher

nonresidentparentsformorethansixweeksinanygivenyear.



Failuretosatisfyallofthefinancialindependencecriteriafortheentireperiodwillnotnecessarilyresultinadenialofresidencystatus

if the durational requirement is met and the manifestation of intent is sufficiently strong.Financial independence is of greater

significanceforthecurrentandimmediatelyprecedingcalendaryear.

Failuretosatisfyallthreeofthefinancialindependencecriteria

for the current and immediately preceding calendar year will normally result in a determination of nonresidency.Financial

independenceorwantofit,forthesecondandthirdcalendaryearsimmediatelyprecedingtheyearinwhichreclassificationisrequested

will be

considered together with all other relevant factors in determining intent with no special weight attached to the financial

independencefactor.Therefore,pleaseanswerallofthefollowingquestions:

1.Indicateyoursourceoffinancial supportin: 



 2018–present:________________________________________________________________

2018–2017:_________________________________________________________________

2017–2016:_________________________________________________________________



2. Didorwillyoufilestateincometaxreturnsfortheyear:



2018Yes No 

Ifyes,liststate:______

2017Yes No 

Ifyes,liststate:______

2016Yes No 

Ifyes,liststate:______



 Ifyouanswered"yes"foreachoftheseyears,pleaseskipquestions3through6andproceedtopage3aftersigningthispage.



3. Didyourparentsorwillyourparentsclaim youas anexemptionontheirstateandfederalincom etaxreturnsfiledin

theyear:



2018Yes No 

Ifyes,liststate:______

2017Yes No 

Ifyes,liststate:______

2016Yes No 

Ifyes,liststate:______



 Ifyouanswered"no"foreachoftheseyears,pleaseskipquestions4through6andproceedtopage3aftersigningthispage.



4. AreyourparentsCaliforniaresidents?Yes No 



 Indicatethestateofresidenceforeachofyourparents:



Mother:___________________________



Father:___________________________



5. Didyouorwillyoulivewithyourparentsformorethansixweeksin:



2018–presentYes No 2017–2018Yes No 2016–2017Yes No 



6. Didyouorwillyoureceivemorethan$750infinancialassista nce fromyourp arentsin:



2018–presentYes No 2017–2018Yes No 2016–2017Yes No 



By signing this form, you understand that any misrepresentation of information provided may result in dismissal or disciplinary action in accordance with Student

DisciplinaryActionand/orafinancialobligationthatmustbepaidinaccordancewiththeprocessingandcollectionoftuitionandfeepayments.Further,youunderstand

thatSTATERESIDENCY

CHANGESWILLNOTBEMADERETROACTIVELYandthatthedeadlinetomakearesidencechangeispriortothestartoftheenrolledterm.



StudentSignature:________ __ ___ ___ ___ __ ___ ___ ___ __ Date:_____ _ ___ ___ __ ___ ___ __ 



Pleaseproceedtothenextpage.

STUDENTFINANCIALINDEPEND EN CESTATUS

Rev. PL; na / rb / tr 01.08.2019 3

WID#:

StudentName:



RESIDENCEADDRESS(LEGAL/PERMANENTADDRE SS.DONOTUSEPOBOXNUMBER.)



___________________________________________________________________________________________________________________________

Number&StreetCityZipCode



Ihavelivedatthisaddresssince______/______/____________

   MonthDayYear



Iflessthantwoyears,showpreviousaddressesbelow:



___________________________________________________________________________/____________to______/____________

 Number&Street  City  ZipCode MonthYearMonthYear



___________________________________________________________________________/____________to______/____________



WhendidyourpresentstayinCaliforniabegin?______/______/____________

MonthDayYear



Dateofbirth______/______/____________

 MonthDayYear



PLEASEANSWERTHEFO LLO WINGQUESTIONS: YES NO

1. AreyouregisteredtovoteinCalifornia?....................................................................................................................................

 

2. Doyoumaintainvoterregistrationinanotherstate?.................................................................................................................

 

3. Inthelasttwoyears,didyouattendanout‐of‐statecollegeoruniversityasaresidentofthatotherstate?..........................

 

4. DoyoupayCaliforniastateincometaxasaresident?................................................................................................................

 

5. Inthelasttwoyears,didyoupayincometaxinanotherstate?................................................................................................

 

6. Inthelasttwoyears,wereyouapetitionerfordivorceinanotherstate?................................................................................

 

7. DoyoucurrentlypossessaCaliforniadriver’slicense?..............................................................................................................

 

8. Areyoureceivingscholarshipmoniesfromanagencyinanotherstate?..................................................................................

 

9. Doyourparentsclaimyouasadependentforincometaxpurposes?......................................................................................

 

10. Ifyouownanautomobile,doyoupossessCaliforniamotorvehiclelicenseplates?................................................................

 

11. DoyouownresidentialpropertyorhaveyoucontinuouslyoccupiedrentedorleasedpropertyinCalifornia?.....................

 

12. AreyoulicensedfromCaliforniaforprofessionalpractice?......................................................................................................

 

13. DoyoumaintainactivemembershipinserviceorsocialclubsinCalifornia?............................................................................

 

14. Areyourspouse,children,orothercloserelativespresentinCalifornia?................................................................................

 

15. DoyoushowCaliforniaasyourhomeaddressonyourfederalincometaxform?...................................................................

 

16. DidyoumaintainCaliforniaasyourpermanentmilitaryaddressorhomeofrecordwhileinthe

armedforces?

NotApplicable.................................................................................................................................................  

17. HaveyouestablishedanddoyoumaintainactiveCaliforniabankaccounts?

...........................................................................  

18. DidyouattendhighschoolinCalifornia?(Ifno,proceedtonextpage).....................................................................................

 

19. DidyouobtainaCaliforniahighschooldiploma?......................................................................................................................

 

20. HowmanytotalyearsdidyouattendhighschoolinCalifornia?...............................................................................................

_________



Pleaseproceedtothenextpage.

PETITIONFORRECLASSIFICATIO N FROM NONRESIDENT

STATUSTOTHATOFCALIFORNIARESIDENT‐PartI

Rev. PL; na / rb / tr 01.08.2019 4

WID#: 

StudentName:

PETITIONFORRECLASSIFICATIONFROMNONRESIDENTSTATUSTOTHATOFCALIFORNIARESIDENT‐PartII

HaveyoupreviouslysubmittedaPetitionforReclassification?______Ifso,whatdate?____________

HaveyoueverattendedChabotCollegeand/orLasPositasCollegeasaforeignstudentattendingonanF‐1orM‐1studentvisa?Yes No 

Ifyes,pleasecontacttheInternationalStudentAdmissionsOffice.

 

Whatisyourcurrentnationalstatusatthistime? 

NonU.S.Citizendocumentationtoprove

immigrationstatusmaybesuchthingsas:

passport,permanentresidentcardI‐551,proofof

originalfiledate,I‐130,I‐94.I‐688orI‐688A

EmploymentAuthorizationCard.

 U.S.Citizen



Immigrant–PermanentResident



TemporaryResident(PermRespending)



 PoliticalAsylum/RefugeeApplicant



 Visa(indicatetype________________)



 Other___________________________________________________________



DeferredActionforChildhoodArrivals(DACA)

IfyouareaDACA studentwhowillsubmitorwhohassubmittedtheDreamApplication,thenpleasereadandsig nthefollow ingaffida vitfornon‐

citizenswithoutcurrentorvalidimmigrationstatus:

Bysigningthesignaturelinebelow,IherebystatethatifIamanon‐citizenwithoutacurrentorvalidimmigrationstatus,Ihavefiledan

applicationtolegalizemyimmigrationstatusorwillfileanapplicationassoonasIameligibletodoso.



StudentSignature____________________________________________Date:________________________



Ifyourcitizenship/immigrationstatusneedstobe clarifie d,youmustprovidethefollowing:

1. Documentationthatprovesyourcitizenship/immigrationstatusallowingyoutoestablishCaliforniaresidencydatingbackatleast366daysprior

tothefirstdayofthesemestertowhichyouhaveapplied.

2. Twodocuments(listingyournameandCAresidence)thatproveyouhaveresidedintheStateofCaliforniaforatleast366dayspriortothefirst

dayofthesemestertowhichyouhaveapplied.



Ifonlyyourstate residencenee ds tobeclarified,youmustprovidethefollowing:

1. Twodocuments(listingyournameandCAresidence)thatproveyouhaveresidedintheStateofCaliforniaforatleast366dayspriortothefirst

dayofthesemestertowhichyouhaveapplied.



NOTE:Failuretosubmitrequireddocumentationwillresultinadenialofyourreclassificationpe tition.



Nameofdocument Document# DateofIssuance  ExpirationDate





PleasestatewhyyourdocumentsareevidenceyoushouldbeclassifiedasaCaliforniaresident:



IcertifyunderpenaltyofperjurythattheinformationonPartsIandIIofthisresidencequestionnaireiscorrectandIunderstandthatfalsificationor

failuretoreportchangeinresidencemayresultinmydismissalordisciplinaryactioninaccordancewithStudentDisciplinaryActionand/orafinancial

obligationthatmustbepaidinaccordancewiththeprocessingandcollectionoftuitionandfeepayments.Further,IunderstandthatSTATERESIDENCY

CHANGESWILLNOTBEMADERETROACTIVELYandthatthedeadlinetomakearesidencechangeispriortothestartoftheenrolledterm.



StudentSig nature_______________________________________________________Date______________Term____________________



OFFICEUSEON LY  

CAResident(both

qualific ationsmustbe

met)

Providedevidenceofintent

topermanentlyresideinCA

atleast1yearpriortoterm

start

Providedevidenceofhaving

residedinCAfor1year

priortotermstart

OutofStateResident(checkreason)

Citizen‐OtherU.S.State

Noncitizen‐ImmigrantVisa,hasn’tlivedinCA

1yearpriortotermstart

Noncitizen‐ImmigrantVisa,intentto

permanentlyresideinCAdocumentdated

lessthan1yr.priortotermstart

Noamendment.Outofstatecoderemains.

NonresidentTuition 

Noncitizen‐

Nonimmigrant

Visa/Undocumented

Noamendment.

Nonresidentcode

remains.



RESC/RESL REAC/REAL

ABEC/ABEL REDC/REDL

Effective/DenialTerm:

Date:

DateBanneramended:

Initials:

SGASTDN:

StudentNotified:



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Form 6.: FOREIGNSTUDE NT TUITIONSTATUSTOCALIFORNIARESIDENT PETITIONFORCORRECTIONORRECLASSIFICATIO NFROMNONRE SIDENT (Chabot College)

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Completed 25 July 2020

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