MSU Denver Office of Admissions
Student Success Building | Counter #1
Campus Box 16 PO Box 173362
Fax Number: 720-778-5794
Phone Number: 303-556-3058
msudenver.edu/admissions | residency@msudenver.edu
In-State Correction Form
Page 1 of 2
Revised 5/30/17
DO NOT COMPLETE THIS FORM IF:
You previously attended MSU Denver and paid out-of-state tuition within the last 3 semesters. Please
complete the Petition for In-State Tuition.
You are an individual who was emancipated prior to turning 23. Please complete the Petition for In-State Tuition
and the Emancipation Determination.
You are a resident of AK, AZ, HI, ID, MT, NV, NM, OR, SD, UT, WA, WY or the Commonwealth of the Northern
Mariana Island and intent to enroll under the Western Undergraduate Exchange Program (WUE). Please
complete the WUE New Student Participation Form.
You are Active Duty Military. Please complete the Military Certification for Tuition Classification.
You are a U.S. Armed Forces Veteran. Please complete the U.S. Armed Forces Veteran In-State Tuition
Application.
Name:
_____________________________________________________________________
Date of Birth:
____________________________
900#:
___________________________
Email:
__________________________________
Phone Number:
I hereby certify that, to the best of my knowledge, the information provided on this form is true and complete. I understand that if falsified
information or supporting documentation is provided, any resulting in-state classification action based upon this document becomes
voided and will be retroactively nullified.
Signature:
___________________________________________________
Date:
_____________________
Are you a U.S. Citizen? ___ Yes ___No
If you are not a U.S. Citizen, what is your
immigration
status?
__
Permanent
Resident __Asylee / Refugee __Adjustment Applicant __DACA/Undocumented __Other:_________
If you did not submit documentation of your status with your application, please attach a copy to this form.
1. Were you enrolled in a Colorado public or private high school for the three years immediately preceding
graduation? __Yes __No
2. Were you enrolled in a Colorado public or private high school for the three years immediately preceding your
GED exam? __Yes __No
If you answered ‘Yes’ to question 1 OR 2, when was the Colorado HS Diploma / GED received? _____/ _____/ _____
Please answer the following questions for your parent or legal guardian if you are under 23 years old and not
married for at least one year.
Information
below is
provided
for
:
___Self ___Parent ___
Guardian (Legal Documentation Required)
1. Dates of continuous residence in Colorado: From _____/_____/_____ To _____/_____/_____
2. List any dates of extended absences from Colorado in the last year and provide explanation:
From _____/_____/_____ To _____/_____/_____ Reason: ______________________________________
3. Last two years Colorado income taxes have been filed :________ , _______
4. Date current Colorado driver’s license or ID was issued:_____/_____/_____
5. Was Colorado driver’s license or ID renewed: Yes No
6. Last two years of Colorado motor vehicle registration: ________ , _________
7. Date of Colorado voter registration: _____/_____/_____
8. Rent or own a primary residence in Colorado: Yes No
9. Source of income or support :
From _____/_____/_____ To _____/_____/_____
Emp
loyer or Income Source: _______________________________ State: __________________________
Office Use Only:
Term:
________
Residency Status:
________
Approved/Denied
by
: ________
Date:
________
click to sign
signature
click to edit
In-State Correction Form
Page 2 of 2
Revised 5/30/17
The tuition law (C.R.S. 23-7-101 et. Seq.) requires all state-supported colleges and universities in
Colorado to classify each student as either in-state or out-of-state for tuition purposes. This
designation determines the tuition rate you will pay.
Your initial tuition classification was determined by the information provided on your admissions
application. The In-State Correction Form can be completed if you feel the decision was based on
incomplete information. This form must be submitted to the Office of Admissions no later than the
published deadline. Failure to do so will result in non-resident classification for the semester. The
deadline to submit the In-State Correction Form is the earliest drop date for the student’s registered
courses. University published deadlines are listed on the Academic Calendar as well as the
Residency page of the website.
To be eligible for in-state tuition, students and/or their parents must establish a permanent place of
residence in CO and maintain it for at least 12 months preceding the start of classes. Simply having
physical presence in the state is not enough. Individuals must sever legal ties with their former state
and obtain those ties in CO to establish permanent residence in the state. Ties include CO driver’s
license or identification, motor vehicle registration, employment, voter registration or income tax
filing. However, it is important to note that one factor alone is not sufficient.
Please allow 3-5 business days for processing. After reviewing the In-State Correction Form, a
decision will be sent or additional information may be requested through your MSU Denver student
email account.
For more information, including semester deadlines, please visit
msudenver.edu/admissions/residency.
To contact the Tuition Classification Officer, email residency@msudenver.edu.
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