OFFICE OF ADMISSIONS
Residency for Tuition Purposes
Decision Appeal
9/11/2019 bah
PURPOSE AND INSTRUCTIONS
Residency decisions may be appealed in writing using this form. Submit your written appeal with all supporting documentation to the
Admissions Office on the Daytona Beach Campus, attention to Admissions Coordinator. The appeal will be reviewed and a response
provided in writing to your FalconMail e-mail account.
All appeals will be considered in accordance with 1009.21, Florida Statutes, State Board of Education Rules 6A-10.044 and 6A-20.003,
and the Articulation Coordinating Committee's "Guidelines on Florida Residency for Tuition Purposes." Appeals will be considered for
the semester in which they are received and for any future semester. Retroactive appeals will not be considered.
TO BE COMPLETED BY THE STUDENT
Name: College ID:
Date You Began Establishing Florida Residency:
Indicate the term and year for which you are requesting your residency to take effect, if your appeal is approved. Should insufficient
evidence exist to approve your appeal for the term and year you indicate, the committee will automatically consider the earliest
possible term for which you do or will qualify.
YEAR:_______________
F
Fall (Aug-Dec)
F
Spring (Jan-Apr)
F
Summer (May-Aug)
F
Fall B - late start
F
Spring B - late start
F
Summer B - late start
Please use this space to describe the justification for your appeal. Attach additional sheets if necessary. Attach all documentation that
supports your request (e.g. Copy of Florida driver's license and other supporting documentation) and the Florida Residency
Declaration , available from the Admissions Office.
OFFICE USE ONLY
Approved Denied
Effective Date:
Notes:
Staff Signature Date
Received Date:
I understand that any false statement will subject me to penalties for making a false statement pursuant to 837.06,F.S., and to BOR rule
6C-6.001(6),F.A.C.
Student Signature Date
Did you attach all of the following?
Copies of Supporting Documentation Florida Residency Declaration
