Revised
by: TL-12/16/ 2020
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Office of the Registrar - Division of Student Affairs
INSTRUCTIONS FOR COMPLETION OF APPLICATION FOR NEW YORK CITY
RESIDENT TUITION
To qualify for CUNY New York City tuition rates, students must prove one (1) year of residency
in New York City prior to the first day of classes and must not be on a temporary visa. Students
must be U.S. citizens, permanent residents, refugee/asylum granted (I-94 card) to qualify for NYC
tuition rate.
To apply for New York State residency status for tuition billing purposes:
Please visit the College web site at www.laguardia.edu/registrar. On the left menu, click on
forms (download)”. Residency forms are listed on the center menu. Please download the
residency application, copy any supporting documentation requested and return the completed
application in person or by mail to:
LaGuardia Community College
29-10 Thomson Avenue, Room C-107
Long Island City, NY 11101
Residency forms will be not be accepted after the end of the semester (last day of final exams)
for which the student is applying for a residency determination.
Residential Rate of Tuition for Undocumented or Out-of-Status Students:
A law provides in-state (resident) tuition benefits to certain undocumented students. You may
qualify for the lower in-state tuition if you meet one of the following eligibility criteria:
You attended an approved New York State High School for two years and graduated from
an approved New York State high school and attend CUNY within 5 years of receiving a
New York State High School diploma
OR…
You attended an approved New York State program for General Equivalency Diploma
(GED) exam preparation, received a GED issued within New York State, and attend CUNY
within 5 years of receiving a New York State General Equivalency Diploma;
Please file the Residency form Part A: CUNY Application and Part B: Affidavit of Intent to
Legalize Immigration Status available from the web site.
If you were enrolled in CUNY in the Fall 2001 semester or quarter and were authorized by CUNY
to pay tuition at the resident rate, please submit Part A: CUNY Application only so we may
verify your resident tuition status.
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Office of the Registrar - Division of Student Affairs
INSTRUCTIONS FOR COMPLETION OF APPLICATION FOR NEW YORK CITY
RESIDENT TUITION (Continued)
Living outside the 5 Boroughs of
New York City:
If you live in New York State but outside the five (5) boroughs of New York City
(Bronx, Manhattan, Queens, Brooklyn and Staten Island), you will need to visit the County Clerk’s
office where you reside to obtain a B-81: Certificate of Residency Form and present it to the
Bursar’s Office in Room C-110. The B-81 form is good for 1 calendar year. The Bursar’s Office
will place a Stop on student registrations that have expired B-81 forms on file.
Residency Appeals:
If you wish to appeal, you must notify the Registrar’s Office in which you submitted your
application to in writing within 10 days of being notified that you have been determined to be a
non-resident. Your statement should indicate why you disagree with the decision and should be
placed in a sealed envelope with your name on it. The Registrar’s Office will submit the Residency
Form, copies of all documentation provided by you and any statement made by you, along with the
determination made by the College, to the University Office of the Vice Chancellor for Legal
Affairs and General Counsel.
Need Help?
If you have any questions about completing your application, please contact Ms. Carmen Marte by
email at cmarte@lagcc.cuny.edu, by phone at (718) 482-5051 or visit the Enrollment Services
Center, Rm. C-107 Mon &Thurs., 9:00am – 7:00pm. Tues & Wed.,9:00am-5:00pm. Fridays
9:00am-1:00pm.
Revised
by: TL-12/16/ 2020
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Column A
Lease, deed or rent registration form (used for
rent stabilized apartments) signed by the
landlord which is either a public or private
agency and the student or parent of the student
with the same surname,
Budget/benefit letter from New York City
Public Assistance with the student’s New York
address covering the
12 months period
immediately preceding the first day of classes
and
including the student’s name.
• Benefit letter from Social Security with the
student’s New York address covering the 12
month period immediately preceding the fi
rst
day of classes incl
uding the student’s name.
• Copies of the most recent complete Federal or
New York State tax returns with the preprinted
address label and the correspondi
ng W-2 form
Column B
A valid New York State driver’s license showing the date of
issuance one year prior to the first day of classes,
Homeowner’s or renter’s insurance policy,
Automobile registration,
Automobile insurance certificate,
Voter Registration certificate or card,
New York State “non-license” which is issued to non-drivers(for
identification purposes) by the Department
of Motor Vehicles or
other official City, State or Federal agencies, certificate or card,
Telephone or utility bills or payment for services such as cable
TV covering a period of
up to 12 months,
Monthly bank or credit card statements covering a period of 12
months (dollar amounts may be blocked out),
Armed forces identification card DD form 2A (green),
Attendance as a juror in New York State,
Lease signed by the landlord (who is an individual and is not
public or private agency) and the student. If the student’s name
does not appear on the lease, an “Alternate Lease Statement” must
be completed and notarized by both the person whose name
appears on the lease/contract and the student. The person whose
name appears on the lease/contract must submit proof (i.e., lease,
telephone, utility or similar type bills) of residency at his/her
current address for the previous 12 months.
Copies of the most recent complete Federal or New York State
tax returns without the preprinted address label and the
corresponding W-2 form
. Responses to Federal form 4506 and
New York state form 4506 requesting Federal and State tax
information is acceptable if the Federal and State governments
acknowledge that the party in question has in fact filed a tax
return from the address noted,
Postmarked mail addressed to a student at a New York address
more than 12 months immediately preceding the first day of
classes (a P.O. Box is not acceptable)
Office of the Registrar - Division of Student Affairs
INSTRUCTIONS
Required Documentation Which Must Accompany the Residency Form
In addition to completing the residency form, students must submit required forms listed below as proof
of residency. Important Note: In addition to the items indicated below, the college may, at its discretion,
require the student to submit additional documentation if it believes that further proof is necessary in
order that an accurate residency determination may be rendered.
YOU MUST SUBMIT EITHER:
ONE of the forms listed below in Column A O
R
TWO forms listed below in Column B
Revised by: TL-12/16/ 2
020
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Office of the Registrar - Division of Student Affairs
ELIGIBLE VISA TYPES
The following is a list of the categories of non-immigrant aliens who under Federal law have the
capacity to become City and State of New York domiciliaries and therefore may qualify for the
resident rate of tuition provided they have established intent and also satisfy the University’s
residency requirements.
Status Description
A Ambassadors, diplomats and certain other foreign officials and their
families.
E Treaty trader/Treaty investor, spouse, and children.
G Certain government or international organization officials and their
families.
H-1B Temporary worker in specialty occupation.
H-1C Temporary worker performing professional nursing services.
H-4 Spouse or children of alien classified as H-1B or H-1C.
I Representatives of foreign information media and their spouse and
children.
K Fiancé(e) or Spouse of a U.S. citizen and dependent children.
L Intra-company transferee (such as managers who have worked abroad
for a branch of a U.S. firm) and their spouse and children.
N Parents and children of an alien granted permanent residency as a
special immigrant.
R Religious workers and their spouse and children.
S Crime witnesses and their spouse and children.
T Victims of alien trafficking.
U Crime Victims.
V Spouse and children of a permanent resident who have a relative
petition or an adjustment of status application pending for more than
3 years
Revised b
y: TL-12/16/ 2020
CITY UNIVERSITY RESIDENCY FORM
CUNY RESIDENCY FORM: Part A
1. Last Name __________________________ First Name _______________ Middle Initial _______
2. CUNYfirst ID/Student ID _____________________ Date of Birth ________________________
Phone No.( ) _____________ Email address: ____________________________________
3. Are you a U.S. citizen? Yes No Are you a permanent resident alien? Yes No
Are you here on a visa? Yes No Visa type: _______ Expiration Date: ______________
4. Did you attend a New York State high school for two or more years, and graduate from that high
school?
Yes No If yes, high school name and address __________________________________
Date of Attendance From: _________ To: _________ Graduation Date _____________________
5. Do you have a GED/TASC issued by NYS? Yes No Date Issued:_________________
6. If you answered “yes” to item 4 or 5, did you apply to CUNY within 5 years of your high school
graduation or receiving a GED/TASC? Yes No Date of first application to CUNY: ________
7. Are you a veteran or other individual eligible for educational assistance under federal GI bills?
Yes _____No ____ If yes, attach supporting documents.
IMPORTANT: If you answered “yes” to question 4 or 5, and to question 6, and are not lawfully present in the US, you
need to complete Section B (affidavit) of this Residency Form but not Section C. If you answered yes” to question 4 or
5, and to question 6, and are a resident of another state, you do not need to complete any other sections of this form. If
you answered “yes” to question 7, you do not need to complete any other sections of this form. All other students must
complete Part C of this form and submit appropriate supporting documentation.
Please note that some students who are here on visas may not be eligible for the resident tuition rate. Please refer to
the CUNY Tuition and Fee Manual (see link below) for a comprehensive list of eligible visa types.
To Be Completed by All Students
I certify that all information provided and all statements made in all sections of this Residency Form are true and correct
to the best of my knowledge.
I understand that if I provide false information or withhold relevant information in order to obtain resident status, The City
University may revoke its determination of in-state residency, and that I will owe non-resident tuition to the University for
each semester or session that I have attended under these circumstances. I also understand that I may be subject to
disciplinary action.
DATE _______________________ STUDENT SIGNATURE ________________________________
The colleges will not review any residency determination unless the request for the review is made in writing, and all
required documentation is submitted on or before the last day of finals in the semester for which resident tuition is
being sought.
Complete rules regarding eligibility for the resident tuition rate and appeals procedure are set forth in CUNY’s Tuition
and Fee Manual at http://www.cuny.edu/about/administration/offices/la/tuition-fee-manual.html
Semester: ____________
Choose One
CUNY RESIDENCY FORM: Part B
Affidavit of Intent to Legalize Immigration Status
_____________________________, being duly sworn, deposes and says that he/she does not currently
(Student’s Name)
have lawful immigration status but, has filed an application to legalize his/her immigration status or will file
such an application as soon as he/she is eligible to do so.
__________________________________
(Student’s Signature)
Sworn to me this _________________day of the month of _______________ ,20___
______________________, State of New York, County of _____________________.
CUNY RESIDENCY FORM: Part C
1. Last Name ____________________________ First Name _______________ Middle Initial ______
2. CUNYfirst ID/Student ID______________ Email: ________________________________________
3. Current Address ______________________________ ________________ ________ _________
STREET CITY STATE ZIP
A. Live with parents _________, or other relatives _________, or other than a relative ___________
1) If other relatives, describe relationship. ______________________________________________
2) If other than a relative, describe situation. ___________________________________________
_____________________________________________________________________________
List below all your addresses, including temporary addresses and summer addresses during the past 12
months, starting from your current address and working backwards.
FROM TO COMPLETE ADDRESS
____________________________________________
STREET
____________________________________________
CITY STATE ZIP
____________________________________________
STREET
____________________________________________
CITY STATE ZIP
____________________________________________
STREET
____________________________________________
CITY STATE ZIP
4. A. Parents' permanent address _____________________________________________________
STREET
_____________________________________________________
CITY STATE ZIP
B. If you are under the age of 18, does anyone other than your parents serve as your legal
guardian? Yes____ No_____
If yes, what is their name and address? ____________________________________________
____________________________________________________________________________
C. Where did you live during the last June through August period? If different from 4.A., give
reason for being elsewhere during period
____________________________________________________________________________
____________________________________________________________________________
Semester: ____________
Mo __ Day __ Yr __
Mo __ Day __ Yr __
Mo __ Day __ Yr __
Mo __ Day __ Yr __
Mo __ Day __ Yr __
Mo
__ Day __ Yr __
Mo __ Day __ Yr __
M
o __ Day __ Yr __
Mo __ Day __ Yr __
Mo __ Day __ Yr __
Mo __ Day __ Yr __
Mo __ Day __ Yr __
Choose One
- page 2 of Part C-
5. A. Please list below all full-time and part-time employment (including summer employment and
voluntary activities) during the past 12 months starting with the most recent employment.
EMPLOYER ADDRESS (CITY/STATE) FROM TO
_______________________ ___________________________ __________ _________
_______________________ ___________________________ __________ _________
_______________________ ___________________________ __________ _________
B. What is the source of your support?_________________________________________________
C. Did you file a New York City/State resident income tax return during the past 12 months? ______
D. Did you file a Federal income tax return during the past 12 months? ______________________
6. What are your purposes for residing in New York City or New York State?_____________________
7. Have you applied for any financial aid, scholarships, or other benefits provided under the laws of
the State of New York or the United States? Yes _____ No _____
If yes, specify and indicate what benefits you are receiving. __________________________________
__________________________________________________________________________________
8. At the present time is it your intention to permanently live in New York City or New York State?
Yes _____ No _____ Uncertain _____ If uncertain, please explain. __________________
__________________________________________________________________________________
9. Do you have any other proof other than the items indicated for completing the Residency Form that
you wish to present in support of your application to be declared a resident of New York City/New
York State for the City University of New York tuition purposes? Yes _____ No ____
If yes, please provide details and attach relevant documents.
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
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ALTERNATE LEASE STATEMENT
Name:____________________________ ________________________
Semester: _____________
Last Name
Fist Name
Phone
_________________
C
UNYfirst Empl ID# ____________________
Current Mailing Address:
___________________________________________ _______ ___________________ ______ ________
Apt City
State Zip Code
Street
Year
Month
I have lived at the above address from
______ /________
Month
to ______ /________
_______________________________________
Date: ____________
Signature
NOTARIZED
Office of the Registrar - Division of Student Affairs
Year
____
___
___
_
____
___
___
_
________________
Date: ____________
Signature
NOTARIZED
______________________________________________________________________________________
I certify that the above information is accurate and complete. I understand that this information
may affect my residency status at the college. I understand that if I provide false information or
withhold relevant information in order to obtain resident status, The City University may revoke its
determination of in-state residency, and that I will owe non-resident tuition to the University for
each semester or session that I have attended un
der these circumstances. I also understand that I
may be subject to disciplinary action.
But the lease is NOT in my name.
_______________________________________________________________________________________
TO BE COMPLETED BY THE PERSON WHOSE NAME APPEARS ON THE LEASE/CONTRACT.
I
___________________________________certify that I reside at the address indicated above and that
Owner/Leasee's Name
_____________________________________ has resided with me from _____/_____ to _____/_____
Student's Name Month/Year Month/Year
Proof that I have resided at the above address for one year is attached (e.g.: lease, telephone bill,
utility bill, apartment or house insurance, or mortgage statement).
Revised by: TL-12/16/ 2020
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