Fillable Petition For Reclassification From Nonresident Status To California Resident (Citrus College)

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Petition For Reclassification From Nonresident Status To California Resident (Citrus College)

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1
RESIDENCY RECLASSIFICATION PETITION
Name: _______________________________ ID: ________________ Term: __________ Year: ______
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GENERAL RESIDENCY POLICY: Under the California Education Code, the general rule is that 1) the student must have been a
legal California resident for at least one (1) year and one (1) day prior to the start of the semester or session the student is attempting
to reclassify; 2) the student must have demonstrated intent to establish California residency for a minimum of two years; 3) the student
has not engaged in conduct that is inconsistent with a claim for California residence; and 4) the student is not prohibited by law from
establishing California residency.
The burden of proof to demonstrate both physical presence in the state of California and intent to establish permanent California
residency (if the citizenship status does not preclude the student from establishing residence in the United States) is on the student.
This means the student must provide:
□ Documentation of legal status if the student is not a United States citizen; and
□ A minimum of two (2) acceptable proofs to establish California residency* (see list below)
Students who will be under 19 years of age at the start of the semester in question cannot establish residency on their own, they
derive residency from their parent or legal guardian. If the student is not a US citizen, the student must submit documentation of legal
status for the student only. Minimum of two proofs must be submitted for the parent or guardian. All documentation must be for the
same parent or guardian. If the student lives with a legal guardian, court guardianship documents must also be submitted.
LISTED BELOW ARE ITEMS THAT MAY BE ATTACHED TO THIS PETITION AS EVIDENCE OF PHYSICAL PRESENCE
AND INTENT. A STUDENT MUST SUBMIT A MINIMUM OF TWO (2) ITEMS OF PROOF and may be required to
submit additional items based on the student’s individual circumstance.*
*Minimum proof requirement may vary depending on information in the student’s application, information provided in this
petition, and information provided through the reclassification process. Inconsistent information may require submission of
additional specific proof. The need for additional proof will be made while processing and evaluating the reclassification petition.
All documents submitted must be valid, legible, and dated at least one (1) year and one (1) day before the
session/semester
start date
and include NAME and A PHYSICAL CALIFORNIA ADDRESS, NO P.O. BOXES. With the exception of the driver’s license or
California ID, documents CANNOT be older than 2 years prior to the start of the term for which residency is being requested.
Students who attended an out-of-state public college may be required to show proof of paying nonresident tuition at that college.
1. □ California Driver License/ID, or □ California DMV Printout, or □ California car registration (current for all)
2.
□ California bank account statement (for the appropriate year)
3.
□ Voter’s registration card
4.
□ Utility bill (DWP, gas, telephone, electric, cable, etc.) (for the appropriate time period)
5.
□ Apartment/home lease (minimum one-year and current), or □ rental agreement (minimum one-year and current)
6.
□ California car insurance (for the appropriate year)
7.
□ California State Aid, Social Welfare, Court documents
8. □ California health insurance
9.
□ California public library membership (card must be dated, otherwise include printout showing library activity)
10.
□ Paycheck stub, or □ employment earnings statement, or □employment verification on company letterhead
11.
□ Military discharge papers (DD 214), or □ Leave and Earnings
statement indicating California as home of record
12.
□ Marriage license or □ divorce decree issued in California (for the appropriate time period)
13.
□ California (540) tax return with a California home address for prior year (W2s or evidence of non-filing may be required)
14.
□ Union membership in California
15.
□ Licenses or certificate issued by the state of California with an issue date
Items not acceptable include: travel documents, parking tickets, arrest history, high school and college records, personal mail,
affidavits, letters of support, medical records, and other items not listed above.
IMPORTANT - All residency issues must be resolved by the end of the semester in question. Any residency reclassification
petition submitted for a semester that has ended will automatically be denied. In accordance with FERPA, any third party,
including parents, wishing to obtain information about a student must obtain prior written consent from the student. Petitions
submitted without all required proofs will be denied. Please allow 3-5 business days for evaluation. If at any time you need to
speak to a supervisor regarding this process, please email the Admissions and Records Office at
admissions@citruscollege.edu .
2
GENERAL INFORMATION AND
DEFINITIONS
Initial Residency Classification
Students are automatically classified as resident or non-resident based on the answers the student provided on the state
wide admissions application (OpenCCCApply). State laws and regulations require that students wishing to change that
residency status to do so through this reclassification process. Students cannot submit a new application to change their
status and students cannot go back and change the answers they provided on the application after the application is
submitted.
Residence
The location with which a person is considered to have the most settled and permanent connection; it is also the place
where that person intends to remain, and during absences, intends to return. Residence results from the union of physical
presence with objective evidence that the intent is to remain at that place for other than a temporary purpose.
Reference: ECS 68062, T5 54020
Resident
A student who has established both physical presence and intent to make California the permanent home (domicile), for
more than one year pursuant to the California Education Code, as of the residence determination date is, unless prohibited
by law or regulation, to be considered a resident.
Reference: ECS 68017, ECS 68060
Burden of Proof
The burden is on the student to demonstrate clearly, with proof, both physical presence in California and intent to establish
California residence.
Reference: ECS 68041, T5 54026
Reestablished Residence
If a student or the parents of a minor student relinquish California residence after moving from California, one full year of
physical presence, coupled with one full year of demonstrated intent to be a California resident, is required to reestablish
residence.
Reference: T5 54030
Conduct inconsistent with a claim for California residence includes but is not limited to:
• Maintaining voter registration and voting in another state.
• Being a petitioner for a divorce or lawsuit as a resident in another state.
• Attending an out-of-state institution as a resident of that state.
• Declaring non-residence for California income tax purposes.
Reference: T5 54024
Military Personnel
The laws and regulations governing residency and residency determination for military personnel and their dependents are
complex. These students are encouraged to make an appointment in the Admissions and Records Office if they have any
questions.
Non-US Citizen/Permanent Resident Students
A student who is not a US Citizen or Permanent Resident may establish his or her residence pursuant to the provisions of
the California Education Code if not precluded by the Immigration and Nationality Act from establishing domicile in the
United States; provided that the student has had residence in California for more than one year prior to the residence
determination date for the semester or session for which attendance is proposed.
Reference: ECS 68062(h), T5 54045
A non-US citizen/permanent resident is precluded from establishing domicile in the United States if they hold a visa type
B-1, B-2, C-1, C-1D, C-2, C-3, C-4, D-1, D-2, F-1, F-2, F-3, H-1B1, H-2A, H-2B, H-3, H-4 (if spouse or child of H-1B1,
H-2A, H-2B, or H-3), J-1, J-2, M-1, M-2, M-3, O-2, O-3 (if spouse or child of O-2), P-1, P-2, P-3, P-4, Q-1, Q-2, Q-3, S-
5, S-6, S-7, TWOV (Transit Without Visa), and (NAFTA) TN and TD are precluded from establishing domicile in the
United States. Also precluded are aliens under an “Order of Supervision,” on “parole” status, visitors possessing a Border
Crossing Card (BCC), Bering Straits (BE) agreement entrants, Visa Waiver Program (VWP) entrants under nonimmigrant
categories WB and WT, and aliens whose very presence is unlawful, or those who overstay their visas (undocumented or
out-of-status).
Reference: Immigration and Nationality Act, 8 U.S.C., 1101(a)(15).ECS = Education Code Section T5 = Title 5 Section
3
Term: _____________ Year: _______ Student ID#_____________________ Date of Birth: ___________
Last Name: ______________________________ First Name: ___________________________ MI: _____
Part A- Legal Status
Are you a citizen of the United States? □Yes □No
If yes, skip to Part B. If you are not a US Citizen, please complete the following questions and provide
proof of your legal status.
Do you have a permanent resident card? □Yes □No Issue Date __________
Expiration Date __________
Do you have an employment authorization card? □Yes □No Issue Date __________
Expiration Date __________
Category __________
Do you hold a valid nonimmigrant visa? □Yes □No Visa type __________
Issue Date __________
Expiration Date __________
Part B- Military Service
Service Member
Are you on active duty in the US military? □Yes □No
If yes, is your home of record or permanent military address in California? □Yes □No
If yes, are you assigned to CA for educational purposes?* □Yes □No
*If no, provide a statement from your commanding officer listing the dates and location of assignment.
Were you formerly on active duty in the US military? □Yes □No
If yes, were you stationed in California for at least 1 year prior to being discharged? □Yes □No
What is your date of discharge? _________
Were you dishonorably discharged or discharged for bad conduct?** □Yes □No
**If no, provide DD Form 214 and military orders listing dates and location of assignment.
Do you intend to use Chapter 30 Montgomery GI Bill-Active Duty (MGIB-AD) OR
Chapter 33 Post 9-11 GI Bill education benefits? □Yes □No
Provide your DD Form 214 and Letter of Eligibility.
Dependent
Are you a dependent, spouse, or child of an individual currently on active duty in California? □Yes □No
If yes, provide a statement from the military member's commanding officer listing the dates
and location of assignment along with your military dependent ID card
.
Are you a dependent eligible for transferred education benefits under either the Montgomery
GI Bill-Active Duty (MGIB-AD) or Post-9/11 GI Bill education benefit programs? □Yes □No
Are you a dependent eligible for benefits under the Marine Gunnery Sergeant John David
Fry Scholarship? □Yes □No
Provide your Letter of Eligibility and military dependent ID card.
Part C- Physical Presence and Intent
Are you a ward of the court? □Yes □No
RESIDENCY RECLASSIFICATION PETITION
4
If yes, attach ward of court proof and skip to Part D.
Date California became your permanent home? __________
Are you 19 years of age or older?** □Yes □No
Are you an emancipated minor?** □Yes □No
If yes, attach emancipation court documents.
**If you answered No to both questions above, sign on page 4 and complete Pages 5 and 6.
Students under the age of 24 but over the age of 19 who are still financially dependent on their parents
may likewise petition to derive their residency from their parents by completing Pages 5 and 6.
Do you have a valid driver’s license or ID? □Yes □No
If yes, by which state was it issued? ___________
Issue Date ___________
Expiration Date ___________
Do you own a registered motor vehicle? □Yes □No
If yes, in which state is the vehicle registered? ___________
Registration Date ___________
Expiration Date ___________
Are you registered to vote? □Yes □No
If yes, in which state are you registered to vote? ___________
Date of Registration ___________
Did you work in the last two years? □Yes □No
If yes, in what state did you work? ___________
Did you file a state tax return in the last two years? □Yes □No
If yes, which state did you file your tax return? ___________
Attach two proofs from the list on page 1. Please note additional proof may be required.
Part D- Signature and Acknowledgement
I declare under penalty of perjury that all statements and information in the petition are true and correct to the
best of my knowledge and that I am not withholding any pertinent information.
WARNING: Falsifying information about US citizenship, California residency, financial aid, and/or military
status could result in student disciplinary action and/or monetary charges such as back payment of nonresident
tuition fees.
Student’s Signature: _______________________________________ Date: ______________
For Office Use Only Received by: ___________ Date: ________ Processed by: ____________ Date: ________
□ Resident □ Non Resident □ Military Waiver □ VACA □ HS non-resident exemption (Z Code)
Comments: _________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
5
Student ID#________________ Last Name: _____________________ First Name: ___________________
The person most recently responsible for your support is: □ Birth Parent □ Adopted Parent □ Legal
Guardian □ Other Caretaker: ________________
If you answered “Adopted Parent” or “Legal Guardian” you must provide supporting court documents
showing adoption or guardianship.
Parent/Legal Guardian Name _______________________________________
Parent/Legal Guardian Address _______________________________________
_______________________________________
City State Zip
If you answered “Other Caretaker” above, are you currently under continuous and direct care and control of
any person or persons other than a parent? □Yes □No
**If yes, give name and address of such person(s):
Name _______________________________________
Address _______________________________________
_______________________________________
City State Zip
How long have you continuously been under such direct care and control? __________
Physical Presence of Parent/Guardian/Other Care Taker
Does your parent/guardian/other caretaker have a valid driver’s license or ID? □Yes □No
If yes, by which state was it issued? ___________
Issue Date ___________
Expiration Date ___________
Does your parent/guardian/other caretaker own a registered motor vehicle? □Yes □No
If yes, in which state is the vehicle registered? ___________
Registration Date ___________
Expiration Date ___________
Did your parent/guardian/other caretaker file a California state tax return in the last two years? □Yes □No
Were you, the student, claimed as a dependent on the state tax return? □Yes □No
Did your parent/guardian/other caretaker file a federal tax return in the last two years? □Yes □No
If yes, which state was the tax return filed in? ___________
Were you, the student, claimed as a dependent on the federal tax return? □Yes □No
Students Deriving Residency from Parent/Guardian/Other Caretaker
their own; they derive residency from their parent or legal guardian. Students under the age of 24 but over the age of 19 at the start of the
semester/term they are petitioning to reclassify who are financially dependent on their parents may derive residency from their parents if there is sufficient
evidence of financial dependency and the parent is a California resident. All documentation must be for the same parent or guardian. If the student
lives with a legal guardian, court guardianship documents must also be submitted.
6
Please attach two proofs for your parent/guardian/other caretaker from the list on page 1.
Please note, additional proof may be required.
Signature and Acknowledgement
I declare under penalty of perjury that all statements and information in the petition are true and correct to the
best of my knowledge and that I am not withholding any pertinent information.
WARNING: Falsifying information about citizenship, California residency, financial aid, and/or military
status could result in student disciplinary action and/or monetary charges such as repayment of nonresident
tuition fees.
____________________________________ ______________________________________________
Student Signature Date Parent/Guardian/Other Caretaker Signature Date
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Petition For Reclassification From Nonresident Status To California Resident (Citrus College)

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Completed 3 September 2020

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