MISSION COLLEGE
RESIDENCY RECLASSIFICATION PETITION
MC Admissions & Records 3000 Mission College Blvd, Santa Clara CA 95054
04/2018
A&R Office: (408) 855-5000
Request Reclassification for Mission College ID #
Term Year
Name Birth Date
Last First MI
Student’s Address
Street Apt
City State ZIP
Phone ( ) Email Address
All documentation must be dated at least one year and one day prior to the start date of the
semester.
To establish residency, you are required to be a US citizen, a permanent resident, an applicant for permanent
resident status, or possess a visa that allows you to establish residency.
When did your present stay in California begin? / /
Month Day Year
US Citizen Y N
If NO, Permanent Resident # or VISA Type Issue Date
It is the burden of the student to demonstrate clearly both physical presence in California and
intent to establish California residency.
You must submit a minimum of two documents (from the list below) proving residency to the Admissions Office.
Student Documentation Only - If student is under 19 years old, parent documentation is required.
Student OR Parent Issue Date
Valid California Driver’s License/California ID
Ownership of residential property or rental / lease agreement in California
Active California bank account - one
statement from at least one year and
one day prior to the start of the term and one current statement.
Voter registration and proof of voting in California
License from California for professional practice
Previous two years of Federal income taxes showing California as home address
and previous two years of California state income tax as a resident
Possession of California motor vehicle registration
Maintenance of permanent military address or home of record (DD214)
Record of petition for a divorce in California
Documentation of California State services recipient
Documentaion of California Insurance (car, health, dental etc.)
I declare under penalty of perjury under the laws of the state of California the information and documentation submitted
in connection with the determination of my residency are true, complete and accurate. I understand that so long as I am a
student of the West Valley-Mission Community College District, I will advise the Admissions and Records Office of any
changes to my status of residence. Further, I understand falsification, withholding pertinent data or failure to report
changes in residence may result in legal action.
Student Signature Date
Parent Signature Date
Required only if student is under 19
Office Use Only
Approved Denied Change Code: From To By Date / /
Comments
Students under 19yrs Parent Documentation is required
Parent Info.
When did your present stay in California begin?
US Citizen: Y N
If NO, Permanent Resident # or VISA Type / Issue date:
RESIDENCY RECLASSIFICATION REQUIREMENTS
A resident student is one who has been physically present in the state for more than one
year and one day prior to the start of the term they will be attending. A person capable of
establishing residency in California must be able to provide objective evidence of their
eligible immigration status, physical presence in the state of California, and their intent to
make California a permanent home. Residency status is determined at the time of
admission. Applicants who cannot establish residency, as defined above, will be considered
as non-residents or international students.
Eligibility for California Residency:
1. You must be a United States citizen, permanent resident, asylee/refugee, or have a visa
status that is eligible to establish residency. That includes the following visa categories: A 1-
3, E 1-3, G 1-5, H-1B, H-1C, H4 (if dependent of H-1B or H-1C), I, K 1-4, L-1A, L-1B, L-2,
NATO 1-7, N-8, N-9, O-1, O-3 (if dependent of O-1), R 1-2, T 1-5, U 1-5, and V 1-3.
2. You must have lived in California under a residency eligible immigration status for at least
one year and one day prior to the start of the term for which you seek residency.
In accordance with Assembly Bill 540 and AB 2000, any student, other than a
nonimmigrant alien, who meets all of the following requirements, shall be exempt
from paying nonresident tuition at the California Community Colleges:
The student must have attended a high school (private or public) in California for
three or more years.
The student must have graduated from a California high school or attained the
equivalent prior to the start of the term (eg. Passing the GED or California High
School Proficiency exam).
An alien student who is without lawful immigration status must file an affidavit with
the college stating that he or she has filed an application to legalize his/her
immigration status, or will file an application as soon as he/she is eligible to do so.
You may obtain the required form, 'Student Affidavit for Exemption from
Nonresident Tuition', in the Admissions Office.
Students who are nonimmigrant (for example, F or B visas, etc.) are not eligible
for this exemption.
Nonresident students meeting the criteria will be exempt from the payment of
nonresident tuition and will be classified as California residents.
If you need to update your residency, please fill out the Residency Reclassification
Petition and return it to the Admissions Office along with your supporting documents. All
documents must be in the student’s name and dated appropriately for the term in which
residency is requested. Original documents are requiredwe cannot accept photocopies.
All valid supporting documents are stated on the petition.