Fillable Reclassresform Application for Reclassification of Residency Status

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Reclassresform Application for Reclassification of Residency Status

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The Reclassresform Application for Reclassification of Residency Status form is 2 pages long and contains:

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  • 0 check-boxes
  • 28 other fields

Country of origin: US
File type: PDF

U.S.A. forms for National Park College

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National Park College
Application for Reclassification of Residency Status
Name Age SS#
Permanent Home Address
Specify year and term in which the reclassification would first take effect:
Year Term
Date of Birth Place of Birth
If foreign born, have you been naturalized?
Yes No
If not a citizen, what type of visa do you hold?
When did you obtain this visa?
Have you declared an intent to become a U.S. citizen?
Yes No
When did you come (or last return) to Arkansas? From where?
Please supply the following information:
Father's name and address Mother's name and address
Your marital status:
If married, spouse's name:
Date & Place of Marriage:
The application must be supported with copies of appropriate documentary evidence and submitted
to the office of the Registrar PRIOR TO THE BEGINNING OF THE SEMESTER in which re-
classification is requested.
Examples of documentary evidence of residency status include:
* Driver's license * Assessment of personal property
* Automobile registration * Assessment of real property
* Voter's registration * Establishment of bank account (letter from bank)
* State income tax return * Utility bills
* Lease/Rental Agreements
ALL TUITION AND FEE CHARGES ARE DUE ON THE PUBLISHED DATES AND NO WAIVERS
WILL BE GIVEN PENDING AN EVALUATION OF RESIDENCY STATUS.
Applicant's Statement (Required of all applicants)
Make a brief statement for each of the following:
(a) Your purpose in coming or last returning to Arkansas
(b) A chronology of dates, events, activities, employment, and places of living for the past six months
(c) Facts that, in your opinion, tend to establish your true, fixed, and permanent residence, including the date it
became such, and the facts concerning your actual place of living during the first six months here
By submitting this application I hereby affirm that all information provided is complete and accurate.
Signature of Student _______________________________________ Date _________________
Mailing address Local phone
*** For Registrar's Office Use Only ***
ACTION: Accept Reject
Registrar signature:______________________________________ Date: ___________________
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Reclassresform Application for Reclassification of Residency Status

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Completed 14 November 2019

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