JFAA-EA
EXHIBIT EXHIBIT
ADMISSION OF RESIDENT STUDENTS
RESIDENCY DOCUMENTATION FORM
Student_________________________________________School____________________
Parent/Legal Guardian_____________________________________________________
Address __________________________________________________________________
As the Parent/Legal Guardian of the Student, I attest that I am a resident of
the State of Arizona and submit in support of this attestation a copy of ONE of
the following documents that displays my name and residential address or
physical description of the property where the student resides: CHECK ONLY ONE
_____ Valid Arizona Driver’s license, Arizona identification card or motor vehicle
registration Valid U.S. passport
_____ Real estate deed or mortgage documents
_____ Property tax bill
_____ Residential lease or rental agreement
_____ Water, electric, gas cable, or phone bill
_____ Bank or credit card statement
_____ W-2 wage statement
_____ Payroll stub
_____ Certificate of tribal enrollment or other identification issued by a
recognized Indian tribe that contains an Arizona address
_____ Documentation from a state, tribal or federal government agency (Social
Security Administration, Veteran’s Administration, Arizona Department of
Economic Security)
_____ I am currently unable to provide any of the foregoing documents.
Therefore, I have provided an original affidavit signed and notarized by an
Arizona resident who attests that I have established residence in Arizona
with the person signing the affidavit.
_____________________________________________________ _____________________
Signature of Parent/Legal Guardian Date
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