Do they hold a current driver’s license/state-issued ID? Yes No State issued?
Do they own a motor vehicle? Yes No State registered?
Are they registered to vote? Yes No State registered?
Did they file a state income tax return for the most recent tax year? Yes No
State filed? Were you claimed as a dependent? Yes No
Submit completed form and required documentation to:
(Preferred Method) Email: firstname.lastname@example.org
(Secondary) Fax: 912-358-4588
Tuition Classification Officer
Savannah State University
3219 College Street
Savannah, Georgia 31404
For questions please contact us at email@example.com or Phone: 912-358-4338
Section II – STUDENT Oath and Affirmation
I understand that any material false statement made knowingly and willingly by me on this application, or any documents attached hereto
may, in accordance with O.C.G.A. 16-10-71, which provides that upon conviction, a person who knowingly commits the offense of false
swearing shall be punished by a fine of not more than $1,000 or by imprisonment for not less than one nor more than five years, or both,
subject me to prosecution in a court of law. Additionally, I further understand that any such false statement may subject me to immediate
dismissal from the institution.
Further, I certify that, to the best of my knowledge, the information submitted on this application is true and complete.
Section III –Documentation Requirements
ALL STUDENTS MUST PROVIDE THE FOLLOWING:
Documentation that domicile has been established and maintained in the eligible bordering state for at least 12 consecutive months
immediately preceding the first day of classes for the term the waiver is requested and documentation of current domicile in an eligible
bordering state. Eligible bordering states are based on the institution of attendance.
Students who are under the age of 24 must provide documentation related to the domicile of their parent(s) or U.S. court-appointed legal
Please include TWO of the following documents:
• Copy of lease agreement or warranty deed
• Copy of driver’s license or state-issued ID
• Copy of vehicle registration
• Copy of state tax return filed for the most recent tax year (Federal Tax Returns-Florida residents only)
LAWFUL PRESENCE IN THE UNITED STATES
In addition to the above waiver-specific documentation requirements, students must be verified to be lawfully present in the United States
to be eligible for any out-of-state tuition waiver.
NOTE: Additional documentation may be requested to determine waiver eligibility.
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