1
Admissions Office (new students)
Registrar’s Office (current or returning students)
1401 Presque Isle Avenue
Marquette, MI 49855
Student Residency Application
First Name: ______________________ Last Name: ________________________________ M.I.: __
Address (No./Street or P.O. Box):________________________________________________________
City/State/Zip: _______________________________________Phone:__________________________
Date of Birth (mm/dd/yy):______________ NMU Identification Number (I.N.): _______________
E-mail Address (use NMU if current student): ____________________________________________
The following questions are designed to elicit information which may be relevant in determining whether or not you
are a resident of Michigan for tuition purposes at Northern Michigan University. Please provide ALL requested
information and be sure to attach supporting documentation as applicable. Failure to do so will result in delays in
processing your request.
Note that, per the residency policy, to be eligible for in-state residency for tuition purposes you must be able to
demonstrate:
Your previous domicile has been abandoned and a Michigan domicile established.
You have been domiciled in the State of Michigan for at least 6 months prior to the start of the semester for
which you are applying (must be able to prove physical presence, not paying bills).
You can demonstrate intent to make Michigan your home, not only while attending NMU, but thereafter as
well.
See full policy (nmu.edu/residency) for details and additional considerations.
1. Please list every address at which you have lived during the past three years and indicate the time period during
which you lived at each address. If there are more than three addresses, please provide the information in the
comments section (item #13).
a.___________________________________________________________________________________
From (mm/dd/yy):________To (mm/dd/yy):_______
b.___________________________________________________________________________________
From (mm/dd/yy):________To (mm/dd/yy):_______
c.___________________________________________________________________________________
From (mm/dd/yy):________To (mm/dd/yy):_______
2. Do you currently reside in the State of Michigan? Yes No
If yes, do you own____ or lease____ the dwelling in which you are residing in the State of Michigan? If owned,
please attach evidence of ownership (e.g., property tax bill or copy of mortgage). If leased, please attach a copy of
your lease agreement or similar documentation. Note – property ownership or a lease is not adequate
documentation to approve residency. Proof of living in the state for six consecutive months is required in
addition to this documentation.
2
3. U.S. Military ServiceIf you will be providing documentation of your status related to U.S. military service,
please check the appropriate category and provide the related documentation.
_____Stu
dent is a veteran (provide copy of DD214 or similar showing discharge)
_____Student is an active military member (Provide copy of current military orders or similar)
_____Student is a covered individual: spouse, dependent or individual using educational assistance (provide copy of
service member’s documentation AND documentation of student relationship to service member)
You are not required to complete the remaining questions. Please proceed to signature section; sign and return
form with documentation. Note: If you plan to use any GI Bill education benefits, you may want to contact the
NMU Financial Aid Office to discuss possible impacts of a residency change.
4. Are you living with a relative? Yes No
If so, please indicate the nature of the relationship (e.g., parent, aunt, brother, etc.).
_____________________________________________________________________________________
5. Please state the address of the place which you consider to be your permanent home. This address must match the
permanent address the University has for you.
_____________________________________________________________________________________
6. Please state the name(s) of your parent(s) or legal guardian (s), and list all addresses where they have resided for
the last three years. Also, please include the time periods during which they have resided at those addresses. If there
are more than three addresses, please provide the information in the comments section (item #13).
a.___________________________________________________________________________________
From (mm/dd/yy):________To (mm/dd/yy):_______
b.___________________________________________________________________________________
From (mm/dd/yy):________To (mm/dd/yy):_______
c.___________________________________________________________________________________
From (mm/dd/yy):________To (mm/dd/yy):_______
7. Please list the company/business names and addresses of your employers for the previous three years and the
dates during which you were employed. If you are presently employed, please state whether you consider the
employment temporary or permanent. If there are gaps in employment, please explain.
Company name:_________________________________________________________________________
Company
address:_______________________________________________________________________
Dates Employed -From (mm/dd/yy):________To (mm/dd/yy):________Temporary or Permanent
Company name:_________________________________________________________________________
Company address:_______________________________________________________________________
Dates Employed -From (mm/dd/yy):________To (mm/dd/yy):________ Temporary or Permanent
Company name:_________________________________________________________________________
Company address:_______________________________________________________________________
Dates Employed -From (mm/dd/yy):________To (mm/dd/yy):________ Temporary or Permanent
3
8. Are you married? Yes No
If so, please list the name and present address of your spouse. Indicate how long he/she has resided at that address
and each other address for the previous three years.
Spouse’s Name: ______________________________________
Current Address:_______________________________________________________________________
From (mm/dd/yy):________To (mm/dd/yy):_______
Previous Address 1:_______________________________________________________________________
From (mm/dd/yy):________To (mm/dd/yy):_______
Previous Address 2:_______________________________________________________________________
From (mm/dd/yy):________To (mm/dd/yy):_______
9. Are you registered to vote in the state of Michigan? Yes No
If so, please attach a copy of your Michigan voter registration.
10. Do you own an automobile that is registered in the state of Michigan? Yes No
If so, please attach a copy of your Michigan vehicle registration.
No
11. D
o you hold a valid Michigan driver’s license? Yes
If so, please attach a copy of the license.
12. Are you a transfer student or have y
ou attended any college since your last enrollment at NMU?
Yes No
If so, please list the names and dates of attendance at all institutions of higher education attended within the previous
five years. If there are more than three, please list additional in the comments section (item #13).
a.___________________________________________________________________________________
From (mm/dd/yy):________To (mm/dd/yy):_______
b.___________________________________________________________________________________
From (mm/dd/yy):________To (mm/dd/yy):_______
c.___________________________________________________________________________________
From (mm/dd/yy):________To (mm/dd/yy):_______
13. If there is any additional information which you think might have a bearing on the determination of your status
as a resident of the State of Michigan for tuition purposes at Northern Michigan University, please indicate so. This
section is very important. Please provide detailed information, to ensure that we are able to make an accurat
e
determination of your residency status (attach additional sheet, if necessary).
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
STOP!
4
Have you provided the proper information for each section? Have you attached all important supporting
documentation (copy of driver’s license, vehicle registration, voter’s registration card, pay stubs to verify
presence in Michigan when courses are not in session, etc.)?
If you answered yes to both of these questions, sign the statement below and return this form as indicated.
I certify that the information I have provided on this application is correct to the best of my knowledge.
Signed:_________________________________________________________ Date:________________________
Note: Deadline for applications is 10 calendar days following the first day of classes of the semester for which such
reclassification is sought. Applications received after the deadline will be considered for the following semester.
If you have never attended NMU, please return your form to the Admissions Office:
Mail: Drop off:
Admissions Office Admissions Office
Northern Michigan University 2212 Hedgcock
1401 Presque Isle Ave
Marquette, MI 49855
If you are currently attending NMU, or have previously attended NMU, please return your form to the Registrar’s
Office:
Mail: Drop off:
Registrar’s Office Registrar’s Office
Northern Michigan University 2202 Hedgcock
1401 Presque Isle Ave
Marquette, MI 49855
Applications for continuing students will be accepted as follows:
Fall semester: July 15 through the second Wednesday after the start of the semester (10th calendar day).
Winter semester: November 1 through the second Wednesday after the start of the semester.
Summer semester: March 15 through the second Wednesday after the start of the semester.
NOTE: Applications for summer semester will only be accepted for students enrolled in on-campus courses over the
summer. Students enrolled in only web courses or no summer courses should apply for fall. Tuition rate for web
courses is the same for both in-state and out-of-state residents.
Email:
Admissions@nmu.edu
Email:
Records@nmu.edu
click to sign
signature
click to edit
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome