TULSA
COMMUNITY
COLLEGE
_________________________________________
__________________________________________ _____________________________________________
__________________________________________
____________________________________________________
In accordance with Title 70, O.S., Section 3242 (2007) (also known as HB 1804 of the First Regular Session of the 51
st
Legislature), an individual who cannot present to the institution valid documentation of United States Nationality or
an immigration status permitting study at a postsecondary institution, but who has graduated from a public or private
high school in Oklahoma, may be eligible for enrollment and resident tuition if the individual files the following
affidavit with the institution:
AFFIDAVIT OF INTENT
STATE OF OKLAHOMA )
)
COUNTY OF ____________________________ )
Before me, the undersigned Notary Public, on this day personally appeared
(Name)________________________________________________________ who, being of lawful age and by me duly
sworn upon his/her oath, deposed and said:
1. My name is __________________________________________________________________. I am fully
competent to make this affidavit. I have knowledge of the facts stated herein and they are all true and correct.
2. I have graduated from a public or private high school in Oklahoma.
3. I resided in Oklahoma with a parent or legal guardian while attending classes at a public or private high school in
this state for at least two (2) years prior to graduation.
4. I will file an application to legalize my immigration status at the earliest opportunity that I am eligible to do so,
but in no case later than (a) one (1) year after the date on which I enroll for study at the institution, or (b) if
there is no formal process to permit children of parents without lawful immigration status to apply for lawful
status without risk of deportation, one (1) year after the United States Citizenship and Immigration Services
provides such a formal process.
In witness whereof, this _____________ day of ___________________________________, __________.
(Printed Name of Student)
(Signature of Student) (Signature of parent/guardian if student is under age 18)
(Student ID # or other ID #, if applicable)
SUBSCRIBED AND SWORN TO BEFORE ME, on the ____________ day of _____________________________,
_________, to certify which witness my hand and official seal.
Notary Public in and for the State of Oklahoma
My commission expires ________________________________
