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Woodland Community College Admissions 2300 E. Gibson Road (Woodland Community College)

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Woodland Community College Admissions
2300 E. Gibson Road
Woodland, Ca 95776
530-661-5720
You have been given this application because you have been classified as a non-resident of California based upon your
submitted admissions application.
This information is provided to inform and educate you about the determining California laws, rules and regulations
involved in establishing California residency.
The above classification requires payment of non-resident tuition.
Non-Resident & Non-Country fees are $280.00 + $46.00 = $326.00 per unit.
Below are terms used in the process of residency and are referenced in Title 5 and the California Education Code.
Burden of Proof (Title 5, 54026)
The burden of proof is on the student to demonstrate clearly both physical presence in California and intent to establish
California residence without conflicting information. Students are also advised that the burden of proof of residency lies
with the individual.
Physical Presence: (Title 5, 54022)
You must have been physically present in California for one year and one day prior to the first day of semester/term you
wish to be declared a resident for tuition purposes. You must have been physically present in the State of California for
one year as of the residency determination date, before the semester begins. You will be required to prove physical
presence.
Intent to remain in California: (Title 5, 54024)
Intent to make California your home for other than a temporary purpose may be demonstrated in many ways. No one
factor is controlling. You must manifest intent to become a California resident. The items of intent must be at least one
(1) year old as of the residency determination date.
Financial Independence: (The California Education Code Section 68044)
The California Education Code requires that the financial independence of a nonresident student seeking reclassification
as a resident be included in the factors to be considered in the determination of residence. You must not have received
any form of financial support from a parent residing outside of California for the year prior to your claim of resident
status. Your parents may be required to sign and have notarized an affidavit and submit appropriate tax forms to verify.
All documents submitted must be valid, legible, and dated at least one (1) year and one (1) day prior to the start date of
the term/semester and include NAME and A PHYSICAL CALIFORNIA ADDRESS. With the exception of the driver's license
or California ID, documents CANNOT be older than 2 years prior to the start of the term for which residency is being
requested. Providing the minimum three (3) documents will not guarantee your residency status will be changed. Any
insufficiency or lack of consistency with the documentation provided will also prevent a change in residency status. An
incomplete application will not be accepted by Admissions staff.
Cond
uct inconsistent with a claim of California residence includes but is not limited to:
1. Maintaining voter registration and voting in another state.
2. Being the petitioner for a divorce in another state.
3. Attending an out-of-state institution as a resident of that other state.
4. Declaring non-residence for state income tax purposes.
5. Maintaining an out-of-state license.
When
you submit your residency reclassification application, please provide:
1. Valid Photo Identification
2. Residency Application
3. All documentation you wish to submit
Documentation that may be submitted to prove residency:
Physical
Presence
Intent
Financial
Independence
California Driver’s license or California Identification Card
X
X
California motor vehicle registration
X
X
Continuous occupancy in California (rental or lease agreement)
X
X
DD-214 (Certificate of release or discharge from Active Military
Duty) and copy of LES (Leave and Earning Statement) showing
California as home of record.
X
Federal W-2 or 1040EZ (showing California address)
X
California State Income Tax Form 540 with California Address –
prior year(s) showing not claimed as a dependent
X
X
X
Filed FAFSA (Free Application for Federal Student Aid) as
Financially Independent
X
License for professional practice in California (trade, business,
professional) with issue date
X
X
Ownership of residential property in California
X
X
Parents filed tax returns, showing student was not claimed as a
dependent.
X
Permanent military address or home in California while in
armed forces
X
X
Proof of employment (prior year tax return and current year pay
stub with name and address
X
X
Statement(s) of active bank account with California address
(provide quarterly statements dating back one year and one day)
X
Utility bills (electric, gas, water, telephone) (provide quarterly
statements dating back one year and one day)
X
Verification of public assistance, rehabilitation, unemployment,
or other California State services (passport to services)
X
X
X
Voter Registration
X
RESIDENCY RECLASSIFICATION FORM
WCC ADMISSIONS & RECORDS OFFICE
2300 E. Gibson Road
Woodland, CA 95776
Status/Questions: EMAIL: WCCAdmissionsinfo@yccd.edu
This form is to be completed and returned to the address above. Incomplete forms will be returned. A MINIMUM OF
THREE (3) PIECES OF DOCUMENTATION WILL BE REQUIRED. See guidelines for details.
Legal Name______________________________________________________________________ WCC ID No. ___________
(Please print legibly) Last First MI
Present Address _________________________________________________________________ Birthdate_______________
Phone ( )____________
__________________________________________________________ WCC Email: _________________@go.yccd.edu
City State Zip
Requesting Re-Classification for ______________________________________
Term Year
1. Do you intend to make California your permanent residence? ________
2. When did your present stay in California begin? ______/______/______
Mo Day Yr.
If your current stay is less than 24 months, include the date you entered the previous state(s) for the last two years.
_____ ____/____/____ ______ ____/____/____ ______ ____/____/____
State Mo Day Yr State Mo Day Yr State Mo Day Yr
3. Since the date listed in question two, answer YES or NO to all of the following. Have you…
a. Maintained voter registration and voted in a state OTHER than California? ________
b. Have you been a petitioner for divorce in a state OTHER than California? ________
c. Have you attended an out-of-California institution as a resident of that state? _______
d. Have you declared non-resident status for state income tax purposes? ______ if yes, what state_________
4. If you are nineteen or older complete numbers 5-16 about yourself. If you are under nineteen years of age, complete the
information below and numbers 5-16 about your parent or legal guardian. (please print)
Name of Parent or Legal Guardian ____________________________________________________________________
Present address ____________________________________________________________________________________
______________________________________________________________________
Relationship to student: ____________________________________________________________________________
5. Citizenship status (Circle one) (You must show documentation to verify status other than U.S citizen)
a. U. S. Citizen c. Visa Type _________
b. Permanent Resident Visa Alien number:__________________ Refugee/Asylee
_____/_____/______ Other _________
Date Issued
Title 5 section 54020-To establish residence, a person capable of establishing residence in California must couple his
or her physical presence in California with objective evidence that the physical presence is with the intent to make
California the home for other than temporary purpose.
OFFICE USE ONLY
DATE STAMP
RECEIVED BY
____________________
: __________
License Number ______________________ Date issued _____/_____/_________
: _________ Date: _____/_____/_______
8. List the state and year in which your last two state income tax returns were filed.
State _______ Year _______ State _______ Year _______
9
Date purchased: _____/_____/_______
10. Do you rent prope
No If yes, lease type (circle one)? 6 month 1 yr. or more Month to month
Beginning date _____/_____/_______ Ending date _____/_____/_______
If “No” to 9 and 10 please explain _______________________________________________________________________
11. Source of financial support for the past year? _____________________________________________________________
12. Were you employed in CA in the past year?
Employer_________________________________________ From: _____/_____/_______ to _____/_____/_______
Your address shown on current W-2_________________________________________________________________
_________________________________________________________________
13
14. Are you claimed as a dependent on the military records of any member of the U. S. armed forces
If yes, explain relationship and answer No. 16 as it pertains to the service person _____________________________
15
of record on military records __________
Most recent address on military records __________________________________________________
Active?
Yes State currently stationed and dates? ________ _____/_____/_____
State date began
16. Student Financial Independence Status. Education Code 68044 requires that the financial independence of a non-resident
student seeking reclassification of a non-resident student seeking reclassification as a resident be included in the factors to be
considered in the determination of residency. Therefore, all students must answer the following questions.
a. Will your parent(s) claim you as a dependent exemption for the state and/or federal tax purposes for the current or
previous calendar years?
b. Have you received or will you receive more than $750 in financial assistance from your parent(s) in the current or
previous calendar years?
c. Have you lived or will you live for more than six weeks with your parent(s) during the current or previous calendar
years?
d. Are your parent(s) CA Residents?
CERTIFICATION TO BE READ AND SIGNED BY ALL STUDENTS COMPLETEING THIS FORM.
Revised 04/2020
//Date
I DECLARE UNDER PENALTY OF PERJURY THAT THE STAEMENTS AND DOCUMENTS SUBMITTED BY ME ARE TRUE,
ACCURATE AND CORRECT. I further understand that all materials submitted by me for the purposes of residency
reevaluation become property of Woodland Community College. I understand that falsification, withholding pertinent
data, or failure to report changes in residency may result in my dismissal.
Student signature Parent/Guardian
signature
______________________________
______________________________
______ ______
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Completed 25 July 2020

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