OFFICE USE ONLY
St. Clair County Community College
Proof of Residency
TERM:
Fall 20______
Winter 20______
Summer 20______
Date___________________
(Attach two proofs to this form)
Processed by___________
I,__________________________________________________ , do state that I reside at
___________________________ , ________________________________________
Street address
City
State
ZIP
and have lived at this residence since________________________________________
Effective date
Phone:_______________________ Student number____________________________
Date:___________________ Student signature:______________________________ To be eligible for in-district tuition rates, you must provide SC4 with an address change
on your driver’s license or Michigan ID card PLUS one of the following:
(1) a copy of your rent or lease agreement, residential tax bill
or the completed and notarized bottom portion of this form.
(2) any residential utility bill (e.g. water, electric, cable) in your name
at the above address.
These proofs must have an effective date that is at least 30 days prior to the start date of the semester
for which you are seeking in-district residency. Documentation must be submitted to the One-stop
Student Services office (first floor, SC4 Welcome Center) by the first day of the semester for which you
are seeking in-district residency.
THIS SECTION TO BE COMPLETED BY LANDLORD AND NOTARIZED
I hereby verify that_______________________________________________________ is residing
Print student’s name
at______________________________________________________________________ and the
Street
City
StateZIP
effective date of this residency is____________________________________________________
Month/Day/Year
LANDLORD’S NAME____________________________________
Please print
LANDLORD’S SIGNATURE______________________________ DATE____________________
Subscribed and sworn to:
Notary Public, St. Clair County, Michigan
on this _____ day of ___________________, 20_____.
My commission expires__________________________
_____________________________________________
Signature
6-22-16
St. Clair County Community College
Residency Proof Requirements
A student wishing to be classified as an “in-district” resident of St. Clair County Community College at
the time of enrollment MUST HAVE BEEN A BONA FIDE RESIDENT:
A. In the St. Clair County Community College District for at least 30 days prior to the start of
classes.
B.Of the state of Michigan for at least six months.
•Residency of all students younger than age 18 follows that of their parents’ or legal
guardians’ residency.
The St. Clair County Community College District does not include those individuals who live in the
Anchor Bay, Armada, Richmond or Croswell-Lexington school districts even though parts of those
school districts are within the boundaries of St. Clair County.
Students who do not meet the stated requirements in Section A but do meet Section B will be classified
as “out-of-district” students.
SC4 students are responsible for maintaining an accurate address at the college for the purpose of
billing tuition appropriately as well as mailing pertinent information.
Students who falsify their residency will be subject to payment of tuition at the correct residency rate.
Charges will be retroactive.
Students who have moved from out-district to in-district must complete the following steps and
submit documentation, prior to the start of classes, to be charged at the in-district rate:
•Complete a Proof of Residency Form.
•Provide a copy of a Michigan driver’s license or Michigan ID card showing the current in-district
address dated a minimum of 30 calendar days prior to the start of classes.
•Provide at least one additional proof showing the student’s name and current in-district address
dated a minimum of 30 days prior to the start of classes. The second proof may include:
• Rent receipt or letter from the landlord (must be notarized) or the completed bottom portion
of the Proof of Residency form (must be notarized)
• Lease agreement
• Utility bill(s) issued in the student’s name (e.g. water, electric, cable)
Residency status is determined by Enrollment Services at the time of admission or re-admission to the
college. Any changes in residency status must be reported immediately.
Appeals may be made to the registrar.
Note: Students attending SC4 on a F-1 student visa cannot establish residency.
6-22-16