Presbyterian College Phone 864.833.8209 Fax 864.833.8749 [email protected] Financial Aid Office 503 South Broad Street Clinton, SC 29325 South Carolina Residency Certification Do You Qualify for South Carolina Residency? A South Carolina resident for South Carolina financial assistance is a person (if under 24, the parent or legal guardian) who has established and maintained legal residence in South Carolina for at least twelve (12) months immediately preceding the first day of classes of the academic term for which the student enrolls. Residence during the 12 month qualifying period must be for the purpose of maintaining a bona fide domicile rather than maintaining a temporary residence incident to enrollment in an institution of higher education. If any of the following statements are true, check that box and then fill out the “South Carolina Residency Parent/Guardian Information” on page 2 of this form. □ I am an independent person and have maintained legal residence in South Carolina for at least 12 months. (If under 24, a copy of marriage certificate or copy of birth certificate for legal dependent(s) is required.) □ I am a dependent person and my parent or legal guardian has maintained legal residence in the state of South Carolina for at least 12 months. (If parent/legal guardian cannot complete two of the items listed under the South Carolina Residency Parent/Guardian Information on page 2, a signed copy of 2012 STATE tax return on which you were claimed as a dependent is required.) □ I am a dependent person who has resided for five years with an adult relative other than my parent or legal guardian, and my relative has maintained legal residence in South Carolina for at least 12 months. (A signed copy of 2012 STATE tax return from the adult relative on which you were claimed as a dependent or other proof of dependency is required.) □ I am married to a person who has maintained legal residence in South Carolina for at least 12 months. I have established legal residence and intend to make South Carolina my permanent home. (A copy of the marriage certificate or spouse’s residency documentation is required.) □ I was previously enrolled at a South Carolina state institution and classified as a South Carolina resident for tuition purposes. I abandoned my South Carolina domicile less than 12 months ago and am now re-establishing South Carolina legal residence. □ According to the United States Immigration and Naturalization Service, I am a permanent resident-alien, or other legal alien granted indefinite stay and have maintained domicile in South Carolina for at least 12 months. (INS documentation and proof of residency status is required.) □ I am a member of the armed forces of the United States and I am stationed in the state of South Carolina on active military duty pursuant to military orders, or whose home of record is South Carolina, or I am a member’s spouse or dependent child. (A copy military orders, DD214 or DD2058 showing home of record is required.) □ I am a full-time instructional or administrative employee employed by a South Carolina public school, community college or institution of higher education, or I am the employee’s spouse or dependent child. (A copy of employment verification is required.) □ I am a full-time employee of a state agency or political subdivision of the state whose student fees are paid by the state agency or political subdivision for the job-related law enforcement or corrections training. We must have at least two forms of proof of residency. Listed below are acceptable documents for verifying proof of residency. First Tier (at least one of the documents submitted must be from this list) Second Tier (may be used in conjunction with one document from First Tier) South Carolina Driver’s License or State of South Carolina Copy of 2012 STATE Income Tax return listing student as a dependent Identification Card (at least 12 months old) South Carolina voter’s registration card Proof of permanent/full-time (37.5 hrs wk or more) employment in South Carolina Proof of purchase of a permanent home in South Carolina that is A South Carolina professional license occupied as the primary residence of the claimant Designating South Carolina as state of legal residence on military Lease agreement and proof of 12 consecutive months of payment record South Carolina vehicle registration card Declaration of domicile in South Carolina ____________________________________________________________________ ___________________________ Student Name (print) PC ID # South Carolina Residency Affidavit If you checked any of the boxes on page 1 of this form, this section must be completed. Dependent -*If you’re under 24, you’re dependent – dependent means any person, whether or not living with his or her parent, who is eligible to be claimed by his or her parent as a dependent under the federal income tax code. *If you are a dependent student then your parent or legal guardian is the claimant. Independent - *If you are over 24, you are independent. You may also be considered independent if you are married, you have a child or other dependent as defined by the federal tax code, your parents are deceased and you are or were until age 18 a ward of the court, or you are considered independent for financial aid purposes. Documentation of any of these situations is required. Step 1 - Student General Information Name of Student ___________________________________________________________________ PC ID #______________________________ First Middle Last City _______________________________ State _______ Zip ____________ Contact number: (_______) _________-______________ Step 2 - Initial Eligibility Requirement to Receive Funding: I certify the following (place a check mark by each statement that applies): _____I OR _____I AND _____I _____I am a U. S. Citizen am an eligible non-citizen. Please attach a copy of your alien registration card or Visa. am not in default on any educational loan and do not owe a repayment on a state or federal grant. have not previously earned a bachelor’s degree. Selective Service Status: _____I am registered with the Selective Service. OR _____I am not required to be registered with Selective Service because (check one): _____I am female. _____I am in the armed services on active duty. _____Other: ________________________ Step 3 - Residency Parent or Student (if independent only) Information Name: First _______ ___ _ Last Middle Permanent South Carolina Residence address: Relationship to Student: _________________________ _________________________ ______ City _______________________ State ______ Zip ____________ Contact number: (_____) _____-____________ Telephone Number: (Home) ________ Date that you established South Carolina Residency (Month/Day/Year) (Work) ________________ ______/_________/_______________ * Don’t forget to enclose two copies of the appropriate documents listed on the application. Documents supporting the establishment of legal residence must be dated, issued or filed 12 months prior to matriculation at Presbyterian College. I do hereby swear or affirm that the above named student meets all the requirements indicated in the checked category on page 1 for classification as a South Carolina resident for South Carolina financial assistance. I understand that a false statement in the affidavit will subject me to penalties for making a false statement pursuant to 837.06 FS and BOR rule 6C6.00 (6) F.A.C. Student Signature _____________________________________________________________ Date __________________________ Parent or Spouse Signature ______________________________________________________ __________________________ Date Return to: Presbyterian College Financial Aid Office, 503 South Broad Street, Clinton, SC 29325 Phone: 864.833.8290 or 800-476-7272 / Fax 864.833.8749 Email: [email protected] / Website: http://www.presby.edu/finaid
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