Application for Rhode Island Military
Residency for Tuition Purposes
Student information
Name (last, first, middle initial)
Birth date
Student ID number
Rhode Island Address (street, city, state, ZIP code – P.O. boxes are not acceptable)
Date RI residency began
Permanent Home Address (street, city, state, ZIP code)
Phone
Email Address
Date of first enrollment at URI
Requesting In-State Tuition Effective:
Fall
Year
Spring
Undergraduate Student
Graduate Student
Other
Check all that apply:
___ I am a member of the US Armed Forces (as defined in section 101 of title 10 of the United States Code) who has been on active duty for more
than 30 days, or was injured while on active duty, which resulted in the term of active duty to be less than 30 days.
___ I am the spouse or dependent of the member of the Armed Forces checked above. Please print the name of the active duty service member:
________________________________________________________
___ I have established domicile in Rhode Island and/or my permanent duty station is in RI.
___ I am a veteran of a branch of the US Armed Forces and/or a veteran of any branch of a state’s National Guard who has been on active duty for a
minimum of 24 months, or was injured while on active duty which resulted in the term of active duty to be less than 24 months, and have established
domicile within RI.
___ I am the spouse or dependent of a qualifying veteran who has served a minimum of 10 years on activity duty in one of the branches of the Armed
Forces noted below. (The qualifying veteran must be a RI resident at the time they seek to transfer the benefit to the spouse and/or dependents.)
Please print the name of the qualifying veteran:
________________________________________________________
Definition: A “qualified veteran” is defined as one who has established a domicile in RI, is eligible for federal GI Bill educational benefits, and who
has served at least 24 months on active duty in the US Marines, US Navy, US Army, US Air Force, US Coast Guard, or any state branch of the US
National Guard. In order to qualify for in-state tuition, veterans must be a US citizen or permanent resident.
Please submit all documentation that applies to you, along with the notarized application.
___ Proof of domicile (i.e., rental agreement, lease, proof of home ownership)
___ Current military orders showing duty assignment in RI
___ Veterans must provide a Certificate of Eligibility issued by the Federal Department of Veterans Affairs, and a copy of the DD214.
The University of Rhode Island is an equal opportunity employer committed to the principles of affirmative action
Rev. 01/2014
Application for Rhode Island Military
Residency for Tuition Purposes
Certification
I declare Rhode Island to be my state of residence for tuition purposes. I certify that the information in support of this application is true and correct.
Signature: (to be signed in presence of Notary Public)
Printed Name:
Notarization: To be completed by Notary Public. Subscribed and sworn to before me this
_____________ day of ______________________, 201__
Notary Public:
My commission expires:
Note: Section 11-18-1 of the General Laws of Rhode Island provides severe penalties for giving a false document to a public official.
Return the completed application and supporting documents to the appropriate office below.
Undergraduate Kingston campus students who have been admitted to URI or are in their first semester of enrollment: University of Rhode Island Residency Officer,
Undergraduate Admission, Newman Hall, 14 Upper College Road, Kingston, RI 02881-1322
Undergraduate Kingston campus students who are in their second (or more) semester of enrollment, and non-degree seeking undergraduate students: University of
Rhode Island Residency Officer, Enrollment Services, Green Hall, Kingston, RI 02881
College of Continuing Education (CCE) students: University of Rhode Island, Feinstein Providence Campus, Admissions Office, Room 245, 80 Washington St, Providence,
RI 02903
Graduate Students: University of Rhode Island Graduate School, Quinn Hall Room 204, 55 Lower College Road, Kingston, RI 02881
The University of Rhode Island is an equal opportunity employer committed to the principles of affirmative action
Rev. 02/2014