Scribd Logo
Upload

Welcome to Scribd!

  • WWW - Kbcc.cunyffffd - Edu Sub-Apply Now Documents Residencyapplication

    Uploaded by

    Shazeb Nasim
    18 views8 pages
    sdfsdfdsf

    Original Title

    Www.kbcc.Cunyffffd.edu Sub-Apply Now Documents Residencyapplication

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    sdfsdfdsf

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    18 views8 pages

    WWW - Kbcc.cunyffffd - Edu Sub-Apply Now Documents Residencyapplication

    Uploaded by

    Shazeb Nasim
    sdfsdfdsf

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 8
    Ure cy Semester: terty Kingsborough Community College BB New york 2001 Oriental Blvd A-L12 CUNY RESIDENCY FORM: Part A 1. Last Neme FirstName Middle Iii SoeSee No. Date of Birth Phone No. ( Email Address 3. Are youa US. citizen? ‘Are you permanent resident alien? Yes _No ‘Axe you here on a visa? Yes__No__ Type: Expiration Date: 4, Did you attend a New York high school fortwo or more years, and graduate from that high scho ‘Yes__No If yes, high school name and location Period of attendance eee Graduation Date 5S. Doyou have a GED issued by NYS? Yes No Date Issued: Ifyou answered “yes” to question 4 or S and area US. citizen or permanent resident alien, you donot nved to complete any further sections ofthis form, Ifyou answered “yes” to question 4 oS and do not currently have lawful immigration status but have fled an aplication to legalize your immigration status or wil ile such an application es soon as you are eligible todo so, you must completo Part B of his Residency Form (affidavit) before « Notary Public [you answered “n0" wo question 4 or Sand are a U.S eitzen, permanent resident ali, or have a visa type eligible ro qualify for resident ‘ution, you must complete Part of this Residency Form Please refer tothe insrctions to complete this form for of eligible visa types. comprehensive To Be Completed by All Students | certify that all information provided and all statements made in all sections of this Residency Form are true and correct to the best of my knowledge. 1 understand that if I provide false information or withhold relevant information in order to obtain the resident tuition rate, ‘The City University may revoke its determination of in-state residency, and that will owe non-resident tuition to the University for each semester or session that Ihave attended under these circumstances. [also understand that I may be subject to disciplinary action. DATE: STUDENT SIGNATURE: +The college will not review any residency determination unles the roqueet for review is made, and all he required documentation is submited on or befor the last day of finals forthe semester for which rsiden ution is being sous © ifthe college finally determine that you ares non cesident,you may appeal by nating the Office of Undergraduate Admissions in ‘ritng win ten days ofthe adverse decision At tat time you may submit statment indicating why you disagree witb the College's

    You might also like