Registrar: Application for In-state Tuition

Application for In-state Tuition
Office of the University Registrar
Division of Student Engagement & Enrollment Services

1009 Rollins Hall ● Norfolk, VA 23529-0052 ● Telephone: (757) 683-4425 ● Fax: (757) 683-5357
Application for In-state Tuition
• This form must be completed if you are claiming entitlement to in-state tuition benefits pursuant to §23.1-500-510 of the Code of Virginia.
• Supporting documents and additional information may be requested.
• You MUST complete, sign, and submit this form before the first day of classes of the term for which you are applying.
• All questions must be answered. Incomplete/unsigned applications will experience delay in processing.
SECTION A: APPLICANT (you, the student)
Term for which you are applying for Virginia in-state status: *

Term for which you are applying for Virginia in-state status: Fall Spring Summer
Year for which you are applying for Virginia in-state status: *
Student Name Student Name * First Middle Last
(First Name, Middle Name or Initital, Last Name)
Date of Birth Date of Birth * / MM / DD YYYY
University ID Number (if known):
Must be 8 characters. Currently Entered: 0 characters.
Social Security Number:
Must be between 9 and 11 characters. Currently Entered: 0 characters.
(optional—for Federal reporting purposes)
Email Address: *
Daytime Phone: Daytime Phone: * - ### - ### ####
If you are not a U.S. citizen or Permanent Resident, please answer this question. Do you hold an F-1 or J-1 visa? *

If you are not a U.S. citizen or Permanent Resident, please answer this question. Do you hold an F-1 or J-1 visa? Yes - Stop Here. You are not eligible for in-state tuition in Virginia. No N/A, I am a U.S. Citizen
Please specify your visa type, expiration date, and attach a copy of your I-94 or I-797
Visa Type *
Expiration Date Expiration Date * / MM / DD YYYY
Are you the spouse/dependent of a veteran or active duty member of the US Armed Forces? *

Are you the spouse/dependent of a veteran or active duty member of the US Armed Forces? Yes, dependent of an active duty serviceperson Yes, dependent of a veteran No
SECTION B: STUDENT INDEPENDENT/DEPENDENT STATUS
1. Will you be age 24 or older before the first day of classes? *

1. Will you be age 24 or older before the first day of classes? Yes No
2. Are you a veteran or active duty member of the U.S. Armed Forces? *

2. Are you a veteran or active duty member of the U.S. Armed Forces? Yes No
3. Will you be enrolled in a graduate or professional program (beyond a Bachelor’s degree)? *

3. Will you be enrolled in a graduate or professional program (beyond a Bachelor’s degree)? Yes No
4. Are you married? *

4. Are you married? Yes No
5. Are you an orphan or a ward of the court, or were you a ward of the court until age 18? *

5. Are you an orphan or a ward of the court, or were you a ward of the court until age 18? Yes No
6. Do you have any legal dependents (other than a spouse)? *

6. Do you have any legal dependents (other than a spouse)? Yes No
7. Did you file an individual Federal tax return last year? (no one claimed you as a dependent) *

7. Did you file an individual Federal tax return last year? (no one claimed you as a dependent) Yes No
If you answered Yes to any question, continue to Section C below.

If you answered No to every question… Stop here… sign below and have your parent/legal guardian complete Section C.
SECTION C: RESIDENCY
Who is completing Section C? (check one) *

Who is completing Section C? (check one) Applicant Parent Spouse Legal Guardian (please attach proof of legal guardianship)
Parent, Spouse, or Legal Guardian, please answer the following two questions:
Will you have claimed the applicant as a dependent on your income taxes during the last 12 months? *

Will you have claimed the applicant as a dependent on your income taxes during the last 12 months? Yes No
Will you have provided over half of the applicant’s financial support during the last 12 months? *

Will you have provided over half of the applicant’s financial support during the last 12 months? Yes No
1. Name: 1. Name: First Middle Last
2. Citizenship (please complete if parent): *

2. Citizenship (please complete if parent): U.S. or Permanent Resident Non-U.S.
If non-U.S. give visa type: *
3. Where have you lived in the last two years?
CURRENT ADDRESS: CURRENT ADDRESS: *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
From (mm/yy): *
To (mm/yy): *
PREVIOUS ADDRESS (required if you have lived at your current address less than two years): PREVIOUS ADDRESS (required if you have lived at your current address less than two years):
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
If you have lived at your current address for 2 or more years, you do not need to fill out previous address
From (mm/yy):

If you have lived at your current address for 2 or more years, you do not need to fill out previous address
To (mm/yy):

If you have lived at your current address for 2 or more years, you do not need to fill out previous address
4. Have you lived in Virginia for more than 365 days? *

4. Have you lived in Virginia for more than 365 days? Yes No
5. Do you have the present intention to remain indefinitely in Virginia? *

5. Do you have the present intention to remain indefinitely in Virginia? Yes No
6. Will you have filed a tax return and paid income taxes to Virginia during the last 12 months? *

6. Will you have filed a tax return and paid income taxes to Virginia during the last 12 months? Yes No
7. Do you have a valid Virginia driver’s license? *

7. Do you have a valid Virginia driver’s license? Yes No
If YES, will you have held that license for the entire 12 months prior to the first day of applicant’s
classes? *

If YES, will you have held that license for the entire 12 months prior to the first day of applicant’s
classes? Yes No
If NO, do you have a driver's license in another state? *

If NO, do you have a driver's license in another state? Yes No
8. Are you a registered Virginia voter? *

8. Are you a registered Virginia voter? Yes No
If YES, will you have been a registered Virginia voter for the entire 12 months prior to the first day of applicant’s classes? *

If YES, will you have been a registered Virginia voter for the entire 12 months prior to the first day of applicant’s classes? Yes No
9. Do you own a motor vehicle that is registered in the state of Virginia? *

9. Do you own a motor vehicle that is registered in the state of Virginia? Yes No
If YES, will you have owned this vehicle for the entire 12 months prior to the first day of applicant’s classes? *

If YES, will you have owned this vehicle for the entire 12 months prior to the first day of applicant’s classes? Yes No
10. If you live outside Virginia but have worked in Virginia during the past 12 months, did you file
Virginia taxes on all taxable income earned? *

10. If you live outside Virginia but have worked in Virginia during the past 12 months, did you file
Virginia taxes on all taxable income earned? Yes No
11. If you answered NO to any one of the questions 4 through 7 above, and are a veteran, active duty service member,
military dependent, or Fry Scholarship recipient, please sign, date, and return this form along with the Active
Duty/Veteran OR Military Spouse/Dependent Tuition Benefit Form you will find at the link below.

Forms location: http://www.odu.edu/registrar/forms
If you are determined to be an out-of-state student after review of this application, you may still be eligible for the in-state tuition rate if you completed your high school education in Virginia.
Please review and complete the Application for In-State Tuition - High School Completer form you will find at the link below.

Forms location: http://www.odu.edu/registrar/forms
Return all forms with requested documentation. Your tuition status will be determined based on the information you provide. Until then, your account will display out-of-state tuition rates.
SECTION D: SIGNATURES
The applicant must sign below. If Section C has been completed by a parent, spouse, or legal guardian, that person must
also sign below. To “sign” this document electronically, click the signature field and enter your name and the date you are
completing the form. Using this method is considered the same as your handwritten signature. You may also enter a digital signature if you have one.

Please be aware that changes to your domicile may affect your eligibility for financial aid, including aid that has already
been disbursed. If you have questions, please contact the Office of Financial Aid.
*

I certify under penalty of perjury that the information I have provided is true.
Signature of Applicant (student) (draw or type) *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Signature of Parent, Spouse, or Legal Guardian (draw or type)

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date / MM / DD YYYY
Please allow 3-5 business days for processing.
-- BDMS -- Index to: Application for In-State Tuition

Registrar: Application for In-state Tuition

SECTION A: APPLICANT (you, the student)

SECTION B: STUDENT INDEPENDENT/DEPENDENT STATUS

If you answered Yes to any question, continue to Section C below. If you answered No to every question… Stop here… sign below and have your parent/legal guardian complete Section C.

SECTION C: RESIDENCY

Parent, Spouse, or Legal Guardian, please answer the following two questions:

3. Where have you lived in the last two years?

Return all forms with requested documentation. Your tuition status will be determined based on the information you provide. Until then, your account will display out-of-state tuition rates.

SECTION D: SIGNATURES

If you answered Yes to any question, continue to Section C below.

If you answered No to every question… Stop here… sign below and have your parent/legal guardian complete Section C.