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KENNESAW STATE UNIVERSITY

APPLICATION FOR OUT OF STATE TUITION DIFFERENTIAL WAIVER NON-RESIDENT STUDENT U.S. PERSON/ Permanent Resident (SPOUSE/PARENT) As of the first day of classes for the term, a Non-Resident Student waiver may be granted to a student under the age of 24 whose parent, U.S. court-appointed legal guardian, or spouse has maintained domicile in Georgia for at least 12 consecutive months preceding the first day of class. The student must provide clear and legal evidence showing the relationship to the parent or United States court-appointed guardian has existed for at least twelve (12) consecutive months preceding the first day of classes for the term. Under Georgia code, legal guardianship must be established prior to the students 18th birthday (BoR Minutes, October 2008). A student over the age of 24 must show that their spouse has lived in Georgia for at least 12 consecutive months preceding the first day of class. This waiver will expire 12 months from the date the waiver was granted. An affected student must petition for residency status after 12 months and must then provide additional documentation according to established procedures at Kennesaw State University. The Petition for Georgia Residence Classification for tuition purposes is available at the Office of the Registrars website or at https://financialservices.kennesaw.edu/international/georgia_residency

Please complete the following section: Students Name Address

Street City State Zip

KSU ID# Phone

( ) confirmation sent to requestor

Name of Parent/Guardian or Spouse of Student Domiciled in Georgia Term Applying for: 201

( ) supporting docs reviewed

PLEASE ATTACH COPIES OF THE FOLLOWING: Housing information (copy of lease agreement or warranty deed) for parent/guardian or spouse showing residency in Georgia for the past 12 months Copy of parent/guardian or spouses Georgia drivers license One of the following (depending on situation): a) birth certificate b) U.S. court documentation of guardianship c) marriage certificate Proof of students U.S. citizenship if student is the spouse of a Georgia resident Proof of parent/guardian or spouses citizenship (U.S. birth certificate, U.S. passport) Copy of parent/spouses green card (if applicable) I understand that I must notify Kennesaw State University immediately if my parent/guardian or spouse is assigned employment outside the State of Georgia. I also understand this waiver, if approved, is valid for 12 months and I must submit a Petition for Georgia Residency once this waiver expires.
Students Signature Date

Submit completed form and the necessary documentation to:

Mailing Address:
Kennesaw State University Attn: Nancy Sanders 1000 Chastain Road Maildrop #9110 Kennesaw, GA 30144

Physical Address:
3391 Town Point Drive NW Ste # 3700, Room #3729 Kennesaw, GA 30144 (770) 499-3536 - Office (770) 302-5544 Fax

For KSU use:

nsanders@kennesaw.edu Rev. 07/2011