Petition For In-State Tuition Classification Form - 2016
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1
2PETITION FOR IN-STATE
ALL REQUIREMENTS MUST
FOR THE
TUITION CLASSIFICATION
BE MET BY THE FIRST DAY
OF CLASSES
TERM: 20
STATE OF NEW MEXICO
DEADLINE FOR
SUBMISSION OF PETITION
September 2, 2016
FOR OFFICE USE ONLY
Approved
Denied
Effective:
Fall
Spring
Summer
20
Reviewed by __________________________________________
Date __________________________
Notes _____________________________________________________________________________________
_____________________________________________________________________________________
Instructions: Please answer all questions using N/A (Not Applicable) for those questions which do not apply to your situation. If you
need additional writing space, please attach pages indicating the subject of each attachment. Submit the petition to the appropriate
office well in advance of the term for which the request is being made.
PLEASE PRINT OR TYPE
PETITIONER NAME: _________________________________________________
UNM ID #: ________________________
DATE OF BIRTH:____________________ PHONE #: _____________________ EMAIL: _____________________________
List all addresses where you (student) have resided in the last 24 months. Give inclusive month/year for each residence including
current residence, the reason you resided at that residence. (For example, parent’s home, school, employment, etc.)
From
To
Present Address ___________________________________________________________________________________________________
City
State
Zip
Reason
From
To
Previous Address __________________________________________________________________________________________________
City
State
Zip
Reason
From
To
Previous Address __________________________________________________________________________________________________
City
State
Zip
Reason
1
. What state do you consider your permanent home?
YES
NO
2. Do you intend to (or have you) establish (ed) New Mexico residency
If yes, student must relinquish residency in all other states.
YES
NO
3. Have you been absent from New Mexico for more than a month in the previous year?
YES
NO
4. Are you married to a New Mexico resident?
YES
NO
5. Are you currently enrolled, or have you attended a higher education institution in the last two years?
If yes, complete below:
INSTITUTION
CITY/STATE
Classified as a resident?
YES
NO
FROM
TO
FROM
TO
YES
NO
FROM
TO
YES
NO
6a. Did you graduate from a New Mexico high school? If yes, please list high school and graduation date:
YES
NO
High School:
Date:
YES
NO
6b. Did you attend for at least year?
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