WINTHROP UNIVERSITY
Residency Information for Tuition Purposes for Post-Traditional Students
Return to: Office of Admissions, Winthrop University, Rock Hill South, Carolina 29733
** CLASSIFICATION AS A RESIDENT FOR TUITION PAYMENT PURPOSES IS NOT AUTOMATIC. **
All applicants who claim residency in South Carolina or entitlement to in-state tuition are required to provide the requested information.
Please complete this form in its entirety. Incomplete forms will be returned for completion. Additional information may be requested per SC Law 59-112.
Name of Student:
Winthrop ID Number
___
________ ______________________
________
Last
First
Middle
City of Birth: ___________________________________ State of Birth: ___________ Country of Birth: ____________________________________
Date of Birth:
(Month/Day/Year) ____________________________
Applying as (check one): Freshman Transfer Second Undergraduate Degree Other:_______________________________________
Semester you expect to begin classes:
Year: __________________________________________
Spring Summer Fall
1. What is your citizenship status?
US Citizen
US Permanent Resident
Date permanent residency granted (month/day/year) ____________________________
Foreign Citizen with valid Visa
Visa Type: __________________
Deferred Action for Childhood Arrivals
2. List all addresses where you have lived for the past two years (do not use Post Office box number).
Address
Dates
______________________________________________________________________________
______________________________________
Street, City, State, Zip code
From: (month/year) To: (month/year)
______________________________________________________________________________
______________________________________
Street, City, State, Zip code
From: (month/year) To: (month/year)
______________________________________________________________________________
______________________________________
Street, City, State, Zip code
From: (month/year) To: (month/year)
3. Are you employed?
No Yes (If yes, provide employer’s information below)
_______________________________________________________________________________________________________________________
Employer
City, State, Zip code
Beginning date of employment
Hours per week
4. Telephone number where you can be reached: (______)______________
Can a message be left at this number? Yes No
5. Have you been in active military service within the last two years? Yes No
If Yes, State of Legal Residence _______________________
If yes, current duty station: ______________________________
Or
Discharge date if applicable: ______________________
6. Do you have a driver’s license? Yes No If yes, from what state? ________ Issue date on current license (Month/Day/Year) _______________
If less than 12 months from your planned enrollment date (January, May or August), what is the original date of issue? (Month/Day/Year)_______________
7. Do you have a motor vehicle registered in your name? Yes No
If yes, in what state is the vehicle registered? _________ Issue date on current motor vehicle registration (Month/Day/Year) _____________________
If less than 12 months from your planned enrollment date (January, May or August), what is the original date of issue? (Month/Day/Year)_________________
8. Did you file a South Carolina Income Tax Return for the 2013 tax year?
Yes No
If yes, under what status did you file the return? Full-year resident
Part-year resident
Non-resident
9. Did you file a South Carolina Income Tax Return for the 2014 tax year?
Yes No
If yes, under what status did you file the return? Full-year resident
Part-year resident
Non-resident
10. Did you or will you file a South Carolina Income Tax Return for the 2015 tax year?
Yes No
If yes, under what status did/will you file the return?
Full-year resident
Part-year resident
Non-resident