Residency Questionnaire Template (Page 2 of 4) in pdf

3. Will you have lived in Texas during all of the 12 months

preceding the term for which you are applying? ..............................................................................

___Yes

___ No

4. Are you a U.S. citizen or Permanent Resident with I-551 approval? ...........................................

___Yes

___ No

• If you answered Yes to question 1 - 4, skip to Part I.

• If you answered Yes to question 1 - 3, but No to question 4, skip to Part I,

but be sure to complete Noncitizen Affidavit provided by the Registrar or Admissions Services.

• If you answered No to question 1 - 4, continue to Part E.

PART E: Basis of Claim to Residency.

1. Did you file your own federal income tax as an independent taxpayer? ___Yes

___ No

2. Are you claimed as a dependent or are you eligible to be claimed as a dependent by a parent or court-appointed legal guardian?

___Yes

___No (To be eligible to be claimed as a dependent, your parent or legal guardian must provide at least one-half of your support.

A step-parent does not qualify as a parent if he/she has not adopted the student.)

3. If you answered No to both questions above, who provides the majority of your support?

___Self

___Parent or Guardian

___Other

• If you answered Yes to question 1, skip to Part G.

• If you answered No to questions 1 and 2 and Self to question 3, skip to Part G.

• If you answered No to questions 1 and 2 and Parent or guardian to question 3, continue to Part F.

• If you answered No to questions 1 and 2 and Other to question 3, skip to Part H and provide an explanation, and complete Part I.

PART F: Questions for Dependent Students

1. Is your parent or legal guardian a United States citizen?

__ Yes

If you answered Yes, skip to question 4.

If you answered No, continue.

__ No

2. My noncitizen parent or legal guardian is a citizen of

Country

a. My parent or legal guardian is a Permanent Resident with I-551 (Front and back copy of I-551 must be submitted.)

b. My parent or legal guardian is in the United States as a Refugee, Asylee, Parolee, or under Temporary Protective Status.

(I-94 must be submitted.)

c. My parent or legal guardian is a noncitizen whose application for Permanent Resident Status has been preliminarily reviewed.

(USCIS Notice of Action [I-797] must be submitted showing I-485 has been accepted for processing.)

d. My parent or legal guardian holds a current visa. (STOP HERE: You must complete an International Application

See or contact the TCC International Admissions Office for assistance.)

e. None of the above. (Continue, but provide additional information in Part H: General Comments.)

4. Does your parent or legal guardian currently live in Texas?

____Yes ____No (If you answered No, but he/she is out of the state due to a

temporary assignment, provide additional information in Part H: General Comments.)

5. How long has your parent or legal guardian lived in Texas? ______Years ______Months

State or country of residence prior to Texas

6. If in Texas for fewer than five years, what was your parent or legal guardian’s main reason for coming to Texas?

___Work assignment

___To establish a home in Texas

___To go to school

(If none of these apply, please provide additional information in Part H: General Comments.)

7. Is your parent or legal guardian a member of the U.S. military?

___ Yes

If Yes, answer questions 7a and 7b, then continue to question 8.

___ No

If No, continue to question 8.

___ a. Texas is the Home of Record of my parent or legal guardian. (Copy of DD 214 required.)

___ b. Texas is listed as the legal residence for tax purposes on the Leave and Earnings Statement of my parent or legal guardian.

(Copy of Leave and Earnings Statement required.)

If neither applies, indicate state listed on either form

State

8. Check all of the following that apply to your parent or legal guardian:

___ a. Has held the title to real property (home or land) in Texas for all of the 12 months prior to the term of this

questionnaire.

Date acquired (mm/yyyy) ____ ____ / ____ ____ ____ ____

___ b. Has owned a business in Texas for all of the 12 months prior to the term of this questionnaire.

Date acquired (mm/yyyy) ____ ____ / ____ ____ ____ ____

Residency Questionnaire Template Page 2

Related Articles

Related forms

Related Categories