Yes
No
U.S Citizen
U.S Permanent Resident
Non Resident Alien
Other
Alabama
Florida
North Carolina
South Carolina
Tennessee
Yes
No
Yes
No
Yes
No
Employment Information
Please list all employment for the past two years, including military service. Attach additional sheets if needed.
Students under the age of 24 must complete the following:
Parent
U.S court-appointed legal guardian
If the answer above was YES, please answer the following questions. If the answer was NO, please skip this section
Section II – Student Oath and Affirmation
I understand that any material false statement made knowingly and willingly by me on this application, or any documents attached hereto may, in accordance with O.C.G.A. 16-10-71, which provides that upon conviction, a person who knowingly commits the offense of false swearing shall be punished by a fine of not more than $1,000 or by imprisonment for not less than one nor more than five years, or both, subject me to prosecution in a court of law. Additionally, I further understand that any such false statement may subject me to immediate dismissal from the institution.
Further, I certify that, to the best of my knowledge, the information submitted on this application is true and complete.
Section III –Documentation Requirements
LAWFUL PRESENCE IN THE UNITED STATES
Only those students verified to be lawfully present in the United States may be considered for an out-of-state tuition waiver. Waiver applicants may be required to provide additional documentation to meet this requirement.
DOCUMENTATION OF WAIVER ELIGIBILITY
If you are under the age of 24, please have your parent or legal guardian provide at least one of the following documents to confirm domicile in the border state. If you are above the age of 24, please provide at least one of the following documents to confirm domicile in the border state.
- Copy of lease agreement or warranty deed
- Copy of driver’s license or state-issued ID
- Copy of vehicle registration
- Copy of state tax return filed for the most recent tax year
- Copy of federal tax return filed for the most recent tax year
- Copy of utility bills
File attachment size limit is 2 MB.
File attachment size limit is 2 MB.
File attachment size limit is 2 MB.
Please click
here to download a printable version of the border state waiver form, if you would like to submit it by mail or email to the Undergraduate Admissions office. For questions about this form, please contact The Office of Admissions (admissions@valdosta.edu or 229.333.5791).