Winter 2023 Semester (3 weeks Jan.) Verification of Orange County Residence Copy

1Residence Information > 2Signature & Submission Page
**PLEASE ONLY COMPLETE 1 TIME**
Please Note: Processing time is approximately 5 business day

**Winter 2023 Semester (3 Weeks in January)**
ONLY TO BE COMPLETED BY ORANGE COUNTY RESIDENTS

If you do not live in Orange County or have not resided in Orange County for a full 6 months prior to the start date of the semester, please refer to our web page for further instructions; http://sunyorange.edu/bursar/residency_instructions.shtml or visit our Student Services Central Office.

To qualify for NY resident tuition rates a student must have maintained a legal residence in NY State for one year and in the county for six months immediately preceding the first day of the semester. All NY State residents, who do not complete the residency requirement, will be charged as a non-resident. Proof of residence must be submitted annually.

In accordance with New York State Education Law, Section 6301 each full-time and part-time student residing in New York State must file a Certificate of Residence. The County of Legal Residence for a New York State resident attending a community college contributes to the College a portion of the College's cost for providing services to the student. The basis for assessing counties for this money is the Certificate of Residence.

A new Certificate must be submitted each year.
Student ID Number (A________) *
Must be 9 characters. Currently Entered: 0 characters.
SSN or Tax Identification Number is required
by the IRS for reporting of tuition and related
expenses for tax purposes and for financial aid.

Social Security Number:
Name Name * First Last
Current Physical Address (No PO Boxes) Current Physical Address (No PO Boxes) *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Is your Physical Address in Orange County? *

Is your Physical Address in Orange County? Yes No
You have indicated that you are not a current resident of Orange County. Please use the following link for information on how to proceed:
http://www.sunyorange.edu/bursar/residency_instructions.shtml#OtherCounty
Please enter the date you moved into your current address listed above. (If you have lived at this address your entire life, please enter your date of birth) Please enter the date you moved into your current address listed above. (If you have lived at this address your entire life, please enter your date of birth) * / MM / DD YYYY
You have indicated you have been at your current address for less than 2 years. Please provide additional residence history below:
________________________________________________
Previous Physical Address (No PO Boxes) You have indicated you have been at your current address for less than 2 years. Please provide additional residence history below:
________________________________________________
Previous Physical Address (No PO Boxes) *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Is this physical address in Orange County? *

Is this physical address in Orange County? Yes No
Please enter the date you moved to this previous address Please enter the date you moved to this previous address * / MM / DD YYYY
Please confirm you moved directly from this address to your current physical address

Please confirm you moved directly from this address to your current physical address Yes, I moved directly from my previous address to my current address
The two addresses you have provided do not cover two years prior to the start of the semester. Please provide your address prior to the one listed above:

(No PO boxes). The two addresses you have provided do not cover two years prior to the start of the semester. Please provide your address prior to the one listed above:

(No PO boxes).
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Is this Physical Address in Orange County? *

Is this Physical Address in Orange County? Yes No
Please enter the date you moved into this address. Please enter the date you moved into this address. / MM / DD YYYY
Please confirm you moved directly from this address to previous address above. *

Please confirm you moved directly from this address to previous address above. Yes, I moved directly from my previous address to my current address.
Please Contact Student Services Central

You have indicated you have lived at more than 3 physical addresses within the past 2 years. Please visit the Student Services Central office on either campus.
Citizenship
Are you a United States Citizen? *

Citizenship
Are you a United States Citizen? Yes, I am a U.S. Citizen No, I am NOT a U.S. Citizen
Citizenship
Are you a Permanent Resident Alien?

Citizenship
Are you a Permanent Resident Alien? Yes, I am a Permanent Resident Alien No, I am NOT a Permanent Resident Alien
Please enter your Permanent Resident Alien Number
Permanent Resident Aliens must have a Permanent Resident Card ("green card").
_______________________________________________
Please enter the issue date of your Permanent Resident Card Permanent Resident Aliens must have a Permanent Resident Card ("green card").
_______________________________________________
Please enter the issue date of your Permanent Resident Card / MM / DD YYYY
Please enter the expiration dated of your Permanent Resident Card Please enter the expiration dated of your Permanent Resident Card / MM / DD YYYY
Please upload a copy of the front and back of your Permanent Resident Card and/or any other documents.

Attach Files
Are you in the United States on a government issued VISA?

Are you in the United States on a government issued VISA? Yes, I am in the United States on a VISA No, I am NOT in the United States on a VISA
Foreign students on the following visas do not qualify for the residence rate: F(student), B(visitor), J(exchange), C, D, H2A, H3, H4 if on H2/H3, M, O, P, Q, R, TN, or TD Visa.
_______________________________________________
Do you have one of the VISA types listed above?

Foreign students on the following visas do not qualify for the residence rate: F(student), B(visitor), J(exchange), C, D, H2A, H3, H4 if on H2/H3, M, O, P, Q, R, TN, or TD Visa.
_______________________________________________
Do you have one of the VISA types listed above? Yes, and I acknowledge that I do not qualify for in state tuition. No, I hold another type of VISA
If you hold a different type of VISA than indicated above, please list your VISA type below.
Please upload a copy of your VISA

Attach Files

Be sure to include your SUNY Orange ID on all documents (ex: A00123456)
Effective July 1998, DACA and undocumented aliens may be eligible for the resident tuition rate.

Is your status DACA or undocumented?

Effective July 1998, DACA and undocumented aliens may be eligible for the resident tuition rate.

Is your status DACA or undocumented? Yes No
Did you attended an approved New York State High School for two or more years or did you attended a GED/TASC Exam Preparation Course?

AND

Did Graduated from an approved New York State High School or did you received a NYS GED/TASC Diploma?

Did you attended an approved New York State High School for two or more years or did you attended a GED/TASC Exam Preparation Course?

AND

Did Graduated from an approved New York State High School or did you received a NYS GED/TASC Diploma? Yes No
Did you apply for admission and attend Orange County Community College within 5 years of receiving your NYS diploma or NYS GED/TASC Diploma?

Did you apply for admission and attend Orange County Community College within 5 years of receiving your NYS diploma or NYS GED/TASC Diploma? Yes No
The following documents are required:

1) Your NYS High School Transcript and Diploma (if not already on file with the Admissions Office)

or

Proof of attendance in a GED/TASC prep course and GED/TASC Diploma

2) The completed and NOTARIZED Student Affidavit of Intent to Legalize Immigration Status found at: http://sunyorange.edu/studentaccounts/residency_instructions.html

If needed, you can save this form and continue later when you are ready to upload the above required documents.

Attach Files

Please include SUNY Orange ID on all documents (ex: A01234567)
If you believe you are eligible for residence tuition under another classification, please indicate your status type in the box below (ex. political asylum, refugee, etc)
Upload documentation to support your status

Attach Files

Please be sure to include SUNY Orange ID number (ex. A01234567)
Students who do not meet the residence requirements will be responsible to pay out of state tuition, which is double the in-state tuition.

Winter 2023 Semester (3 weeks Jan.) Verification of Orange County Residence Copy

You have indicated that you are not a current resident of Orange County. Please use the following link for information on how to proceed: http://www.sunyorange.edu/bursar/residency_instructions.shtml#OtherCounty

Please Contact Student Services Central

Students who do not meet the residence requirements will be responsible to pay out of state tuition, which is double the in-state tuition.

You have indicated that you are not a current resident of Orange County. Please use the following link for information on how to proceed:
http://www.sunyorange.edu/bursar/residency_instructions.shtml#OtherCounty