Residency Affidavit State of Florida Programs

EDWARD WATERS UNIVERSITY
Residency Affidavit State of Florida Programs

In order to receive any State of Florida Program, you must complete this application in ink and return to Edward Waters University,, Office of Financial Aid with all supporting documentation.
SECTION I – STUDENT INFORMATION
Student’s Name:

First NameLast Name
Social Security Number
xxx-xx-
Home Phone:
Please enter a valid phone number.Format: (000) 000-0000.
Permanent Street Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail address:
example@example.com
Beginning date of students permanent residency in Florida

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Dependent student (under the age of 24, is not married, does not have children, is not a ward of the court, and is not aveteran):
Date of High School Graduation:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
High School:
Parent Name:

First NameLast Name
Beginning date of Parent(s)’ Permanent Residency in Florida:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

SECTION II - STATEMENT OF APPLICANT ELIGIBILITY
Are you a U.S. citizen or eligible non-citizen?
The Independent Student or the parent/guardian of the Dependent Student must provide two (2) documents supporting 12 months of legal residence from the list below:

1st Tier (At least one must be from this column)	2nd Tier (May be used with 1st Tier)
Florida voter’s registration card Florida driver’s license or Florida ID Florida vehicle registration Proof of permanent home in Florida Homestead exemption in Florida Transcripts from a Florida high school Full-time employment in Florida (12 months)	Declaration of domicile Florida occupational license Florida incorporation Family ties in Florida Membership in Florida-based organization Utility bills (12 months) Official documents showing Florida ties

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Documents must be dated, issued, or filed at least 12 months prior to the first day of the students’ first semester at Edward Waters University.By signing below I affirm that I have read and understand the conditions of this form; the information contained on this application is true, complete, and correct; and the best of my knowledge and belief, I am eligible for the State of Florida Programs as defined under Florida laws.
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EDWARD WATERS UNIVERSITY