Form Instructions

Please follow the listed steps below to complete and submit the available forms.
  1. Complete the requested form information, date and type your full name as your signature and click 'Email Form to Admissions' button at the bottom of the form.
    Note: Required field titles are in red.
  2. Repeat above step until submission is accepted with no validation prompts.
 
Contact Information
First Name Required.
Last Name Required.
7 Digit Student ID Required.
Preferred Campus Required.
*Enter as xxx-xxx-xxxx
*Enter as xxx-xxx-xxxx
VCCS Email Address Required.
If you moved in the last two years, why did you move to Virginia?


Domicile Appeal for Reclassification (Level 1)
You have been admitted as a student to Germanna Community College; however, based on the information received, your tuition status is classified as "OUT OF STATE."

Domicile must be established for at leaset one year prior to the first day of the semester for which you intend to enroll. Section 23-7.4 of the code of Virginia places the responsibility on the student to establish by clear and convincing evidence that she/he is eligible for in-state tuition rates. The evidence must justify the claim both clearly and convincingly. For more information, go to http://www.schev.edu/docs/default-source/tuition-aid-section/financial-aid/domicileguidelines2009.pdf

For in-state tuition consideration, the document(s) checked below must be furnished to the Welcome Center within ten business days of the initial notification.

To be provided by:

Student Parent/Legal Guardian Spouse Required Documents
Court order of guardianship / legal custody
Lease, mortgage statement, notarized letter, or utility bill proving one your residency to the state of Virginia (Example: water bill, electricity and land linke phone bill). Notarized letter must include student's name, address, and length of time at that address.
Letter of explanation of how you were being supported financially for the past year
Marriage certificate
Military dependent ID card
Military Discharge papers - DD-214
Military LES - Leave and earning statement showing taxes withheld in Virginia
Military Orders
Notarized letter from your stating the exact date you moved to Virginia
Pay stubs (most recent) for the month of showing taxes witheld to Virginia
Proof of supplemental Income (Example: Social Security Income approval letter, Social Services Program, etc.)
Reclassification of Domicile based on Independent Status of Students under 24
Virginia Driver's License or VA State ID/learner's permit
Virginia Motor Vehicle Registration
Virginia State Tax return for year or part year tax return or W-2 form showing VA taxes withheld
Virginia Votor Registration card
VISA: Valid qualifying visa status (Example: Green card/Permanent Resident card, Asylum, Refugee, A, G, H, I, K, Q)
VISA: H-1 and H-4: Letter from employer on company letterhead showing dates of employment & state tax filed
VISA: I-94 Arrival/Departure Record VISA Page or I-551 stamped on passport
VISA: USCIS Notice of Action that your application for Permanent Resident Is approved (I-485, I-130 etc.)
VISA: USCIS Notice of Action showing date of application for adjustment of status or other VISA
VISA: Previous Employment Authorization Card (EAD)
Other (please specify)
Additional documents may be required after initial review by Registrar. If your in-state tuition is denied by the Registrar at Level 1, you may appeal the decision using the Domicile: Appeal for Reclassification (Level II) form provided and explained by the Registrar.

Student Signature Date Required Typed Signature is Required