Tuition Classification Form

If you are claiming in-state tuition, please fill out this form. In-state tuition eligibility requires one year of Colorado domicile (legal residence).

Exceptions to the one-year requirement are provided for: Honorably-discharged members of the U.S. armed forces moving permanently to Colorado or certain dependents of Honorably-discharged members of the U.S. armed forces; active-duty military stationed in Colorado or certain dependents of active duty military; Colorado National Guard members; children of new faculty members at Colorado state-supported colleges; U.S. citizens and undocumented applicants who attended 3 years of high school in Colorado immediately prior to enrollment; and existing employees (and their children) of companies moving to Colorado with state economic incentives.

Information about the Colorado resident/nonresident regulations, including details of these exceptions, is available at https://western.edu/admissions/financial-services/tuition-and-costs/residency-status/

First Name

Middle Name

Last Name

Birthdate

Are you claiming eligibility for Colorado in-state tuition classification? "No" means you will be billed at the higher nonresident rate.

Yes

Will you be age 23 or older on the first day of class of the term for which you are applying?

Yes

Current Address:

Country

Street

City

Region

Postal Code

Dates of continuous physical presence in Colorado.

From:

To:

Dates of absences from Colorado of more than 2 months in the past 2 years.

From:

To:

Please describe the circumstances of any such absence.

Dates of employment in Colorado.

From:

To:

List the years (for example 2010-2014 not the number of years) for which personal resident Colorado income tax returns were filed.

From:(if single year list that year in the "from" and "to" boxes)

To:

Are you registered to vote in the United States?

Yes

State of Registration:

Date of Last Registration:

Have you operated a motor vehicle in the past two years in Colorado?

Yes

Do you own, or do you have for your personal use, a motor vehicle?

Yes

State in which licensed?

Month and Year of Colorado motor vehicle registrations during the past two years?

Colorado license plate number:

Do you have a current driver's license or state-issued ID?

Yes

State of issue

Date of issue

If Colorado, list driver's license or ID number

Is this a renewal of a previously issued Colorado driver's license or ID?

Yes

Do you own/lease residential property in Colorado that is your primary residence?

Yes

Date purchased/leased

Address of Colorado Property

Country

Street

City

Region

Postal Code

Do you maintain a home in another state?

Yes

Have you ever served in the United States military?

Yes

If so, list dates of service

From:

To:

Dates stationed in Colorado

Stationed From:

Stationed To:

Have you been on active military service during the past 2 years?

Yes

Have you attended a Colorado high school for at least 2 years?

Yes

Did you, or will you, graduate from a Colorado high school?

Yes

Have you paid in-state tuition in a state other than Colorado by claiming residence in that state during the past 2 years?

Yes

If yes, list colleges at which you paid in-state tuition

Date of student's marriage, if applicable. (Response to this question is voluntary, will not affect the admissions process and is used only to determine residency status.)

Provide any additional information regarding unusual circumstances you would like to have considered.

By typing my name below, I hereby certify that to the best of my knowledge, the information furnished above is true and complete.

Since you will not be 23 by the first day of classes your residency is determined by your parent or legal guardian. Please complete this section with your parent or legal guardian information.

Select the appropriate role:

Parent

Legal Guardian

Parent/Guardian: Current Address

Country

Street

City

Region

Postal Code

Parent/Guardian: Dates of continuous physical presence in Colorado.

From:

To:

Parent/Guardian: Dates of absences from Colorado of more than 2 months in the past 2 years.

From:

To:

Please describe the circumstances of any such absence.

Parent/Guardian: Dates of employment in Colorado.

From:

To:

Parent/Guardian: List the years (for example 2010-2014 not the number of years) for which personal resident Colorado income tax returns were filed.

From:(if single year list that year in the "from" and "to" boxes)

To:

Parent/Guardian: Are you registered to vote in the United States?

Yes

State of Registration:

Date of Last Registration:

Parent/Guardian: Have you operated a motor vehicle in the past two years in Colorado?

Yes

Parent/Guardian: Do you own, or do you have for your personal use, a motor vehicle?

Yes

State in which licensed?

Parent/Guardian: Month and Year of Colorado motor vehicle registrations during the past two years?

Parent/Guardian: Colorado license plate number:

Parent/Guardian: Do you have a current driver's license or state-issued ID?

Yes

Parent/Guardian: State of issue

Parent/Guardian: Date of issue

Parent/Guardian: If Colorado, list driver's license or ID number

Parent/Guardian: Is this a renewal of a previously issued Colorado driver's license or ID?

Yes

Parent/Guardian: Do you own/lease residential property in Colorado that is your primary residence?

Yes

Parent/Guardian: Date purchased/leased

Parent/Guardian: Address of Colorado Property

Country

Street

City

Region

Postal Code

Parent/Guardian: Do you maintain a home in another state?

Yes

Parent/Guardian: Have you ever served in the United States military?

Yes

Parent/Guardian: If so, list dates of service

From:

To:

Parent/Guardian: Dates stationed in Colorado

Stationed From:

Stationed To:

Parent/Guardian: Have you been on active military service during the past 2 years?

Yes

Parent/Guardian: Have you attended a Colorado high school for at least 2 years?

Yes

Parent/Guardian: Did you, or will you, graduate from a Colorado high school?

Yes

Parent/Guardian: Have you paid in-state tuition in a state other than Colorado by claiming residence in that state during the past 2 years?

Yes

If yes, list colleges at which you paid in-state tuition

Parent/Guardian: Provide any additional information regarding unusual circumstances you would like to have considered.

Parent/Guardian: By typing my name below, I hereby certify that to the best of my knowledge, the information furnished above is true and complete.