Out-of-State Tuition Waiver Application For Military and Military-Connected Students

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Office of the Registrar
800 GSW State University Drive
Americus, GA 31709-4379
gswreg@gsw.edu
229.931.2015

Out-of-State Tuition Waiver Application For Military and

Military-Connected Students

Section I - Student Information

First Name:

Middle Name:

Last Name:

Address:

Phone Number:

City:

State:

Zip:

Country:

Student ID:

Term Applying for Waiver:

Year:

Current status of military sponsor :

The military sponsor is the former or current U.S. military service member upon whom your waiver application is based.

Your relationship to the military sponsor:

Student must be under the age of 24 unless VA educational benefits are used.

Section III - 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. My digital signature below certifies accuarate information.

Digital Signature:

Section IV - Documentation Requirements

Waiver-Specific Documentation - All waiver applications must include all documents listed below for the waiver eligibility category

1. If the sponsor is an Active Duty Service Member, the documentation listed in A, B, C, D, E, F, or G must be provided.

A. Orders, Enlisted Record Brief and/or letter from Commanding Officer for verification of sponsor’s current military status and that sponsor is currently stationed in or assigned to Georgia.

B. Orders, Enlisted Record Brief and/or letter from Commanding Officer for verification of sponsor’s current military status and previous assignment to Georgia. Also, copies of high school and/or college transcripts to verify continuous enrollment.

C. Orders, Enlisted Record Brief and/or letter from Commanding Officer for verification of sponsor’s current military status and previous assignment to Georgia. Also, documentation showing that the dependent child and parent/spouse remained in Georgia (copy of a current lease or utility bills for residence in Georgia, copy of a current Georgia driver’s license or vehicle registration).

D. Orders, Enlisted Record Brief and/or letter from Commanding Officer for verification of sponsor’s current military status and current duty station in AL, FL, NC, SC, or TN. Also, documentation that the sponsor is currently residing in Georgia (copy of a current lease or utility bills for residence in Georgia, copy of a current Georgia driver’s license or vehicle registration).

E. Orders, Enlisted Record Brief and/or letter from Commanding Officer for verification of sponsor’s current military status and that the sponsor was stationed in or assigned to Georgia in the previous five years.

F. Orders, Enlisted Record Brief and/or letter from Commanding Officer for verification of sponsor’s current military status. Also, a copy of the student’s high school transcript showing completion of at least one year of high school in Georgia.

G. Orders, Enlisted Record Brief and/or letter from Commanding Officer for verification of sponsor’s current military status and copy of the student’s VA Certificate of Eligibility.

2. If the sponsor is an Active Member of the GA National Guard OR the U.S. Reserves OR a Contracted Cadet, the following must be provided:

A. Orders, Enlisted Record Brief and/or letter from Commanding Officer for verification of sponsor’s current active status in the Georgia National Guard or U.S. Reserves and that the sponsor is currently stationed in, assigned to, or based in Georgia. Contracted cadets must provide an ROTC contract and Military Science professor letter confirming current ROTC participation.

3. If the sponsor is a Separated Military Member, the documentation listed in A, B, or C must be provided:

A. DD214 (Certificate of Release or Discharge from Active Duty) for verification of sponsor’s separation from active duty and for confirmation that the enrollment will occur within 36 months of the separation. Also, documentation showing the intent to establish domicile in Georgia (copy of a current lease or utility bills, copy of a current Georgia driver’s license or vehicle registration).

B. Student’s VA Certificate of Eligibility and documentation showing a physical residence in the state (copy of student housing agreement, copy of current lease or utility bills, copy of Georgia driver’s license or vehicle registration).

C. Documentation showing eligibility as an individual described in 38 U.S.C. 3679(c).

Relationship Documentation - Unless VA educational benefits will be used or the sponsor is the student, one of the following must be submitted.

Sponsor is the student’s parent or U.S. court appointed legal guardian (students under 24 only):

Student’s birth certificate listing the sponsor as a parent of the student.
U.S. court documentation listing the sponsor as the court appointed legal guardian of the student.
DD1172 (DEERS form) listing the student as a dependent of the sponsor.
Sponsor’s signed state income tax return as filed with the Georgia Department of Revenue or signed federal income tax return as filed with the IRS. The return must be for the most recent tax year and the student must be listed on the form.
Transcript for a state or federal income tax return filed by the sponsor for the most recent tax year. The student must be listed on the transcript.
Presentation of the dependent military ID for the student (must be presented in person – no copies may be accepted).

Sponsor is the student’s spouse:

Copy of the marriage certificate for the sponsor and the student.
Sponsor’s signed state income tax return as filed with the Georgia Department of Revenue or signed federal income tax return as filed with the IRS. The return must be for the most recent tax year and the student must be listed on the form.
Transcript for a state or federal income tax return filed by the sponsor for the most recent tax year. The student must be listed on the transcript.
Presentation of the dependent military ID for the student (must be presented in person – no copies may be accepted).

Verification of Lawful Presence Documentation

In accordance with Board of Regents Policy 7.3.4.1, Out-of-State Tuition Waivers, every student applying for an out-of-state tuition waiver must be verified to be lawfully in the United States. You will be notified if additional documentation is required to satisfy this requirement.

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