Parent/Guardian Residence Verification

Timer

--:--

* = required field

Some content may be updated based on selection

Parent/Guardian Residence Verification

, am the parent or legal guardian of

(Parent Name)

(Student Name)

My home address is

Address:

City:

State:

Zip:

My son or daughter will continue to live with me at our permanent legal residence and will commute to Monticello, AR to attend the

University of Arkansas at Monticello for the Fall

and Spring

semesters.

Our home is in

County and is

(Year)

(County)

within 60 miles of the University of Arkansas at Monticello.

Please wait for files to finish uploading