Snead State Residency Form for Admission

RESIDENCY FORM FOR ADMISSION

Snead State Community College

Office of Admissions & Records

Phone: (256)593‐5120

Email: Admissions@snead.edu
FIRST NAME*
MIDDLE NAME
LAST NAME*
DATE OF BIRTH*

MonthDayYear
Date
STUDENT "A" NUMBER (if you know it)
EMAIL*
example@example.com
CELL PHONE NUMBER*
Please enter a valid phone number.
FAMILY EDUCATIONAL RIGHTS & PRIVACY ACT - BUCKLEY AMENDMENT
NOTICE: Under the Federal Family Educational Rights and Privacy Act (FERPA), Snead State Community College may disclose certain student information labeled as “directory information.” Directory information includes names, addresses, telephone numbers, email addresses, dates of birth, program majors, information about participation in officially recognized activities and sports, weight and height of members of athletic teams, dates of attendance, grade level, enrollment status, degrees and awards received, photos, and honors. If any student does not want directory information to be released, he/she must notify, in writing, the Director of Admissions and Records.
ALABAMA COMMUNITY COLLEGE SYSTEM STATEMENT OF RESIDENCY
Check the box that most applies to you.

I qualify as in in-state resident. I, or my non-estranged spouse, or my parent/legal guardian (if minor dependent student) have lived in Alabama for the last 12 months and/or I graduated from an Alabama high school or received a GED in the state of Alabama within three years of my application date. I certify that the address shown on my admission application is my residence in the State of Alabama and that I intend to remain in Alabama indefinitely. I have more substantial connections in Alabama than with any other state.I understand that I am classified as an out-of-state student and will be charged out‐of‐state rates. An out-of-state student cannot attain resident status simply by attending school for 12 months in the State of Alabama.I qualify for in-state tuition rates because I am a military Veteran or a student who is receiving Veteran's benefits to attend Snead State Community College.I quality for in-state tuition rates because I reside in one of the following counties in Georgia: Chattooga, Floyd, Polk, or Walker.I have currently lived in the State of Alabama for less than 12 months but can certify that I possess “more substantial connections” with the State of Alabama than any other state. If I select this option, the burden of proof lies on me to provide substantial documentation to the Snead State Office of Admissions (admissions@snead.edu) verifying such claims.
By signing below, I certify that all information provided is accurate, and I voluntarily consent to receive information in electronic transactions.
Signature of Student*

Clear
Date Signed*

MonthDayYear
Date
It is the official policy of Snead State Community College and the Alabama Community College System that no person shall, on the grounds of race, color, disability, sex, religion, creed, national origin, or age, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program, activity, or employment.
Should be Empty:

FAMILY EDUCATIONAL RIGHTS & PRIVACY ACT - BUCKLEY AMENDMENT

ALABAMA COMMUNITY COLLEGE SYSTEM STATEMENT OF RESIDENCY