Your Name:
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First Name
Last Name
Wesleyan Student ID#
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6- digits
Address
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Street Address
City
State / Province
Postal / Zip Code
Email Address:
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Email
Student ID#:
6 digits
Phone Number:
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-
Area Code
Phone Number
Please select which criteria fits your circumstances
*
You are planning to live with parents within 30 miles of Macon Georgia
You must be at least 22 years old at initial enrollment at Wesleyan College
You are the primary caregiver for your child(ren)
You are a fifth year senior
You are enrolled part-time in classes (few than 9 hours)
Other
A brief but thorough statement regarding your request to change from resident to non-resident status
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Upload copy of YOUR driver's license and PARENT or guardian driver's license and utility bill (electric, water or gas) or Paperwork showing extenuating circumstances.
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Upload a File
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Student Signature
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