Residency Form

Residency Form

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Please complete the following form so that we can determine whether or not you qualify for in-state tuition.

Do you wish to be considered for in-state or regional residency tuition status?

YesNo

Residency Status

In State Tuition (Maryland Residents)Regional Residency (D.C., Northern Virginia, Pennsylvania, Delaware)

Personal Information

Note: Please make sure that the first name, last name, and email address you entered matches what was submitted on your application.

First Name

Last Name

Email Address

Residency Message

Thank you for letting us know your residency intentions. Please click the submit button to proceed.

Regional Residency

Note: Regional residency only applies to students and credits associated with a UB graduate program. Undergraduate degrees and certificates, doctoral, law and advanced professional degrees are not included.

Note: If you are a resident of the District of Columbia, Northern Virginia: Arlington, Clark, Culpeper, Fairfax, Fauquier, Loudon, Prince William, Rappahannock, Spotsylvania, Stafford, and Warren counties and the cities of Alexandria, Fairfax, Falls Church, Fredericksburg, Manassas and Manassas Park), Pennsylvania (Adams, Chester, Lancaster, and York counties) and Delaware (all counties) you may apply for a regional residency determination.

Is your permanent residence in one of the areas listed above?

YesNo

Permanent Address Line 1:

Permanent Address Line 2:

City:

State/Province

Postal Code:

Length of time at the above address

Years

Months

Previous Address Line 1

Previous Address Line 2

Previous City

Previous State

Previous Zip/Postal Code

Length of time at the above address

Years

Months

Please select one

I am financially independent. I have earned taxable income and I have not been claimed as a dependent on anotherperson’s most recent income tax returns.I am financially dependent. Another person has or will claim me as a dependent on his/her most recent income taxreturns. I am a ward of the State.

Have you filed a state tax return in the most recent tax year in any of the following states/districts: DC, DE, PA,VA?

Yes, I have filed a state tax return for the most recent tax year.No, I have not filed state tax return for the most recent tax year

Please state any reasons for not filing in one of the following states/district (DC,DE,VA,PA) in the last 12 months? (ex. unemployed)

Is income tax being withheld from DC, DE, PA, or VA being withheld from your pay?

YesNo

Please provide a brief explanation

Do you receive any public assistance from any agency not in DC, DE, PA or VA? Please provide a brief explanation:

YesNo

Please provide a brief explanation

Motor vehicles

Yes, I own a motor vehicleNo, I do not own any motor vehicles

Initial date of registration:

In what state?

Most recent date registered:

In what state?

Do you possess a valid driver’s license or identification card?

YesNo

Date of issue:

In what state?

Voter registration

Yes, I am registered to voteNo, I am not registered to vote

In what state?

Date Registered

Were you previously registered to vote in another state?

Yes, I was registered to vote in another stateNo, I was not registered to vote in another state

In what state?

Ward of the State Documentation

Please attach official documentation of your status as a ward of the State or forward your documentation to the Offices of Admission at the address listed below.

Offices of Admission

1420 N Charles St, Room #117
Baltimore, MD 21201

Financial Depedence

Name of person upon whom you are dependent

Relationship to applicant

How long have you been dependent on this person?

Years

Months

Residency Identification

If ANY of the categories below applies, please select the appropriate option and provide requested information and/or documentation.

Please select one

I am a part-time (50%) or full-time regular employee of the University System of Maryland, or I am the spouse of, or am financially dependent upon a parent or legal guardian who is a regular employee of the University System of Maryland.I am a full-time active member of the U.S. Armed Forces whose home of residency is Maryland, or one who resides or is stationed in Maryland, or the spouse or a financially dependent child of such a person. I am a veteran of the United States Armed Forces residing in Maryland.I am the spouse or child of a veteran or active duty member of the U.S. Armed Forces using educational benefits under the 9/11 GI Bill (38 U.S.C. §3319) or under 38 U.S.C.§ 3311(b)(9) and living in Maryland. I am eligible for in-state status considerations under the Maryland National Guard Nonresident Tuition Exemption. I am eligible because I (1) joined or subsequently served to provide a critical military occupational skill or (2) am a member of the Air Force critical specialty code. I understand that I must provide documentation from my company commander for consideration.I am a nonresident who may qualify for a University System of Maryland Nonresident Tuition Fee Differential Exemption (DREAM Act) as an eligible Maryland high school graduate.None of the above applies to me.

USM Employee

Please indicate your relationship with this person

Please attach a letter of verification from the Human Resources Office of the campus at which you or your spouse or parent or legal guardian is employed. You can also forward this information to the Offices of Admission at the address listed below.

Offices of Admission

1420 N Charles St, Room #117
Baltimore, MD 21201

Armed Forces Active Member

Please attach a copy of your deed or lease (if applicable), or verification from the service that you have declared Maryland as your "home of residency" (if applicable), and the most recent assignment orders. You can also forward these items to the address listed below.

Date of expected separation from the military.

Offices of Admission

1420 N Charles St, Room #117
Baltimore, MD 21201

Armed Forces Veteran

Please attach a copy of your DD214. If you have a discharge category other than honorable, please also submit a copy or your Certificate of Eligibility or forward copies to the Offices of Admission at the address listed below.

Offices of Admission

1420 N Charles St, Room #117
Baltimore, MD 21201

Armed Forces Veteran or Spouse or Child of Veteran

Please attach a copy of the veteran's DD214 and a copy of your Certificate of Eligibility, or forward copies to the Offices of Admission at the address listed below.

Offices of Admission

1420 N Charles St, Room #117
Baltimore, MD 21201

Maryland National Guard Nonresident Tuition Exemption

Please attach documentation of your eligibility for the Maryland National Guard Nonresident Tuition Exemption from your Company Commander for consideration or forward your documentation to the Offices of Admission at the address listed below.

Offices of Admission

1420 N Charles St, Room #117
Baltimore, MD 21201

DREAM Act

Please download the Maryland Nonresident Tuition Differential Exemption form

Please attach or forward a copy of your completed form to the Offices of Admission at the address listed below.

Offices of Admission

1420 N Charles St, Room #117
Baltimore, MD 21201

APPLICANTS SEEKING IN-STATE STATUS AS A MARYLAND RESIDENT MUST COMPLETE THE FOLLOWING QUESTIONS. Failure to complete all of the required items may result in a non-Maryland resident classification and out-of-state charges being applied. Residency classification information is evaluated in accordance with the University System of Maryland policy on residency. The applicant may be contacted for clarification of an item, or for additional information as necessary.

Permanent Residency Address

Country

Address Line 1

Address Line 2

City

State

County

Zip/Postal Code

Address Line1

Address Line 2

Address Line 3

Address Line 4

City

State/Province

Postal Code

Length of time at the above address

Years

Months

Previous Address

Previous Country

Previous Address Line 1

Previous Address Line 2

Previous City

Previous State

Previous County

Previous Zip/Postal Code

Previous Address Line1

Previous Address Line 2

Previous Address Line 3

Previous Address Line 4

Previous City

Previous State/Province

Previous Postal Code

Length of time at the above address

Years

Months

Proof of Maryland Residency

Is your primary reason for living in the state of Maryland to attend the University of Baltimore?

YesNo

Are all or substantially all of your possesions in Maryland?

YesNo

Motor vehicles

Yes, I own a motor vehicleNo, I do not own any motor vehicles

In what state?

Initial Date of Registration

Renewal Date (If Applicable)

Did you register your vehicles(s) in a state other than Maryland within the last 12 months?

YesNo

Driver's license

Yes, I possess a valid driver's licenseNo, I do not possess a valid driver's license

In what state?

Initial date issued

Renewal Date (If Applicable)

Have you possessed a driver's license in a state other than Maryland within the last 12 months?

YesNo

Voter registration

Yes, I am registered to voteNo, I am not registered to vote

In what state?

Please select one

I am financially independent. I have earned taxable income and I have not been claimed as a dependent on another person’s most recent income tax returns.I am financially dependent. Another person has or will claim me as a dependent on his/her most recent income tax returns. I am a ward of the State.

Financial Independence

Have you filed a Maryland state tax return for the most recent tax year?

Yes, I have filed a MD state tax return for the most recent tax year.No, I have not filed a MD state tax return for the most recent tax year

Please state any reasons for not filing a Maryland state tax return in the last 12 months (ex. unemployed)

Is Maryland state income tax currently being withheld from your pay?

YesNo

Please provide a brief explanation

Do you receive any public assistance from a state or local agency other than one in Maryland?

YesNo

Please provide a brief explanation

Ward of the State Documentation

Please attach official documentation of your status as a ward of the State or forward your documentation to the Offices of Admission at the address listed below.

Offices of Admission

1420 N Charles St, Room #117
Baltimore, MD 21201

Financial Depedence

Name of person upon whom you are dependent

Relationship to applicant

Is this person a Maryland resident?

How long have you been dependent on this person?

Years

Months

Address of Person on Whom You Are Dependent

Country

Street Address 1

Street Address 2

Street Address 3

Street Address 4

City

State

County

Zip/Postal Code

Length of time at this residence.

Years

Months

Tax Information of Person on Whom You Are Dependent

Has this person claimed you as a dependent on their most recent tax returns?

YesNo

Has this person filed a Maryland state income tax return for the most recent year on all earned taxable income?

YesNo

Please indicate reasons this person has not filed taxes

Have you filed a Maryland state tax return for the most recent tax year?

Yes, I have filed a MD state tax return for the most recent tax year.No, I have not filed a MD state tax return for the most recent tax year

Please state any reasons for not filing a Maryland state tax return in the last 12 months (ex. unemployed)

Is Maryland state income tax currently being withheld from your pay?

YesNo

Please provide a brief explanation

Do you receive any public assistance from a state or local agency other than one in Maryland?

YesNo

Please provide a brief explanation

Signature.

I certify that the information provided is complete and correct. I understand that the University reserves the right to request additional information if necessary. In the event the University discovers that false or misleading information has been provided, the student applicant may be billed by the University retroactively to recover the difference between in-state and out-of-state tuition for the current and subsequent semesters.

Trouble filling out this form?

If you're having trouble filliing out this form, contact us at admission@ubalt.edu and we'll be glad to assist you.

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