Complete and mail this change of address form to: … · Complete and mail this change of address form to: Office of Admissions. The Citadel. 171 Moultrie Street. Charleston, SC 29409.

Complete and mail this change of address form to:Office of AdmissionsThe Citadel171 Moultrie StreetCharleston, SC 29409

Per the Family Educational Rights and Privacy Act, this form must be completed and signed by theapplicant. No one else can fill out or sign this form for him/her.

This change of address form is for applicants & prospective cadets only. All enrolled students must contact the Registrar at 843.953.6969.

Your Name: Last: ________________________________

First: ________________________________

Middle: ______________________________

Please change my official mailing address to:

Old Address:

Street: _______________________________

City: ________________________ State: _______ Zip: _______________

New Address:

Street: _______________________________

City: ________________________ State: _______ Zip: _______________

Phone Number: ____________________________________________

My e-mail address is: _________________________________________

*Signature: _______________________________ *Date: _____________________ *Campus-Wide ID (CWID) (if you know it): _______________________________

__________________________________________

The Citadel is required under South Carolina law section 59-112 to determine a residence classification for the purposes of assessing

in-state tuition and fees. Substantiating documentation is required to affirm your status. Additional information may be requested.

You must complete this form or tuition and fees will be assessed at the established out-of-state rates.

Permanent Address: ________________________________________________________________________________

Street City State Zip

Do you claim South Carolina as your residence for tuition purposes?

Yes (Complete the remainder of the questionnaire.) No (You are not required to complete this questionnaire.)

In what South Carolina county do you reside? ____________________________________________________________

How long have you resided in South Carolina? ________Years _____ Months State of previous residence ______

If you moved to South Carolina within the past five years, what prompted your move to this state?

Education Employment Other

List all addresses at which you have lived during the past 48 months. Begin with the most current address:

_________________________________________________________________________________________________

Address City State Dates

_________________________________________________________________________________________________

Address City State Dates

Who claims you for income tax purposes?

Name: __________________________________________________________ Relationship: ____________________

Upon whom are you basing your claim for residency? Self Parent Other ______________________

Legal Guardian (must provide legal court documents)

List all addresses where this person has lived during the past 48 months. Begin with the most current:

_________________________________________________________________________________________________

Address City State Dates

_________________________________________________________________________________________________

Address City State Dates

List the employer of the person upon whom you are basing your claim for residency:

Employer Name: _______________________________________________Telephone:(____) _____________________

Employer’s Address: ________________________________________________________________________________

Street City State Zip