Application for Virginia Student Status

  • Current Applicant Information
  • Residence Information
  • Employment & Education Information
  • Taxes / Motor Vehicle / Voting Information
  • Financial Support
  • Military Service
  • In-State Educational Privileges
  • Signature
  • Complete
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Committee on Virginia Status • Office of Admission • P.O. Box 400160 • Charlottesville, VA 22904
Email • FAX: 434-982‐2663 • Phone: 434‐982‐3391 • Virginia Status

Instructions:

  • Submit this form before the first day of the semester for which you are applying for in-state tuition. If you cannot submit this form, Contact our office for more information. 
  • Incomplete or late applications will not be reviewed. The office will contact you if your application is incomplete.
  • For an explanation of appeal process, see the Domicile Review Appeal Process.

Applicant Information

Current Mailing Address
MM/YYYY
Permanent Mailing Address
Ex. 555-555-5555
Ex. 555-555-5555
 

Taxes / Motor Vehicle / Voting Information

State which you paid state income tax
State which you paid state income tax
State which you paid state income tax
State currently being claimed for income tax pruposes
One file only.
256 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.
Driver's License:
If you do not now have a Virginia driver's license, from which state do you hold a driver's license?
Motor Vehicle Registration:
In what state is the vehicle registered?
Voting:
What state did you last register to vote?
What state did you last vote?
Location of Property