316 Boulevard • Anderson, South Carolina 29621 • andersonuniversity.edu
Financial Aid Planning
Phone: 864-231-2070 • fax: 864-231-2008 • finaid@andersonuniversity.edu
Verify South Carolina Residency – Dependent Student
Academic Year: 2016-2017
The Palmetto Fellows, LIFE, and HOPE Scholarship Programs and the SC Tuition Grant program
require that recipients certify they are South Carolina residents in order to receive the scholarship.
The initial determination of one’s resident status is made at the time of admission and the burden of
proof is provided by the student applicant. No person is eligible for in-state residency status unless
he/she is domiciled within South Carolina for 12 consecutive months immediately preceding term
enrollment or meets state requirements for residency.
Student Information
Student Full Name
AU Student ID#
Current Permanent Home Address: Street/PO Box, City, State, Zip
Student Home Phone
Student Cell Phone
Student Email
Establishing SC Residency
Name of your parent, legal guardian, or custodial parent:
How long has this individual been a legal resident of South Carolina?
Years
Months
**If less than 2 years; list all the addresses where you have lived during the past two years and the dates you
lived at each
Address
Dates
For First-Time Eligible Recipients
Has the student’s parent, legal guardian, or custodial parent been employed full-time in South Carolina over
the past 12 months?
⧠ Yes: if this box is checked, submit letter from employer on company letterhead verifying
employment
⧠ No: if this box is checked, complete the employer information section below.
Employer
City, State
Dates Employed
Part-Time/Full-Time
Updated 9/2014
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Acceptable Documents for proof of Parental/Legal Provider Residency
Two of the four listed must be submitted:
 Copy of Parent’s/Legal Provider’s valid South Carolina Driver’s License, or if a non-driver, a SC issued
ID card.
 Copy of Parent’s/Legal Provider’s Vehicle Registration
 Ownership of a principle residence (i.e. mortgage agreement property showing the date South
Carolina domicile was claimed) or a valid lease.
 Voter Registration Card
Change in Residency after initial award
Attach a letter of explanation with details of move along with third-party documentation (i.e. letter from
employer)
Date of enrollment at AU:
Reason for move:
Besides summer, have you remained continuously enrolled at AU?
Yes
No. If no, explain:
Any student who has obtained a scholarship through means of a willfully false statement or failure to reveal any
material fact, condition, or circumstances affecting eligibility will be subject to applicable civil or criminal
penalties, including retroactive loss of the scholarship and/or grant. I understand that the University may find it
necessary to request additional information to verify residency in compliance with the regulations regarding the
awarding of the aforementioned Scholarships.
Student’s Name (please print)
Date
Student’s Signature
Last four digits of Social Security Number
Parent’s/Legal Provider’s Name (please print)
Parent’s/Legal Provider’s Signature
If your SC residency appeal was denied, the decision may be appealed using the SC Residency
Decision Appeal Form found on the University website,
http://www.andersonuniversity.edu/freshmen/financial-aid/documents. If you prefer, you may
request a form by e-mailing to finaid@andersonuniversity.edu
Updated 9/2014
TRD
2