RESIDENCY RECLASSIFICATION REQUEST
Instructions:
Step 1: Review the BRCC Residency Information located on the back of this form.
Step 2: Complete this form in ink and print clearly.
Step 3: Attach the required supporting documentation.
Step 4: Submit completed form to Enrollment Services. Forms must be received in the Office of Enrollment Services
prior to the first day of classes for requested term. Residency reclassification is not updated after classes begin.
STUDENT INFORMATION
Student ID:
Requesting Term: Fall 20___ Spring 20 _______
Summer 20______
Last Name:
First Name:
Date of Birth:
MI:
Address:
City:
State:
US Citizen:  Yes
 No
Zip Code:
Cell Telephone:
Telephone:
Email 1:
Email 2:
REASON(S) FOR RECLASSIFICATION OF RESIDENCY AND DOCUMENTATION
@mybrcc.edu
Please choose all that apply and supply documentation:
 Resided and/or worked in Louisiana for at least one full year (365 days) prior to the first official day of
classes of the term for which the application is being made, AND filed a Resident Louisiana state tax return.
 Permanent resident immigrant or a legal immigrant granted indefinite stay by the U.S. Bureau of
Citizenship and Immigration Services (USBCIS).
ACCCEPTABLE SUPPORTING DOCUMENTATION
All supporting documents (for example: driver’s license, voter registration card) MUST be dated 12 complete
months prior to the first day of classes for the requested semester (and term) of reclassification.
PLEASE NOTE: Lease agreements, utility bills, W-2 forms do not constitute verification of residency status.
We will need two of the items below.

A valid Louisiana Driver’s license or identification card issued 365 days prior to the term of application.

Prior year filed LA Resident State Income Tax return with student listed as filer or dependent.
 A copy of both sides of immigrant registration card or verification of visa status from USBCIS. (Eligible
visa categories: A, E, G, H-1, H-4, I, K1-4, L, N, O-1, O-3, R, TN/TD, NATO 1-7, asylees, parolees or refugees.)
______________________________________________________ _______________________________
Student Signature
Date
I have read and understand the BRCC Residency policy (on the back of this form).
OFFICE USE ONLY
Decision
 Approved
Processed By:
 Denied
Date:
Baton Rouge Community College is an Equal Opportunity/Equal Access Employer
Baton Rouge Community College Residency Information
The Office of Enrollment Services determines residency of a student in accordance with BRCC regulations, using the
information provided on a student’s Application for Admission and related documents. Other factors used to determine
residency include:
A continuous presence in Louisiana while not enrolled in a technical school, college or university.
Payment of Louisiana income taxes during the past tax year.
Living in Louisiana for a year or longer or having a driver’s license or ID, does not automatically qualify you for in-state
tuition. Despite the length of time you attend, residency cannot be established for the sole purpose of obtaining an
education. Residency status and fees are audited. Residency reclassification requests are not retroactive and are not
processed after classes begin for the term of application.
Louisiana Residents
Students are eligible for consideration as Louisiana residents once they have:
1) resided and/or worked in Louisiana for at least one full year (365 days) prior to the first official day of classes of
the term prior to applying to attend school, AND
2) filed a Louisiana state tax return.
Special provisions are made for students who are mandatorily relocated to Louisiana for employment purposes. Students
with valid resident-alien cards are evaluated by the same standards as U.S. citizens when determining Louisiana residency
status. Lease agreements, utility bills, W-2 forms and check stubs do not constitute verification of residency status.
Residency is not transferable from other colleges/ universities.
Non-Louisiana Residents
Students who are not Louisiana residents are charged out-of-state tuition. For applicants who are under 18 years of age or
are legal dependents, residency is determined by the domiciles of students’ parent(s) or legal guardian(s).
Non-U.S. Citizens (International)
International students are non-U.S. citizens who do not possess valid permanent-resident cards. International students are
charged out-of-state tuition.
Residency for Veterans, National Guard Members & Reservists
ACT 581 calls for Louisiana public universities to consider the following students as residents for tuition purposes
although they are not Louisiana residents.
Veterans who served on active duty for a continuous period of not less than two years, received an Honorable
Discharge and who are enrolled in at a public Louisiana university within one year of discharge.
Current members of the National Guard or one of the reserve components (e.g., Army Reserve, Air Force
Reserve, Navy Reserve, etc.).
Veterans with a service-connected disability as determined by the United States Department of Veterans Affairs.
Baton Rouge Community College (BRCC) is accredited by the Commission on Colleges of the Southern Association of Colleges and
Schools (1866 Southern Lane, Decatur, Georgia 30033-4079; Telephone number 404.679.4501) to award Associate Degrees and
Certificates. Educational opportunities are offered by the Baton Rouge Community College without regard to race, color, age,
national origin, religion, gender, or disability. The Director of Disability Services has been designated as the college’s 504/ADA
Compliance Officer. Any person with a disability who needs assistance should contact the Director at 225.216.8503, TDD
225.216.8702. Baton Rouge Community College does not discriminate on the basis of gender in admission to or employment in its
education programs or activities. Title IX Coordinator is the Vice Chancellor for Student Affairs, 201 Community College Drive,
Baton Rouge, Louisiana 70806 – 225.216.8068. The Family Educational Rights and Privacy Act of 1974, as amended (also
sometimes referred to as the Buckley Amendment), is a federal law regarding the privacy of student records and the obligations of the
institution, primarily in the areas of release of the records and the access provided to these records. Any educational institution that
receives funds under any program administered by the U.S. Secretary of Education is bound by FERPA requirements. Institutions that
fail to comply with FERPA may have funds administered by the Secretary of Education withheld. BRCC is a member of the Louisiana
Community and Technical College System (LCTCS)
Baton Rouge Community College is an Equal Opportunity/Equal Access Employer