OFFICE OF THE REGISTRAR
505 Ramapo Valley Road, Mahwah, NJ 07430-1680
Phone (201) 684-7695 Fax (201) 684-7322
www.ramapo.edu
APPLICATION FOR IN-STATE TUITION
For a Nonresident Student
A newly accepted student wishing to request exemption from Nonresident Tuition and Fees charged to Non-New
Jersey residents must complete this form and submit all required documentation to the Admissions Office prior to
the beginning of his/her first semester.
A currently enrolled student wishing to request exemption from Nonresident Tuition and Fees charged to non-New
Jersey residents must complete this form and submit all required documentation to the Office of the Registrar (D224) by the end of the 100% refund deadline as published on the Academic Calendar. A decision regarding residency
status will be made after all of the required documents have been submitted.
1. Affidavit – this will be provided at the time of application and must be completed in person.
2. Official High School transcript including all courses completed and final graduation.
Provide information on all school(s) you attended in grades 9-12:
City
State
Dates:
From – Month/Year to – Month/Year
School
I, the undersigned, am applying for nonresident tuition exemption and declare that all of the following apply to me:
1. I have attended high school in New Jersey for three or more years; and
2. I have graduated from a New Jersey high school or have attained the equivalent thereof, such as a High
School Equivalency diploma, issued by the State of New Jersey Department of Education; and
3. I am NOT a non-immigrant alien with a currently valid visa. (Non-immigrants, as defined by federal law,
have been admitted to the United States temporarily and may have been granted one of the following visas:
A, B, C, D, E, F, G, H, I, J, K, L, M, N, 0, P, Q, R, S, T, TN, TD, V, TROV, and NATO or other nonimmigrant visa).
By signing this document below, I hereby state that I am a non-citizen without lawful immigration status; I have filed
an application to legalize my immigration status or will file an application as soon as I am eligible to do so. Further, I
declare that the information I have provided on this form is true and accurate. I understand that this information will
be used to determine my eligibility for the tuition exemption. I further understand that if any of the above information
is found to be false, I will be liable for payment of all nonresident charges from which I was exempted and may be
subject to disciplinary action by the College.
Student R#:
R_____________________ Student Name: _____________________________________
(print)
Date _________________ Student Signature ______________________________________________
*************************************************************************************
Approved ___________
Comments_______________________________________________________
Denied
___________
Comments_______________________________________________________
Signature_______________________________________________________
New Jersey Public Liberal Arts College
Date________________
2/2014
OFFICE OF THE REGISTRAR
505 Ramapo Valley Road, Mahwah, NJ 07430-1680
Phone (201) 684-7695 Fax (201) 684-7322
www.ramapo.edu
APPLICATION FOR IN-STATE TUITION
For a US Citizen or Permanent Resident Card Holder
A currently enrolled student wishing to establish residency in New Jersey for tuition purposes must submit
all of the following documents showing the same New Jersey residential address (not mailing address) to
the Office of the Registrar (D-224) by the end of the 100% refund deadline as published on the Academic
Calendar. A decision regarding residency status will be made after all of the required documents have been
submitted.
1. Affidavit – this will be provided at the time of application and must be completed in person.
2. One of the following:
a. Valid NJ motor vehicle license
b. Valid NJ vehicle registration
c. NJ Voter’s Registration Card
d. NJ State-issued I.D. Card
3. Two pieces of current business mail sent to the student. Personal mail or mail sent from Ramapo
College of NJ cannot be used. Mail sent to a P.O. Box is not acceptable; the address must also
show a street address.
4. A student under 23 years of age, claiming himself/herself for tax purposes, and not living with
his/her parents or guardian must submit:
a. Copy of his/her most recent 1040 or New Jersey income tax form; and
b. Copy of his/her parents’ most recent 1040 or New Jersey income tax form.
5. International students must demonstrate that they have had their permanent residency status or
eligible visa status for one year.
I have read all of the above requirements and reviewed the appropriate information on the Ramapo College
of New Jersey website and understand that my request will not be approved until all documentation has
been received.
Student R#:
R_____________________ Student Name: _____________________________________
(print)
Date _________________
Student Signature ______________________________________________
*************************************************************************************
Approved ___________
Comments_______________________________________________________
Denied
Comments_______________________________________________________
___________
Signature_______________________________________________________
New Jersey Public Liberal Arts College
Date________________
2/2014
OFFICE OF THE REGISTRAR
505 Ramapo Valley Road, Mahwah, NJ 07430-1680
Phone (201) 684-7695 Fax (201) 684-7322
www.ramapo.edu
AFFIDIVIT IN SUPPORT OF APPLICATION FOR IN-STATE TUITION
I, ______________________________________________, claim to be domiciled in the State of New
Jersey and thus am eligible for lower tuition rates established by Ramapo College of New Jersey. I hereby
make the following statements under oath in support of this claim:
1. I presently reside on a full-time basis at
_____________________________________________________________________________
(street address
municipality
county)
and have resided at this address continuously since ________________________ (month/year)
Prior to that date, I resided on a full-time basis at
_____________________________________________________________________________
(street address
municipality
county)
and resided at that address continuously from _____________________________(month/year).
2. Check one:
_____ I currently live with my parents/legal guardian.
_____ I rent my present residence from __________________________________ for $________
per month. My lease expires ________________________.
_____ I own my present residence.
_____ I am a guest of ____________________________________ (name of host).
3. I receive telephone calls at the following numbers: _____________________________________
Which are listed in the names of: ___________________________________________________
My present mailing address is: _____________________________________________________
_______________________________________________________________________________
4. Check one:
_____ I have been claimed as a dependent on federal income tax returns of _________________
_____________________________________ for the last tax year 20___.
_____ To my knowledge, no individual residing outside New Jersey claimed me as a dependent for
the last tax year, 20____. Rather, I filed my own return for 20___.
New Jersey Public Liberal Arts College
2/2014
AFFIDIVIT IN SUPPORT OF APPLICATION FOR IN-STATE TUITION (cont.)
5. Check one:
_____ I plan to file my own federal income tax return for the current tax year.
_____ I expect that _________________________________ will claim me as a dependent on
his/her federal income tax return for the current tax year.
6. I am a licensed driver of the State of _____________________________ and the address shown on
my current driver’s license is ______________________________________________________.
7. I am the registered owner of ______________ motor vehicles and my address as shown on the
current registrations for each motor vehicle owned by me is as follows:
_________________________________________________________________________________.
8. For the current tax year, I _____ do _____ do not expect to receive more than $750.00 of support
from my parents or legal guardians.
9. For the past tax year, I _____ did _____ did not receive more than $750.00 of support from my
parents or legal guardians.
Under penalty of perjury, I swear that the foregoing statements made by me are true and that I make same
in order to verify my claim to entitlement of tuition rates established by Ramapo College of New Jersey for
students residing in the State of New Jersey. I am aware that if any of the foregoing statements made by
me are false, I am subject to punishment and prosecution.
Student R#:
R_____________________ Student Name: _____________________________________
(print)
Date _________________
Student Signature ______________________________________________
*************************************************************************************
SWORN AND SUBSCRIBED TO
Before me this ____________ day
Of ____________________, 20 ___.
_______________________________
Name of Notary Public before whom sworn
Statement was given on ______ ______, 20___.
New Jersey Public Liberal Arts College
2/2014