Residency Form Instructions

PURDUE UNIVERSITY

Instructions for Completing the Residence Classification Form

It is very important that you and/or your parent(s) (if you are unemancipated) read this instruction sheet
before completing the Residence Classification Form.

General Information for All Students
1. The applicant should respond in full to each item on the application. An application with missing or incomplete information will not be reviewed until all necessary documents have been submitted.
2. The application must be signed and dated by the applicant or parent or it will be returned unprocessed.
3. The applicant must provide the requested documentation (i.e., copies of driver’s license, automobile registration, income tax return, W-2’s, lease/mortgage, voter’s registration card, and bank account statement, etc.) with the classification form. All copies should be clearly legible.
4. Return the form and all documents to the following listed locations:

For West Lafayette Campuses see directions that follow:

If Undergraduate or Pharmacy student as a new applicant, please return the form and to Admissions  all documents at Purdue University at 475 Stadium Mall Drive in West Lafayette, Indiana 47907-2050 and phone number is 765-494-1776.

If Graduate student as a new applicant, please return the form and all documents to Graduate School at Purdue University at 157 South Grant Street in West Lafayette, Indiana 47907-3572 and phone number is either 765-494-6963 or 765-494-2599.

If Continuing student – as a Graduate, or Pharmacy or Veterinary Medicine or Undergraduate, please return the form and all documents to Office of the Registrar at Purdue University at 610 Purdue Mall in West Lafayette, Indiana 47907-2040 and phone number is 765-494-8581.

 If Veterinary Medicine student as a new applicant, please return the form and all documents to Student Services at Purdue University at 625 harrison Street in West Lafayette, Indiana 47907-2026 and phone number is 765-494-7893 or 1-800-213-2859.


For Regional Campus Students, see directions that follow:

Fort Wayne Students send form and documents to the Office of the Registrar at 2101 Coliseum Boulevard  at East Kettler Hall, Room 107  in Fort Wayne, Indiana 46805 and the phone number is 260-481-6815.

Calumet Students send form and documents to the Office of the Registrar at 2200 169th Street in Lawshe Hall in Hammond, Indiana 46323 and phone number is 219-989-2210.

North Central Students send form and documents to the Office of the Registrar at 1401 South U.S. 421 at 40 Schwarz Hall in Westville, Indiana 46391 and phone number is 219-785-5459 or 1-800-872-1231, extension 5459.

5. According to University Regulations, a “student’s application for classification as a resident shall be submitted in writing on a form supplied by the [appropriate office] any time after the domicile requirement, including one year of residence, has been met, but no later than fifteen [15] days after the day on which classes begin for the academic session for which reclassification is sought.”
6. Upon receipt by the appropriate office, the completed application and supporting materials will be
reviewed. Within 30 days of the date received, a letter containing a decision or a request for additional
information will be sent to the applicant’s address.

Emancipated Students
1. Complete Section I: Student Data (Items 1 – 23)
2. Read the Certification by Student; sign and date the application.

Unemancipated Students
1. Complete Section I: Student Data (Items 1 – 15)
2. Parents must complete Section II: For Parent or Guardian Providing Financial Support to Student (Items 24 – 30)
3. Parent or guardian read the Certification by Parent or Guardian; sign and date the application.

Required Documentation for Emancipated Students

If you are an emancipated student (do not depend on your parents for support and are not claimed by them
as a dependent on their income tax return), you should complete Items 1 – 23.

The following documentation is required:

1. a copy of your Indiana driver’s license
2. a copy of your Indiana car registration
3. a copy of your most recent federal & Indiana state income tax returns with W-2’s*
4. a copy of your lease/mortgage agreement for the past year
5. a copy of your voter’s registration card
6. a copy of your most recent bank statement
7. a copy of your permanent resident card/temporary visa (if applicable)
8. a copy of your military Leave and Earnings Statement(s) (if applicable)
9. a statement from your employer indicating your date of employment and a copy of your
most recent pay stub

Depending on your situation, other documentation may be requested.

Required Documentation for Unemancipated Students

If you are an unemancipated student (depend on your parent(s)/guardian(s) for support), you should complete
Items 1 – 15 and your parent(s)/guardian(s) should complete Items 24 – 30.

The following documentation is
required:

1. a statement from a parent’s/guardian’s employer indicating when employment began
and a copy of your parent’s/guardian’s most recent pay stub
2. a copy of a parent’s/guardian’s driver’s license
3. a copy of a parent’s/guardian’s car registration
4. a copy of a parent’s/guardian’s most recent federal & Indiana state income tax return with W-2’s*
5. a copy of a parent’s/guardian’s lease/mortgage agreement for the past year
6. a copy of a parent’s/guardian’s voter’s registration card
7. a copy of a parent’s/guardian’s most recent bank statement
8. a copy of a parent’s/guardian’s permanent resident card/temporary visa (if applicable)
9. a copy of a parent’s/guardian’s military Leave and Earnings Statement(s) (if applicable)

Depending on your situation, other documentation may be requested.

*For residence status beginning with a summer or fall session: please include a copy of the state & federal income tax returns for the previous year.

For residence status beginning with a spring session: please include a copy of the most recent state
and  federal income tax returns and a copy of a December pay stub with year-to-date information.