Graduate Re-Admit Application

South Carolina State University Graduate & Professional Studies Re-admit Form

This form is NOT for students who are new to the University or for undergraduate students.

What was your nine-digit Banner ID#?

Personal Information

Prefix

First Name

Preferred First Name

Middle Name

Last Name

Suffix

If your previous enrollment was not under this name, please provide your full previous name

Birthdate

Contact Information

Mobile Phone

Home Phone

WORK PHONE -- NEED TO ADD AS A RECORD TYPE?

Address

Country

Street

City

Region

Postal Code

Citizenship

Are you a legal resident of South Carolina?

Yes

Social Security Number
Please use the following format: XXX-XX-XXXX

Academic Intent Details

Entry Term

Program

Previous Attendance and Other Colleges

Term you last attended South Carolina State University as an enrolled Graduate Student

You have indicated that you have last enrolled at South Carolina State University more than one year ago. Please do not continue to submit this Readmit form and instead submit an application here: https://apply.scsu.edu/apply

Have you attended any colleges or universities since you were last enrolled at South Carolina State University?

Yes

List below, all the colleges or universities you have attended since you last enrolled at South Carolina State University.

Delete_ID_
College / University
Name CEEB (Hidden) Level of Study From From To To Degree

Add College / University

Proof of Residency

South Carolina State University is required, under South Carolina Law 59-112, to determine residence classification of applicants and students for purposes of receiving in-state tuition and fees that requires substantiating documentation. Each applicant/student must also sign an Oath of Residency. If you have attended school and/or resided out-of-state, additional proof of residency may be required. Military personnel/dependents must submit proof of military assignment in South Carolina at each enrollment. Non-U.S. citizens must provide proof of immigration status.

For more information regarding residency law, requirements, and visa classifications, you may visit: South Carolina Commission of Higher Education - Residency Information

Questionnaire and Oath of Residency

Do you consider yourself a resident of South Carolina for tuition purposes?*

Yes

How long have you resided in South Carolina?

Number of months

Number of years

Is your claim for in-state residence status based upon your SPOUSE or OTHER individual? If so, you must answer the following questions:

This person's relationship to you:*

Spouse

Other

N/A

Full name of the person upon whom claim is based*:

How long has this person resided in South Carolina?*

Number of months*

Number of years*

County of Residence*

How long has this person resided in this county?*

Number of months*

Number of Years*

The previous state or country of residence*:

Is this person a U.S. citizen?*

Yes

Has this person claimed you as a dependent for U.S. federal income tax purposes for the year preceding your registration?*

Yes

Will this person claim you for the current U.S. federal income tax year?*

Yes

Other Relationship*:

Are you using a military waiver (orders) for in-state tuition?*

Yes

I hereby certify that the information given is true to the best of my knowledge. I agree to meet all obligations, financial and otherwise, as set forth in the University's literature. I understand that readmission to continue my academic studies does not approve my financial aid.

We love our military families! Please be sure to upload a copy of the military orders that qualify you for in-state tuition below.*

Upload copy of military orders here

Upload your proof of reidency documents

At minimum you must upload two of the following documents to accompany this completed "Proof of Residency Questionnaire"*

*A statement of your full-time employment from your personnel director or designee on employer's letterhead. Statement must include dates of employment and number of hours you work per week.

*Copy of Voter's Registration Card

*Copy of Driver's License or S.C. Identification Card

*Copy of Vehicle Registration

*Copy of Visa or Resident Alien Registration Card (Front and Back)

*Copy of State and/or Federal Income Tax Return(s) from previous years

*Copy of most recent W-2 Forms

*Copy of Military Orders:

Oath of Residency:
My signature below certifies that the information above is complete and correct and I understand that the submission of false information is grounds for rejection of my application, withdrawal of any offer of acceptance, cancellation of enrollment, or appropriate penalties and disciplinary action. I authorize the University to verify the information I have provided.*

Signature

Today'sDate

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