Washington State Higher Education Residency Affidavit

WA Higher Education Residency Affidavit Page 1 of 1

Revised April 2022

People who are eligible to sign this affidavit pay in-state (resident) tuition and fees. They

also meet residency requirements for state financial aid programs. Check your school’s

residency website or contact the residency office for submission instructions. For private institutions,

check your school’s financial aid website or contact the financial aid office.

Eligibility Requirements

To be eligible to sign this affidavit, you must:

• Earn a high school diploma, GED, or diploma equivalent before your first term at the college

determining residency, and

• Maintain a primary residence in Washington for at least 12 consecutive months immediately

before your first term at the college determining residency. The Washington residence must be for

purposes other than college. If you take any courses at another Washington college during the

prior 12 months, you cannot have taken more than six credits in any given term. If you exceed that

limit you must prove that you have a Washington residence for non-college reasons.

Applicant Information

Name

Date of Birth

(Month/Day/Year)

Student ID Number

(if applicable)

Certification

If you meet the eligibility requirements above, you must also sign this affidavit to qualify for residency. The

affidavit is a promise between you and the institution determining residency. Please certify the following

statement by signing below.

I certify that, by the official start date of my first term at the college determining residency, I will have met

the eligibility requirements on this affidavit form and that one of the following is true:

• I will file an application to become a permanent resident of the United States as soon as I am

eligible to apply. I am also willing to engage in activities designed to prepare me for citizenship,

including citizenship or civics review courses, or

• I am a U.S. citizen, U.S. national, or U.S. permanent resident.

Signature

Date

Place

(City, State)