PART A (All)

Residency Reclassification Questionnaire

Please make sure you read the information on the website to know why you were classified as a nonresident and what documents you will need to submit with this petition. Residency information: https://www.elcamino.edu/admissions/residency.aspx


Residency regulations are extremely complex. Please be aware that every residency case is different based on the individual's situation.  Therefore, the ECC Admissions & Records Office maintain the right to request additional documentation than those listed be below.  




El Camino College will be closed starting Friday, December 23, 2022 and will reopen for business on Monday, January 3 2023. Forms submitted during this time will not be processed until the office reopens. The standard processing time for your form will start from when we reopen.

Date of Birth *
Name*

USE ONLY ELCAMINO.EDU EMAIL ONLY
Address (Permanent Street Address)*
Address (Mailing Address if you have one)
Further documentation may be requested
Further documentation may be requested

PART B

Part B Military Service or Dependent of Active Duty Personal

Date (Date assigned to active duty)*

PART C

PART C - Physical Presence and Intent (at least two proofs from list on https://www.elcamino.edu/admissions/residency.aspx must be upload at the end of this form)

Date California became your permanent home*
DATE LICENSE/ID WAS ISSUED AND WHEN DOES IT EXIPRE
DATE LICENSE/ID WAS ISSUED AND WHEN DOES IT EXIPRE
Date/Time*

PART D

PART D - STUDENTS UNDER THE AGE OF 19*

*Students up to the age of 23 may use this section if they are dependents and cannot prove residency on their own

If you answered yes attached the supporting documentation below and skip to Part G.

Parent/Guardian Name*
Parent/Guardian Address*

PART E

PART E - Parent/Guardian Legal Status:

Does your Parent/Guardian have any of the following documents. Please only check one.*

If other please contact bpeterson@elcamino.edu.  In the subject line of the email please state Parent/Guardian Residency.  In the body please put the following.  My parent/guardian does not have the documentation regarding citizenship. I will need further assistance.  Please send this email from your MyECC email account.  

Example email:






PART F

PART F - Parent/Guardian Physical Presence: (2 proofs are needed to be submitted with your appeal) 

An example list and chart are provided of types of documents that should be uploaded with your Residency Reclassification Appeal.  Please make sure all information is filled out correctly for your parent/guardian in this section.

List of Possible Documentation that may be submitted.  This is not an exhaustive list.

Submitted documents must include Name, A Physical California Address (no P.O. Boxes) and dated within the date rage on the RESIDENCY Web Page .  Please do not highlight or write on your documents. Only one item from any one source will be accepted.  

PRIMARY PROOFS

  • Valid California Driver License/ID or CA DMV Printout (Online printout not accepted) or CA car registration
  • California 540 tax form with California as the home address for the previous year including signature page (540NR form NOT acceptable) The Federal Tax Form 1040 cannot be used as proof of residency.
  • Voter’s registration card or proof of voter registration stamped by County Registrar’s Office (Receipts not accepted)

SECONDARY PROOFS

  • Utility bill (gas, telephone, cable, etc.)  Only one bill type will be accepted as a proof 
  • Apartment/home lease or rental agreement (one-year current) - the agreement must be official.  Month-to-month only if you have been there for at least a year.  
  • Proof of California car insurance (insurance card or policy). Student, or parent if student is under 19, must be Primary Insured Driver. Must be show that you had for over a year.
  • California bank account statement (Statement end date is the date that is used) - Credit card statements are not acceptable.
  • California health insurance—must include resident address and issue date.
  • California public library membership, if dated or, Printout of library account information w/ library address stamp
  • Pay stub or employment verification on company letterhead along with pay stub if pay stub does not have home address
  • Military discharge papers (DD 214) that includes Character of Service field if discharged within three years of start of semester or Leave and Earnings statement indicating California as home of record
  • Filed Marriage license or divorce decree issued in California (for the appropriate time period)
  • California State Aid, Social Welfare, California Court documents that have been filed with the court (for the appropriate time period)
  • Union membership in a California Local—must include resident address and a date
  • Licenses or certificates issued by the state of California with issue date - high school diplomas cannot be used in this area


 

(Example:07/27/2013 - 07/27/2018)
(Example:07/27/2018 - 07/27/2019)

PART G (ALL)

PART G

To be read and signed by all students completing this form.

Per California Education Code, the burden of proof is on the student to clearly demonstrate legal status, physical presence, and intent to remain indefinitely in California. Students seeking reclassification of nonresident status must also demonstrate financial independence. You are required to present evidence in accordance with California Education Code and Title 5 of the California Code of Regulations.

I certify under penalty of perjury that the foregoing statements and documentation submitted by me in connection with the determination of my residence are true, complete, and accurate. I understand that my residence determination will be based on the facts stated in this questionnaire and the documents I provide. If I receive classification as a California resident or an exception or exemption, I promise to notify the residence specialist if any of the facts stated in this questionnaire change. I authorize release of any information submitted by me in connection with my application for admission and determination of residence, but only as necessary to verify or explain the information, to obtain pertinent records, or in connection with perjury proceedings.

I have completely read and understood the directions on Admissions & Records California Residency and AB 540/2000 web page 


All documents for Spring 2023 must be dated between February 10, 2021 -  February 10, 2022. The exception being a State ID/Driver License or Passport. Those documents can have an issue date before February 10, 2021 as long as they are still valid.  Deadline to submit Spring 2023 residency questionnaire and required documentation April 30, 2023.

All documents for Summer 2023 must be dated between June 18, 2021 -  June 18, 2022. The exception being a State ID/Driver License or Passport. Those documents can have an issue date before June 18, 2021 as long as they are still valid.  Deadline to submit Summer 2023 residency questionnaire and required documentation July 16, 2022.

All documents for Winter 2023 must be dated between January 4, 2021 - January 4, 2022. The exception being a State ID/Driver License or Passport. Those documents can have an issue date before January 4, 2021 as long as they are still valid.  Deadline to submit Winter 2023 residency questionnaire and required documentation January 13, 2023.

All documents for Fall 2022 must be dated between August 26, 2020 and  August 26, 2021. The exception being a State ID/Driver License or Passport. Those documents can have an issue date before 1/3/2020 as long as they are still valid.  Deadline to submit Fall 2020 residency questionnaire and documentation is November 4, 2022.

You will need to upload the supporting documents as one PDF file.  If you do not have access to a scanner you can download a free scanner on Google play and/or at the Apple App Store.  A good one to use is Microsoft Office Lens.

Submission of Documents File*
No File Chosen
File uploads may not work on some mobile devices.
Use your mouse or finger to draw your signature above
Date/Time
:  

Residency Evaluation

For the use of A&R Specialist

Primary List
Secondary List
Date/Time
:  

A&R Specialists Final Response

Date/Time
:  
Primary List-Final
Secondary List - Final