CALIFORNIA NONRESIDENT TUITION EXEMPTION REQUEST

Education Code § 68130.5, as amended, commonly known as AB 540

INSTRUCTIONS
Complete and sign this form to request exemption from nonresident tuition charged to nonresident students. Once determined to be eligible, you will continue to receive the exemption as long as you fulfill eligibility requirements or until the College or University no longer offers this exemption. Applying for this exemption does not alter your responsibility to pay, by the campus deadline, any nonresident tuition and associated fees that may be due before your eligibility is determined.
APPLICATION
First Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Last Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
College Student ID*field type single line
Must be 7 digits. Example 0123456.
Input blocked. Maximum character limit of 4000 characters reached.
I, the undersigned, am applying for the California Nonresident Tuition Exemption at the following college,
COLLEGE OF THE DESERT and declare that the following apply to me.
1.) Check one box only:*field type radio button
1.) Check one box only:I have a current nonimmigrant visa (not including a T and U visa) as defined by federal law.
Nonimmigrants have been admitted to the U.S. on a temporary visa and include, but are not limited to, foreign students (holding F visas) and exchange visitors (holding J visas).I have a current nonimmigrant T or U visa as defined by federal law.I do NOT have a current, nonimmigrant visa as defined by federal law.
This includes, among others, U.S. citizens, permanent residents, DACA recipients, and individuals without current or valid immigration status.
2.) Select all items that apply to you from each column (must satisfy at least one from each column to be eligible):
Column Afield type checkbox
Column AI have 3 years of attendance at a California high school.I have 3 or more years of high schoolcoursework and 3 years of attendance inCalifornia elementary schools, Californiasecondary schools, or a combination of California elementary and secondary schools.I attended or attained credits at a combinationof California high school, California adultschool, and/or California Community Collegefor the equivalent of (3) years or more.*
Column Bfield type checkbox
Column BI have graduated or will graduate (before the first term of enrollment at the CCC) with a California high school diploma or the equivalent(i.e., California-issued GED, CHSPE).I completed or will complete (before the first term of enrollment at the CCC) an associate’s degree from a California Community College.I completed or will complete (before the first term of enrollment at the CCC) the minimum requirements at a California Community College for transfer to the California State University.
- A year’s equivalence at a California Community College is either a minimum of 24 semester units of credit or 36 quarter units. For noncredit courses, a year’s attendance is a minimum of 420 class hours per year (a semester is equivalent to a minimum of 210 hours and a quarter is equivalent to a minimum of 140 hours). Full-time attendance at a California adult school is a minimum of 420 hours of attendance for each school year.
Please provide information on the schools you attended and referenced above, including the dates you attended and the number of credits or hours obtained:

table

	Name of CA School*field type single line	Type of School (high school, adult school or community college)*field type single line	City*field type single line	From (Month/Year)*field type single line	To (Month/Year)*field type single line	Number of Credits or Hours*field type single line
Row 1×	Name of CA School*field type single line Input blocked. Maximum character limit of 4000 characters reached.	Type of School (high school, adult school or community college)*field type single line Input blocked. Maximum character limit of 4000 characters reached.	City*field type single line Input blocked. Maximum character limit of 4000 characters reached.	From (Month/Year)*field type single line Input blocked. Maximum character limit of 5 characters reached.	To (Month/Year)*field type single line Input blocked. Maximum character limit of 5 characters reached.	Number of Credits or Hours*field type single line Input blocked. Maximum character limit of 4000 characters reached.	×

Add Another CA School

Applicants must submit, as part of this form, official transcripts/attendance records that validate any of the information above as requested by the College, District, or University residence official.
AFFIDAVIT:
By signing this document below, I hereby state that if I am a non-citizen without a current or valid 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.
DECLARATION OF TRUE AND ACCURATE INFORMATION:
I, the undersigned, declare under penalty of perjury 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 California Nonresident 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 tuition charges from which I was exempted and may be subject to disciplinary action by the College or University.
Full Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
COLLEGE ID NUMBERfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
College Email*field type single line
example@mycod.us
Input blocked. Maximum character limit of 4000 characters reached.
Signature*field type signature
Datefield type date