Auburn University at Montgomery
Certification of Residency in the State of Alabama
(Tuition Purposes Only)
I certify that I am a bona fide resident of the State of Alabama and that I have not left the State of Alabama for a period of twelve (12) consecutive months or more since the date of my last enrollment at AUM.
I have met all the requirements of one of the eligibility categories as outlined in the AUM’s policy on Residency for Tuition Purposes policy.
I certify that I have possession of more substantial connections with the State of Alabama than with any other state; that I intend to remain in the state indefinitely; and that my Alabama address of residence is:
Address line 1
Address line 2
City, State, Zip Code I declare, swear, and affirm that the information provided to Auburn University at Montgomery is true and accurate to the best of my knowledge and belief; that in order to be eligible for resident tuition rates at Auburn University at Montgomery the burden of proof lies with me, and that I may be asked to provide further information and documentation. I further understand that, if asked, my failure to provide this documentation will result in immediate change in residency status and immediate payment for non-resident tuition for all previous semesters in which I was incorrectly enrolled under in-state resident classification.
Student Name (printed) Student Number
Student Signature Date