Academic Common Market Application and Certification of Residency

Academic Common Market

Application and Certification of Residency

For further information please email Jenny Wood, Academic Common Market Coordinator at jwood@osrhe.edu.

Contact Information

Name*

i.e. John Smith

Date of Birth*

June 1, 2000

Permanent Address*

i.e. 1234 North Main St

Oklahoma City, OK 73104

Mailing Address (if different from above)

i.e. 2500 East 36th Ave

Apt. 27

Tulsa, OK 74008

Email Address*

i.e. johnsmith@email.com

Telephone Number*

405-555-6789

Phone

Institution and Program Information

Name, City and State of Institution*

List the Institution Name, City and State to which you are admitted

i.e. Western Kentucky University

Bowling Green, KY

Academic Term and Year You Are Enrolled*

i.e. Fall 2023

Degree and Program of Study*

i.e. Bachelor of Arts in Southern Studies

Student ID for Out-of-State Institution*

i.e. J582417

Required Documentation

Are you a United States Citizen?*

Students must be a U.S. Citizen or eligible non-citizen.

Yes

If you are not a United States Citizen, please list your VISA Classification and Number.

1. Proof of Residency*

Please select two different documents to establish proof of residency.

*Please redact Social Security Number when sending information such as tax returns

**For a complete list of acceptable items please visit https://oklahoma.gov/dps/obtain-an-oklahoma-driver-license-id-card/requirements-for-a-commercial-driver-license/acceptable-residency-list.html You will need to scroll down to "Proof of Oklahoma Residency Documents" for complete list.

Select

Residency Information

Note: A resident of Oklahoma is someone who has lived in the state continuously for at least 12 months and whose domicile is in Oklahoma. Domicile is a person’s true, fixed, permanent home or habitation. It is the place where he or she intends to remain and to which he or she expects to return. A person can have more than one residence, but only one domicile. Domicile has two components – residence and the intent to remain. When these two occur, there is domicile. Attendance at an educational institution is interpreted as temporary residence. Therefore, a student neither gains nor loses residence status solely by such attendance.

2. I have attached my letter of acceptance*

You must have a letter of unconditional acceptance into the institution which includes the specific major/program.

Yes

You must attach your letter of unconditional acceptance or your application will be considered incomplete and not processed.

Is the program included in the ACMI?*

Is the program already included in the Academic Common Market Inventory (ACMI)?

Yes

Please attach a catalog description of the degree program requirements, including descriptions of required courses. A program comparison will need to be done to determine if the requested program is eligible.

*Note: You will need to allow several weeks for the program comparison to be completed. You will be notified of the results of the program comparison via email once it is done.

Required Documents*

Please attach all required documents.

Drag and drop files here or

Demographic Information

Please note this information is being collected for informational purposes and only used as aggregate data.

Demographic

Select or enter value

Signature*

By typing your name below, you certify that the statements made herein are correct and may be verified by personal records or records of the institution(s) I have attended. Officials of said institution(s) are hereby authorized to make such records available to authorized representatives of the applicable institution/agency for their program.

Send me a copy of my responses

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