JFAB-EA ©

EXHIBIT

TUITION / ADMISSION  OF
NONRESIDENT  STUDENTS

ARIZONA RESIDENCY DOCUMENTATION FORM

Student ____________________________________    School ______________________

School District or Charter Holder ______________________________________________

Parent/Legal Guardian ______________________________________________________

As the Parent/Legal Guardian of the Student, I attest that I am a resident of the State of Arizona and submit in support of this attestation a copy of the following document that displays my name and residential address or physical description of the property where the student resides:

_____   Valid Arizona driver's license, Arizona identification card or motor vehicle registration

_____   Valid Arizona Address Confidentiality Program (ACP) authorization card

_____   Real estate deed or mortgage documents

_____   Property tax bill

_____   Residential lease or rental agreement

_____   Water, electric, gas, cable, or phone bill

_____   Bank or credit card statement

_____   W-2 wage statement

_____   Payroll stub

_____   Certificate of tribal enrollment (506 Form) or other identification issued by a recognized Indian tribe in Arizona

_____   Documentation from a state, tribal or federal government agency (Social Security Administration, Veteran's Administration, Arizona Department of Economic Security)

_____   A consular identification card that is issued by a foreign government as a valid form of identification if the foreign government uses biometric identity verification techniques, including fingerprint identification and retina scans, in issuing the consular identification card.

_____   Temporary on-base billeting facility (for military families)

_____   I am currently unable to provide any of the foregoing documents.  Therefore, I have provided an original affidavit signed and notarized by an Arizona resident who attests that I have established residence in Arizona with the person signing the affidavit.  (JFAB-EB)

____________________________________________      _________________________
               Signature of Parent/Legal Guardian                                           Date