Colorado Residency Declaration

If you have attended classes at PPSC as a non-resident in a prior term, do not use this form.

Use this form if you have not previously attended classes at PPSC as a non-resident and you believe your residency determination is in error. You may also use this form if information was missing from your initial admissions application.

First Name Required

Last Name Required

Semester Required -- Select -- Fall Spring Summer

Term Year Required

Affirmation

Age 23 or Older: The student’s name is required below for students 23 years of age or older or under 23 but emancipated through marriage, military service or through the courts by the start of the term for which the student applied.

Under 23 Years Old: The student’s parent or legal guardian’s name is required below for students under 23 years of age and not emancipated through marriage, military service or through the courts by the start of the term for which the student applied.

Select Your Age Group Required
Under 23
23 and older

Required The person named directly above has been domiciled in Colorado for a minimum of 1 year prior to the academic term for which this declaration is submitted and intends to retain domicile in Colorado in the near future. During the year prior to the academic term listed above, this individual did not establish domicile in another state. They did not: purchase a home in another state as a primary residence, file state taxes as a resident of another state, obtain a driver license in another state, register a motor vehicle in another state or register to vote in another state. I, the student, hereby swear/affirm the statement given above is accurate and complete.