Refugee Residency Declaration

Use this form if you 1) have not lived in Colorado for 12 months prior to the start of the term and 2) have legal Refugee, Asylee, or Special Immigrant status.

Eligibility Questions

Does your Form I-94, Arrival/Departure Record show Refugee, Asylee, or an eligible Special Immigrant status as described in the Colorado Department of Higher Education Guidance? See also the Refugee and Asylees tab in Immigrant Classes of Admission | OHSS?

Required
Yes
No

Have you settled in Colorado (make your home in Colorado)? Required
Yes
No

Do you presently intend to reside permanently in Colorado? Required
Yes
No

Is the primary reason for living in Colorado other than for your education or for the education of a family member? Required
Yes
No

Affirmation

I affirm that I am refugee, asylee, or a special immigrant who settled in CO upon entering the US and whose primary purpose of residence in Colorado is other than for my own education or for the education of a family member. “Settle” means, upon entering the United States, I have made my home in CO and presently intend to reside permanently in the state.

Required I hereby swear/affirm the statement given above is accurate and complete.