Commitment Form: Professional Programs

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We are pleased to offer you admission to the following program:

Program

Term

First Name

Last Name

If your name is not listed above, please contact 802 656 2085 for assistance

Do you accept the offer to this program?

Yes- I wish to continue with pre-registrationNo

We are always interested in improving the quality of our programs. We welcome any feedback on your decision not to attend.

Program Code

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Would you like to be considered a Vermont resident for tuition purposes?

YesNoEven if you live in Vermont, you must complete this section in order to be considered for in-state residency status. In-state residency is based on UVM Residency Policy

Vermont Residency

Vermont Residency Questionnaire

In order to be considered for in-state tuition, you must complete this section. The final decision on residency is made by the residency office. Regardless of your responses below, it is the student's responsibility to understand their final residency determination before they register. The residency office may request additional information before determining residency status. All Applications for In-State Status should be received no later than the last day of the Add/Drop period for the semester for which in-state status is sought. All applications received after the Add/Drop period will be considered for the following semester for which the student is enrolled.

Learn more about UVM residency criteria

Have you attended a college or university over the past three years?

YesNo

Schools Attended

Complete for all colleges or universities attended during the past 3 years

If you have any difficulty entering schools in the drop-down menu, please use the "Additional colleges or universities attended" section below.

Choose state or province

Choose name of university

if school is not listed, enter below

Start date

MM/DD/YYYY (Date you began attending)

End date

Date you stopped attending-- enter planned end date if currently attending

Please list any schools not included above

List employers for the past 2 years, including address and dates, using the format below

For example:

IBM, Essex Jct VT, 5/2000-5/2005
Green Mountain Coffee Roasters, Waterbury VT, 6/2005-present

List the states in which you have filed resident income tax the last 3 years (see example below)

2015- Vermont
2014- Vermont
2014- New York

When was the last year you were claimed as an exemption by your parents for tax purposes?

In what state did you graduate from high school?

When did you first begin living in Vermont?

MM/DD/YYYY

Are you under 25 years of age?

YesNo

Which address do you reside at currently?

Parent'/Guardian's address, fill below.The Permanent address (listed below for your reference)Other (please enter below)

Parent Guardian Address

Street Address

City

State

Zip Code/Postal Code

Country

How long have you resided at your current address?

Enter years and months (i.e. 10 years, 2 months)

Permanent address (from application form)

Permanent Street

Permanent City

Permanent State/Province

Permanent Zip/Postal Code

Permanent Country

Other address

Other Street

Other City

Other State/Province

Other Zip/Postal Code

Other Country

For Vermont Residents Only: The information above does not change the residency status established at your last enrollment. For information on filing for in-state status, contact the Residency Office, Registrar's Office, 85 South Prospect St., (802) 656-8515.

Information is also available online under Policies & Procedures on the Registar's webpage.

Areas of Interest

Program Type

Learning Format

Credit Courses

For Students

For Employers

For Staff

Categories

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Address

Professional Programs Commitment/Pre-Registration

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Complete for all colleges or universities attended during the past 3 years

If you have any difficulty entering schools in the drop-down menu, please use the "Additional colleges or universities attended" section below.

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