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FLORIDA RESIDENCY FOR TUITION PURPOSESRESIDENCY AFFIDAVITTHIS SECTION MUST BE COMPLETED IN FULL IF YOU ARE CLAIMING FLORIDA RESIDENCY FOR TUITION PURPOSES PURSUANT F.S. 1009.21Name of StudentHome PhoneLast 4 of SS#()Work Phone()EmailCell Phone()DOBClaimant NameRelationship to Student(Claimant is the person who is claiming Florida Residency, e/g/, the student, parent , spouse or legal guardian)Permanent Legal Address of ClaimantDate Claimant Began Establishing Residency in FloridaExempt (Must attach qualifying documentation):Students established as exempt from paying tuition, out- of-state fees, or use Florida Prepaid are exempt from the residencyrequirement. See back for details.Students must provide TWO forms of documentation proving at least 12 consecutive months’ residency prior to enrollment.Please indicate which required Florida residency supporting document you are providing:FIRST TIER: MUST have at least one from this tierSECOND TIER:Florida driver license or State of Florida ID cardA declaration of domicile if FloridaFlorida Voter RegistrationA document evidencing family timeFlorida Vehicle registrationin FloridaProof of permanent home in Florida which is occupied as primaryA Florida professional or occupationalresidence by the student of the parent/legal guardian (if thelicensestudent is a dependent)A Florida incorporationProof of homestead exemption in FloridaProof of membership in a Florida-basedTranscripts from a Florida high school for multiple years, if thecharitable or professional organizationFlorida high school diploma or GED was earned within the last 12Any other documentation that supportsmonthsthe student’s request for residentProof of permanent full-time employment in Floridastatus (Examples: utility bills for 12for at least 30 hours per week for a 12-month Periodmonths, lease agreement for 12Proof of active duty residing or stationed in Floridamonths)Claimant’s Driver LicenseStateClaimant’s Voter RegistrationStateCountyClaimant’s Vehicle RegistrationStateNumberNumberIssue DateNumberIssue DateIssue DateI do hereby swear and affirm that the above named student meets all requirements indicated in the checked category above forclassification as a Florida resident for tuition purposes. I understand that a false statement is this affidavit will subject me to penalties formaking a false statement pursuant to F.S. 837.06Signature of Claimant DateOFFICE USE ONLY – Please ensure copies of residency documents, independent proof if required, or exemptions are attached.Reviews by: Date: Approved: YesNo

FLORIDA RESIDENCY DEFINITIONSA Florida “resident for tuition purposes” is an independent person who has, or a dependent person whose parent or legal guardian hasestablished and maintained legal residence in Florida for at least twelve (12) months. Residency in Florida must be for the purpose ofestablishing a permanent legal residence and not merely to just attend school at an institution of higher education. To qualify as Floridaresident for tuition purposes, you must be a U.S. citizen, permanent resident alien, or legal alien granted indefinite stay by the bureau ofCitizenship and Immigration Services. Other persons not meeting the twelve (12) month legal residence requirement may be classified asFlorida residents for tuition purposes only, if they fall within one of the limited special categories authorized by the Florida Legislature andFlorida Board of Education for exemption. All other persons are ineligible for classification as a “Florida Resident for Tuition Purposes.”Documents supporting the establishment of legal residence in Florida must be dated, issued, or filed 12 months prior to the first day ofclasses of the term for which an in-state classification is sought.Who may be eligible to establish Florida residency for tuition purposes? U.S. citizens, permanent resident aliens, and certain Visa categories Independent persons (not claimed by anyone other than themselves for Federal Income Tax purposes), who have resided, andbeen employed in a permanent, full-time position, in Florida for the last 12 months or more.o Independent: 24 years of age or older; married (must provide marriage certificate if student is under 24); has childrenwho receive more than half of their support from the student; has other dependents who live with and receive morethan half their support; is a veteran of the U.S. Armed Forces or is currently serving on active duty (provide DD214); bothof the student’s parents are deceased (provide death certificates); student was (until age 18) a ward of the court.o Dependent: All students who do not meet the definition of an independent student shall be classified as dependent. Either parent or legal guardian of a dependent child. Federal Income Tax documents will be required to prove dependency. Theterm “dependent child” means any person, whether living or not living with his/her parent or legal guardian, who is eligible to beclaimed by his/her parent or legal guardian as a dependent under the Federal Income Tax who received more than 50% of thetrue cost of living expenses for his/her parent or legal guardian.Who is not eligible to establish Florida residency for tuition purposes? Students who are dependent on out-of-state parents (claimed on the parent(s) Federal Income Tax form). Students who moved to the State of Florida for the sole purpose of attending an institution of higher education. Students who claim independence but cannot document independence. Certain Visa Categories.Who is exempt from establishing Florida residency for tuition purposes? Students who are exempt from paying fees (DCF, homeless waivers) are exempt from providing proof of residency F.S. 1009.25(2)(c) (d) and (f). attach proof of exemption. Students paying with Florida Prepaid College Program. Each qualified beneficiary shall be classified as resident for tuitionpurposes, regardless of his or her actual legal residence. F.S. 1009.98 (a)1. Attach copy of FL Prepaid card. New 7/1/2014: Out-of-state fee waiver for honorable discharge veterans of the U.S. Armed Forces, U.S. Reserve Forces, or theNational Guard, who reside in the state while enrolled at a state university, FCS institution, career center operated by a schooldistrict under s. 1001.44, or charter technical center, F.S 1009.26 Attach copy of DD214.NON-FLORIDA RESIDENTS ONLYI understand that I do not quality as a Florida resident for tuition purposes for the term for which this application is submitted andthat if I should qualify for some future term it will be necessary for me to file the required documentation prior to the beginning of theterm in order to be considered for Florida residence reclassification.Printed Student Name State of ResidenceStudent Signature Date4/2019

Okaloosa Technical CollegeKelly Hayes, DirectorPhone: (850) 833-3500Fax: (850) 833-3466Financial Aid IntroductionThe primary purpose of financial aid is to provide financial assistance to those in need to attend school. Our StudentServices Center personnel are available to assist students in the application process and provide additional assistance forstudents in need. Computers are available in the Student Services Center for applicants to use to apply for financial aid.These computers can also be used to access career planning sites such as: One Stop for Education and Career Planningand FACTS.org Florida Academic Counseling and Tracking for Students.Financial Aid PersonnelMendy Owens – Melinda.Owens@okaloosaschools.comOffice Number – (850) 833-3500, Option 1, Option 4Jerry Lawhorn – VA Representative – Jerry.Lawhorn@okaloosaschools.comOffice Number – (850)833-3500, Option 1, Option 5Pell GrantOkaloosa Technical College participates in the Federal Pell Grant Program through the U.S. Department of Education’sFederal Student Aid office. Applying for federal student aid is FREE by submitting the Free Application for FederalStudent Aid (FAFSA). We will be happy to help you through the steps to apply for federal student aid. You will need ourschool code for your financial aid application.Okaloosa Technical College - school code - 032303.1.Go to www.studentaid.ed.gov/sa/fafsa/filling-out/fsaid to apply for and create a FSA (Federal Student Aid) IDand Password. A FSA ID lets you apply, “sign” your online FAFSA, make corrections to your application, andmore – all online. If you are a dependent your parent(s) must also apply for a FSA ID .2.Collect the documents needed to apply, including income tax returns and W-2 forms (and other records ofincome). Collect your Social Security benefits information for anyone in the household, as well as information onchild support / alimony paid or received. A full list of what you will need may be found at:https://studentaid.ed.gov/sa/fafsa .3.Complete the FAFSA as soon as possible. Apply online at: https://studentaid.ed.gov/sa/fafsa .4.Review your Student Aid Report (SAR) – the result of your FAFSA application. If necessary, make changes orcorrections and resubmit your SAR for reprocessing. Your complete, correct SAR will contain your ExpectedFamily Contribution (EFC) – the number used to determine your federal student aid eligibility.5.Once you have been accepted into a program at OTC contact the Financial Aid Office to schedule anappointment and review your Financial Aid eligibility. If you are selected for verification, the financial aidoffice will ask you to submit additional documentation such as - Tax Transcripts, proof of high schoolgraduation/GED, etc, as required. Be sure to meet any of the school’s deadlines, or your financial aid maybe delayed.6.Whether you’re selected for verification or not, make sure the financial aid office at the school has all theinformation needed to determine your award eligibility.7.All students: Contact the financial aid office if you have any questions about the aid being offered.8.If your FSA ID has been locked you can update your FSA ID to unlock your account. If you have an FSA ID butdo not remember your username, click Forgot Username. If you have an FSA ID but do not remember yourpassword, click Forgot Password.9.If your FSA ID is disabled you must contact customer service for more information at 1-800-4-FED-AID (1-800433-3243).1976 Lewis Turner Blvd., Fort Walton Beach, FL 32547

Florida Student Assistance Grant for Career Education (FSAG-CE)The FSAG-CE is a need-based grant program available to Florida residents enrolled at full-time in certificate programs of450 or more clock hours at OTC. FSAG-CE is a decentralized state of Florida program, which means that eachparticipating institution determines application procedures, deadlines, student eligibility, and award amounts.To qualify for FSAG-CE funding, a student must be a Florida resident and a U.S. citizen or eligible non-citizen andcomplete the current year FASFA. A student’s residency and citizenship status are determined by OTC financial aid staff.Questions regarding such status should be directed to the financial aid or admissions office at OTC. Students owing arepayment or who are in default under any state or federal grant, loan, or scholarship program are NOT eligible. Currentenrollment is also a requirement. FSAG-CE recipients must have a high school diploma, a GED, or be at least 18 yearsof age. Students must meet Florida’s general eligibility requirements for receipt of state aid.CareerSource Okaloosa WaltonCareerSource may have funding available for certain high demand programs. The goal of the Florida WorkforceInvestment Opportunity Act (WIOA) is to build a skilled workforce. The Ft Walton Beach Office is located at 409Racetrack Rd (850)833-7587. WIOA Orientations are held at 9am every Tuesday at the Ft Walton Beach Center. Noappointment needed for the orientation. The current scholarship is worth up to 6000. All of the programs at OTC are onthe eligibility list for the WIOA Scholarship.Veterans’ BenefitsVeterans’ education benefits are approved for virtually all courses offered at Okaloosa Technical College.Students planning to use veterans' education benefits should contact the Financial Aid Department at 850-833-3500 fordetails. You will receive general information on veterans’ educational benefits, assistance in applying for benefits, and anexplanation of attendance policies and satisfactory progress requirements. The necessary Veteran Administration formsare available from the Student Services Kiosk.How to apply for VA Education Benefits:1. Go to www.vets.gov2. Apply for Education Benefits3. Follow the steps and review the documents you will need to have handy to apply4. Answer the questions to begin the application process5. Complete the OTC Request for Certification Form EACH Term.MyCAAMy Career Advancement Account (MyCAA) is a workforce development program that provides tuition assistance toeligible Military Spouses. Spouses of service members on active duty in pay grades E-1 to E-5 and O-1 to O-2 who canstart and complete their course work while their military spouse is on Title 10 military orders. This program includesspouses married to members of the National Guard and Reserve Components. Spouses may visit the MyCAA SpousePortal at www.aiportal.acc.af.mil/mycaa for additional information and to apply.Other Scholarships and Sources of Financial AidOkaloosa Technical College can process aid for students qualifying for funds from the following sources: Florida PrepaidCollege Tuition Program, Florida Bright Futures Scholarship, Vocational Rehabilitation, and some third-party agencies.Other scholarship programs may be available to help you with costs associated with attending Okaloosa TechnicalCollege.Completing the FAFSA is the gateway to earning any of these forms of financial aid. You may notreceive any other form of financial aid from the school if you have not first completed the FAFSA.Rev:05/01/19

Kelly Hayes, DirectorPhone: (850) 833-3500Fax: (850) 833-3466Okaloosa Technical CollegeFINANCIAL AID APPLICATIONThis form is required to be considered for any academic financial assistance.All questions are to be answered or the application will be returned to you for completion; if not applicable, use N/AYou are responsible for updating all information.APPLICANT INFORMATIONCheck for Self-PayLast NameSocial Security NumberBirthplaceMarital StatusFirst NameMiddle InitialBirthdateSingleCurrent AgeMarriedSexDivorced/SeparatedStreet AddressCityStateHome PhoneZipCell PhoneEmail addressWhat program will you be enrolled in?Expected date of graduationNumber of dependent children for whom you are responsibleSpouse’s NameAge(s)Contact NumberEMPLOYMENT BACKGROUNDCurrently employed? YESNOWill you continue employment while enrolled? YESEmployerAddressEMERGENCY INFORMATIONEmergency ContactPhone1976 Lewis Turner Blvd., Fort Walton Beach, FL 32547NO

ACADEMIC INFORMATIONDo you have a: high school diplomaDo you hold a college degree? YESGEDNOYear ReceivedYearAA AS BA BS Graduate DegreeHave you attended any postsecondary institution during the 2017/18 school year (i.e., university, college, trade,vocational school)?Name of InstitutionCityStateDates of EnrollmentDid you receive financial aid from any other institution during the 2017/18 school year? YESNOSTUDENT RESOURCESCheck all that applyVeteran’s BenefitsG.I. Bill (Chapter 30)Dependent Benefit (Chapter 35)Post 911 (Chapter 33)OtherBASMonthly Amount Social SecurityVocational RehabilitationAlimony / Child SupportUnemployment# months# months# months# months# monthsRead carefully and initial each statement indicating you have read and understand the information.Withdrawal Policy – Students who either voluntarily withdraw from their program early or are withdrawn bytheir instructor due to excessive absence, academic progress or for any other reason will have their Financial Aid reevaluated and in some cases may owe a refund to the school and/or the Federal Dept of Education. If you havequestions please make an appointment with the Financial Aid Office to discuss.SAP Policy – Students on Federal Financial Aid will have their Standards of Academic Progress (SAP) reviewed atthe beginning of each semester. Students who do not meet SAP may have their Federal Financial Aid terminated for 1semester and must pay on their own before being reconsidered for Financial Aid. SAP is reviewed on Grade Point Average – Students must complete course work with an overall 70%/2.0 GPA or betterAttendance – Student must maintain 90% attendance or higher (may not miss more than 10%, 40 hours if a fulltime student)Time Frame – Student must complete program within 150% of the clock hours needed to complete programI certify that, to the best of my knowledge, the information contained in this application is correct and complete. Iagree that Choice High School & Technical Center has my permission to verify all information reported in thisapplication.Student SignatureToday’s DateFOR OFFICE USE ONLYNEW APPLICANTRENEWAL APPLICANTPellWIABright FuturesFl PrePaidSchBdVAFSAGOther

Collection of Social Security NumbersIn compliance with Florida Statute 119.071(5), this document serves to notify you of the purpose for thecollection, release and usage of your Social Security Number (SSN).Pursuant to Florida Statute, 119.971(5) (a) 2.a., Okaloosa Technical College collects and uses your SSNonly for the following purposes in performance of the college’s duties and responsibilities, includingcompliance with federal and state statutes related to financial and academic assistance, inter-institutionalarticulation or transfer, and for actions imperative to the performance of Okaloosa Technical College’sduties and responsibilities as prescribed by law.To protect your identity, Okaloosa Technical College will secure your SSN from unauthorized access;strictly prohibit the release of your SSN to unauthorized parties contrary to state and federal law; and assignyou a unique student identification number. This ID number is used for associated educational purposes atOkaloosa Technical College, except as set out below.AdmissionsFederal legislation relating to the Hope Tax Credit and other tax benefits for education require that allpostsecondary institutions report student SSNs to the Internal Revenue Service. This IRS requirementmakes it necessary for colleges to collect the SSN of every student. A student may refuse to disclose hisor her SSN to the College for this purpose, but the IRS is then authorized to fine the student 50 pursuantto the Internal Revenue Code, Section 25A. To avoid potential fines, please complete form, W-9S, andreturn it to the Okaloosa Technical College campus’ financial aid office. While the collection and use ofSocial Security Num

OKALOOSA TECHNICAL COLLEGE 2020-21 SCHEDULE 1976 Lewis Turner Boulevard Fort Walton Beach, FL 32547 Phone (850) 833-3500 Website www.otcollege.net DAY PROGRAMS Fall Classes/Spring Classes Term 1 - August 11, 2020 - January 7, 2021 Term 2 - January 12, 2021 - May 27, 2021 PROGRAMS TOTAL CLOCK HOURS LAB FEES Per Semester