Residency Exemption Request

Please review our website for additional information regarding the requirements for each exemption.

Student Name Student Name * First Last
JU Student ID# *
Jacksonville Mailing Address Jacksonville Mailing Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone * - ### - ### ####
JU Email Address *
Date of Birth Date of Birth * / MM / DD YYYY
Term Entering (Fall, Spring, or Summer) *
Year Entering *
Please select the exemption(s) you meet. If applicable, documentation may be uploaded below. *

Please select the exemption(s) you meet. If applicable, documentation may be uploaded below. Age: the student is 22 years or older prior to the first date of the term. Partnership: The student is legally married, as defined by the state of Florida. Documentation Required: Marriage Certificate. Military Deployment:The student has received military orders for deployment or other required relocation as an active member of the U.S. Armed Services. Documentation Required: Official deployment or relocations orders/letter. Transfer: The student enters the university with 30 or more credit hours AND has completed 4 semesters at a college or university post high school. Living with Family:The student resides locally with a parent. Locally is defined as within 30-miles of the University, located at 2800 University Blvd N, Jacksonville, FL. Documentation Required: Driver's License or Florida ID showing the address where the student will be residing within 30 miles of Jacksonville University. Study Abroad: The student is participating in a university-approved study abroad program that requires them to live elsewhere. Documentation Required: Letter from Study Abroad program verifying student acceptance. I have completed the 3-year live-on requirement.
Please include a certified copy (not a photocopy) of your marriage license. *

Attach Files
Official deployment or relocation orders/letter. *

Attach Files
Please list the year you graduated from high school. *
By selecting this option you agreeing to provide the following documentation for: *

By selecting this option you agreeing to provide the following documentation for: Parent, Legal Guardian(s), Extended Family Member: A Florida driver's license or Florida photo ID of the parent, legal guardian(s), or extended family member with the address where the student will be residing off campus. The address must be within the 30-mile radius of Jacksonville University.
Parent, Legal Guardian(s), Extended Family Member Florida Driver's License or Florida ID. *

Attach Files
Extended Family Requirement: Notarized Letter from student's parent/legal guardian.

Attach Files
Letter from study abroad program verifying student acceptance. *

Attach Files
I understand that completion of this form is a request and does not guarantee exemption from the Jacksonville University residency requirement. The Residential Life Office will review all applications and communicate whether or not a residency exemption has been granted. This form is valid for one academic year and must be resubmitted and approved each academic year the student wishes to utilize the exemption. *

I understand that completion of this form is a request and does not guarantee exemption from the Jacksonville University residency requirement. The Residential Life Office will review all applications and communicate whether or not a residency exemption has been granted. This form is valid for one academic year and must be resubmitted and approved each academic year the student wishes to utilize the exemption. I understand.