Reciprocity/Contiguous Tuition Rate

Please bring this application and a copy of your out of state driver’s license and one item with your home address and your name. One of the two items should be dated 12 months or older.

There is a full list of approved rates through the summer semester of 2017 on the back of this document.

Please print this form and return it with your documentation to your local Record’s Office or email it to jf-records-office@kctcs.edu.

Jefferson Community & Technical College reserves the right to further investigate and require documentation of eligibility for tuition reciprocity.

 

 

First Name:_______________________ MI: ___ Last Name: ________________________________

Student ID #: ________________________

Telephone #: __________________________

Email address: ___________________________________________

Address:

____________________________________________________

____________________________________________________

Reciprocity

I am a resident of: ____________________________________________

Contiguous 

I am a resident of: ____________________________________________

I certify that the information above and documentation submitted is a truthful representation of where I currently live.

Signature: ______________________________________________________

Date: ____________________