PROOF OF RESIDENCE Family Living With Another Family 1. The person who owns/rents the property must sign the Proof of Residency Affidavit verifying that the parent/guardian and the student are residing with them at the present time. The Affidavit must be notarized. If the residence is an apartment complex, a letter from the property manager/owner establishing permission to reside there may also be required. 2. The person who owns/rents the property must provide at least one address verification document that establishes their connection to the property. The verification should be in the form of a contract, lease, utility bill, water bill, cable bill, phone bill, or other service bill. 3. The parent/legal guardian will be required to provide two address verification documents for the stated address. Acceptable address verification documents are: 1) Paycheck Stub 2) W-2 Statement 3) Car Insurance 4) Bank Statement 5) State/Federal Supported Services (DSS, SCDMV, SC Dept of Employment & Workforce, Social Security Administration, SC Student Loan, SC Child Support Enforcement, etc). Parents/guardians may also be required to provide proof that they are no longer residing at their previous address. This proof can be in the form of a letter from the previous landlord (on letterhead), a cancellation of service notice, or a notarized statement. 4. A completed Application Form and Photo ID are to be submitted with the Proof of Residency Affidavit. Please Note: 1. Once the two address verification documents are provided, an assignment for the term of one school year will be made. The assignment will expire the last day of the current school year. If the parent/legal guardian has recently moved and does not have the two specified address verification documents, a 10day temporary assignment can be made. Schools have the authority to withdraw students after the temporary assignment expires if the necessary documentation is not received. The Proof of Residence process must be completed and renewed annually. 2. If the temporary Proof of Residence requirements are not completed by the end of the school year, the parent/guardian will not be issued a temporary Proof of Residence assignment for the next school term if they are residing at the same address. The parent/guardian must have all required documents to establish Proof of Residence in cases as such. 3. FEDERAL LAWS PROHIBIT THE USE OF GOVERNMENT UNITS (SECTION 8) AS SHARED HOUSING. Parent/guardian and student must be listed on the lease for government housing. Family Recently Moved 1. Families that have recently moved and are unable to provide a lease and utility statement (verification) to the school must obtain an assignment letter from the Registrar’s Office. A family that has a copy of their contract/lease and order forms for electrical service, telephone service, water service, or cable service should provide the documents directly to the school. 2. The Registrar’s Office will issue temporary assignment letters to families who are in transition to include but not limited to military relocations and real estate closings. Verification of the transition must be provided in the form of a copy of the military orders, a letter from the realtor indicating a closing date, or similar document(s). 3. A completed Registrar’s Office Application Form is to be submitted with the Proof of Residence Form. Please Note: Temporary assignments will only cover the time period needed to complete relocation and/or to obtain two address verification documents. At that time, the Registrar’s Office will issue an assignment letter. If currently residing outside of Richland One, out of district tuition fees will be assessed pending relocation to Richland One. REGISTRAR’S OFFICE APPLICATION FORM Received Richland County School District One Parent(s)/Guardian(s) Name____________________________________________________________________________ Street Address____________________________________ Apt. /Lot______ City_________________ Zip_____________ Home Phone ___________________ Work Phone __________________ E-mail __________________________________ BASIS FOR REQUEST ___Child Care ___Administrative (Severe Hardship) ___Employee Option (Worksite: __________________) ___Programmatic (Program: ______________________) ___JFAB (To Complete School Year Only) ___Proof of Residence ___Court Order ___Guardianship ___Out of District Acceptance ___Out of District Release Check if Applicable AAP Sp. Ed. STUDENT’S NAME(S) Sex Race ______________________________ ___ _______ _________ ______________________________ ___ _______ _________ ______________________________ ___ _______ _________ ______________________________ ___ _______ _________ ______________________________ ___ _______ _________ Is this a renewal? Yes / No Grade Level Last application date? _________ Have you submitted any paperwork for the current school year before now? Yes / No Are any student(s) listed above suspended or expelled? Yes/No If yes, please name _______________________________________________________________________ DO NOT WRITE BELOW THIS LINE! Notes: FOR OFFICE USE ONLY. School(s) Zoned for Residence CPU#_____ TMS#_____ Elementary_____________________________________ Middle_________________________________________ High__________________________________________ No Documented Hardship No Space Available Basis Not Applicable Requested Zone(s) CPU#_____ TMS#_____ Elementary_____________________________________ Middle________________________________________ Request Granted___________ Request Denied ___________ Temporary/Expires_______________ Permanent_____________________ High__________________________________________ Date_________________ _________________________________________________ Signature of Staff Member Processing Request Registrar’s Office ∙ 1310 Lyon Street Columbia, SC 29204 ∙ Phone: (803) 231-6944 ∙ Fax: (803) 231-6949 ∙ Website: http://www.richlandone.org/ PROOF OF RESIDENCY AFFIDAVIT (To be completed by Parent or Legal Guardian) I, _____________________________________, certify that I am living in a shared housing situation located at _____________________________________________________________________________________________. I request that the following school age children who are residing at the same address be permitted to enroll in Richland County School District One. Name of Student Grade Level Date of Birth ___________________________________________ ____________ _____________ ___________________________________________ ____________ _____________ ___________________________________________ ____________ _____________ ___________________________________________ _____________ _____________ It is understood that the above named student(s) will be permitted to attend Richland School District One for the current school year only based upon proof of residency. If a change in the legal residence occurs, it is the responsibility of the parent(s)/legal guardian(s) and homeowner to notify the school(s) immediately. I understand that if it is found that I have willfully and knowingly provided false information in this affidavit to enroll a child in a school which the child is not eligible, I may be found guilty of a misdemeanor and, upon conviction, must be fined an amount not to exceed two hundred dollars or imprisoned for not more than thirty days and also must be required to pay Richland County School District One an amount equal to the cost to the district for educating the child during the period of enrollment. FEDERAL LAWS PROHIBIT THE USE OF GOVERNMENT UNITS AS “SHARED HOUSING”. I agree that Richland School District One may use any methods that is deems necessary to verify any of the information set forth in this affidavit. I confirm that all of the information herein is true and accurate. ______________________________ ______________________________ ___________________________ ______________________________ ______________________________ ___________________________ Signature, Home Owner/Renter Signature of Parent/Legal Guardian Print Name Print Name Telephone Number Telephone Number Sworn and subscribed before me this _____ day of _____________, 20_____. ________________________________________ Notary Public of South Carolina _________________________________ My Commission Expires ___________________________________________________________________ To Be Completed By Registrar’s Office Only Zoned School: ________________________________________________ Date____________________________________ Signature of Staff Member Processing Request____________________________________________________________ Richland County School District One General Consent Form I hereby authorize Richland County School District One, to verify my address for the purpose of enrolling the child (ren) or so they may remain enrolled. I further authorize the following specific establishments, but do not limit the authorization to release information from these companies: SCE&G, Mid-Carolina Electric, City of Columbia, Bellsouth, AT&T, Time Warner Cable, Fairfield Electric, Tri-County Electric, etc. The information obtained by Richland School District One is only to be used by Richland School District One for verification purposes. A photographic or FAX copy of this authorization may be deemed to be equivalent to the original and may be used as a duplicate original. _____________________________________________________________________________ Signature, Home Owner/Renter Date _____________________________________________________________________________ Signature of Parent/Legal Guardian Date PROOF OF RESIDENCE Additional Information Parent/Guardian Previous Address: ___________________________________________________________________________ City: ________________________________________________ State: ______ Zip: _____________________ Parent/Guardian Previous Telephone Number: __________________________________________________ Student Last School Attended: ________________________________________________________ Last School’s Location: _______________________________________________________ Parent/Guardian Previous Address: ___________________________________________________________________________ City: ________________________________________________ State: ______ Zip: ______________________ Parent/Guardian Previous Telephone Number: __________________________________________________ Student Last School Attended: ________________________________________________________ Last School’s Location: _______________________________________________________ Parent/Guardian Previous Address: ___________________________________________________________________________ City: ________________________________________________ State: ______ Zip: ________________________ Parent/Guardian Previous Telephone Number: __________________________________________________ Student Last School Attended: ________________________________________________________ Last School’s Location: _______________________________________________________ Parent/Guardian Previous Address: ___________________________________________________________________________ City: ________________________________________________ State: ______ Zip: __________________________ Parent/Guardian Previous Telephone Number: __________________________________________________ Student Last School Attended: ________________________________________________________ Last School’s Location: _______________________________________________________
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