Kan. Admin. Regs. § 91-16-20 – Form of application and affidavit of person of age of majority.

The form to be used by applicant of legal age may be substantially as follows to be filled out in triplicate, one (1) for the unified school district, one (1) for the vocational education institution, and one (1) for the student.

No. 25-9	Execute in Triplicate
STATE OF KANSAS KANSAS STATE BOARD OF EDUCATION DEPARTMENT OF EDUCATION Kansas State Education Building 120 East Tenth Street, Topeka, Kansas 66612
Application of Student of Legal Age for Admission to Vocational Education Institution and for Payment of Tuition
Name
__________________________________
(Last)
__________________________________
(First)
__________________________________
(Middle)
Post Office Address
__________________________________
(Street or Route)
__________________________________
(City)
__________________________________
(State)
__________________________________
(Zip)
Date of Birth
__________________________________
(Month)
__________________________________
(Day)
__________________________________
(Year)
Social Security Number
_________ _________ _________
Marital status
_________________
(M or S)
Unified School District No.
__________________________________,
(Of applicant's residence)
__________________________________
(City)
__________________________________
(County)
__________________________________
(State)
Application for approval to attend
__________________________________
(Name of course or program)
at the
__________________________________
(Vocational education institution)
beginning
__________________________________
(Date)
__________________________________
(Student's signature)
__________________________________
(Date)

Affidavit of Residency
State of Kansas	}
____________ County	ss:
I, __________________________________, of lawful age, being first duly sworn on oath say:
That I am a legal resident of Unified School District No. __________ __________________________ County, Kansas, with my post office address being
_______________________
(Street or Route)
_______________________
(City)
_______________________
(State)
_______________________
(Zip)
and that I have been a resident of said Unified School District
_______________________.
(Period of Time
(This part of affidavit, if applicable, is to be used in addition for out-district students)
That I moved or plan to move to
_______________________
(City)
_______________________
(State)
_______________________
(Date)
on
for the sole purpose of attending vocational education courses and programs at the
_______________________.
(Name of institution)
My present post office address is
_______________________
(Street or Route)
_______________________
(City)
_______________________
(State)
_______________________.
(Zip)
(This part of affidavit, if applicable, is to be used in addition if resident of less than six months)
That I moved to
_______________________
(City)
_______________________
(State)
on
_______________________.
(Date)
with the express intent and purpose of making it my permanent or indefinite place or residence.
Further affiant says not.
________________________________
(Signature)
Subscribed and sworn to before me this ___________ day of __________, 19_____.
________________________________
(Notary Public)
My commission expires
________________________________.

(Authorized by K.S.A. 72-4418; effective, E-71-17, April 5, 1971; effective Jan. 1, 1972; amended May 1, 1979.)