ACADEMIC COMMON MARKET
ACADEMIC COMMON MARKET
APPLICATION FOR CERTIFICATION
STATE OF ARKANSAS
|Name |Date of Birth |
| | |
|Permanent Address |
| |
|Present Mailing Address |
| |
|Email Address |Telephone Number |
| | |
|How long have you resided in Arkansas? (years, months) |U.S. Citizen |Permanent Resident (yes or no) |
| |(yes or no) |Submit a copy of your green card |
| | |(front & back) |
|Name of Institution You Plan to Attend |Academic Term & Year You Will Enroll |
| | |
| | |
| |Student ID Number |
|DEGREE and PROGRAM of STUDY |
|(*Attach the letter from the Office of Admissions that verifies your unconditional acceptance into an approved degree program.) |
| |
|Mode of Delivery of Program (Choose one: Traditional or online) |
PROOF of RESIDENCY: An individual must be a legal resident of the State of Arkansas for six continuous months prior to applying for ACM certification. An individual living in Arkansas solely for the purpose of attending an Arkansas college or university is not a legal resident of the state and cannot be certified for the Academic Common Market. A non-resident student must live in Arkansas for six continuous months following graduation from an Arkansas college or university to be eligible for participation in the Academic Common Market.
I request certification as a legal resident of the State of Arkansas and hereby submit two or more of the following documents as evidence in support of this fact. (Photocopies are acceptable.)
• Proof of payment of current Arkansas property tax (for the previous year)
• Proof of full-time employment in Arkansas (for the past six months)
• Proof of current Arkansas driver’s license (issued at least six months prior to submitting application)
• Proof that your spouse is a legal resident of Arkansas (for the past six months)
• If a dependent, provide evidence that parent/guardian is an Arkansas resident.
(listed on your parent/guardian federal or state tax return for the previous year)
I understand that this evidence will be used in reviewing the assertion that I am a legal resident of the state of Arkansas and will not necessarily result in a possible finding. I hereby certify that the statements made herein are true and accurate to the best of my knowledge.
NOTE: ADDITIONAL ELIGIBILITY REQUIREMENTS FROM THE HOST COLLEGE OR UNIVERSITY MAY BE APPLICABLE FOR YOUR DEGREE PROGRAM. IT IS YOUR REPONSIBILITY TO COMMUNICATE DIRECTLY WITH THE INSTITUTION’S ACM INSTITUTIONAL COORDINATOR FOR SPECIFIC DETAILS.
Applicant’s Signature ________________________________________________ Date__________________
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Release of Student Information
In order to administer and evaluate the SREB Academic Common Market program, SREB staff must maintain records of inquiries and participating students, as well as programs, institutions, and states involved. Please provide consent to release your student information for purposes of administering the program. Your signature below will authorize use of the information for administration and evaluation purposes. Student record information is protected by Family Educational Rights and Privacy Act of 1974 ("FERPA"), § 513 of Public Law 93-380.
Consent and Release Form
I consent to the sharing and administrative use of personally identifiable information and education records (which may include but is not limited to names, addresses, email, phone numbers, institutions attended, program certifications, withdrawal from programs or institutions, and completion of degree programs) between and among officials of participating institutions, state agencies, and the Southern Regional Education Board, related to normal program operations. I hereby waive my right to receive specific notification of each such use.
I understand that personally identifiable records will be used only to the extent necessary to carry out the purpose of the SREB Academic Common Market program, including internal databases, reports, evaluations, and improvements to the program.
Please check one:
I ___am not ___am a resident of the European Union.
Name: (please print) ____________________________
Signature: ___________________________________
Date: ______________________
For questions, contact acm-rcp@ and reference Student Information Release in the subject line.
ACADEMIC COMMON MARKET
Certification Process
State Of Arkansas
• Submit a copy of the letter from the institution’s Office of Admissions that verifies unconditional acceptance into a degree program approved for the Academic Common Market (ACM), and the Application for Certification to:
ACADEMIC COMMON MARKET
Arkansas Division of Higher Education
423 Main Street, Suite 400
Little Rock, Arkansas 72201
Or electronically to:
academic.affairs@adhe.edu
• Be sure to include copies of documentation to prove Arkansas residency.
(An individual must be a legal resident of the State of Arkansas for six continuous months prior to applying for ACM certification. An individual living in Arkansas solely for the purpose of attending an Arkansas college or university is not a legal resident of the state and cannot be certified for the Academic Common Market. A non-resident student must live in Arkansas for six continuous months following graduation from an Arkansas college or university to be eligible for participation in the Academic Common Market.)
• The certification will be mailed to the ACM Coordinator at the institution listed on the application.
• Questions should be addressed to the Arkansas State Coordinator.
Telephone – 501.371-2000
Fax – 501.371-8000
ACADEMIC COMMON MARKET
Through the Academic Common Market, a program coordinated by the Southern Regional Education Board (SREB), students in 16 southern states can enroll in selected programs at public institutions in other states and pay in-state tuition. (The degree program cannot be offered at a public Arkansas institution.)
The programs available to Arkansas residents through the Academic Common Market are listed below. For information on admission to any of these programs, contact the college or university directly. Once you are accepted into one of these programs and can provide the required documentation that proves you are a legal resident of Arkansas, contact the Arkansas Academic Common Market Coordinator to become eligible for the tuition reduction. (An individual living in Arkansas solely for the purpose of attending an Arkansas college or university is not a legal resident of the State and cannot be certified for the Academic Common Market.)
The states participating in the Academic Common Market are Alabama, Arkansas, Delaware, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia and West Virginia. Florida and Texas participate only at the graduate level. Clemson University, Georgia State University, and The College of William and Mary (VA) participate only at the graduate level. James Madison University (VA), Mary Washington College (VA), The University of Virginia, The University of Texas at Austin, Virginia Commonwealth University, and the University of Maryland at College Park do not participate in the Academic Common Market.
*The University of Georgia limit undergraduate participation to the junior and senior years.
*Auburn University (AL) participates only at the undergraduate level and participation is limited to junior and senior students who meet certain requirements. Please contact The University of Alabama, The University of Georgia and Auburn University for more details.
The number and types of programs available through the Academic Common Market change continually. Some programs are available via distance technology through the Academic Common Market.
SREB Website ()
ADHE Website (adhe.edu)
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