Arizona Residency Form

Student Name Student Name First Last
School Name:

Please select the school you are enrolling with.
School District or Charter Holder: Blueprint Education Inc.
Guardian Name Guardian Name First Last
As the legal guardian of the student, I attest* that I am a resident of the state of Arizona and submit in support of this attestation a copy of the following document that displays my name and residential address or physical description of the property where the student resides.

*For members of the armed services, the provision of verifiable documentation does not serve as a declaration of official residency for income tax or other legal purposes.
Which type of residency documentation will you be providing?

Which type of residency documentation will you be providing? Valid Arizona driver's license, Arizona identification card, or motor vehicle registration Real estate deed or mortgage documents Property tax bill Residential lease or rental agreement Water, electric, gas, cable, or phone bill Bank or credit card statement W-2 wage statement Payroll stub Certificate of tribal enrollment or other identification issued by a recognized Indian tribe that contains an Arizona address Documentation from a state, tribal, or federal government agency (Social Security Administration, Veteran's Administration, Arizona Department of Economic Security I am currently unable to provide any of the foregoing documents. Therefore, I will provide an original affidavit signed and notarized by an Arizona resident who attests that I have established residence in Arizona with the person signing the affidavit
Please click the link below to obtain a printable version of our Arizona Shared Residency Documentation. Please be aware that this form will need to be notarized.

Arizona Shared Residency Affidavit
Signature of Guardian (Students over the age of 18 can sign here)

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Today's Date Today's Date / MM / DD YYYY
Please note that after submitting this residency form on this, it may appear blank. The form was submitted. You can verify by asking the staff at the school or we will reach out to you if it not received.
If you haven't provided it already, you may use this file upload to submit the type of residency documentation selected above.

Attach Files

Arizona Residency Form

Arizona Residency Form

School District or Charter Holder: Blueprint Education Inc.

As the legal guardian of the student, I attest* that I am a resident of the state of Arizona and submit in support of this attestation a copy of the following document that displays my name and residential address or physical description of the property where the student resides.

Please click the link below to obtain a printable version of our Arizona Shared Residency Documentation. Please be aware that this form will need to be notarized.

Please note that after submitting this residency form on this, it may appear blank. The form was submitted. You can verify by asking the staff at the school or we will reach out to you if it not received.