Certificate of Residency Application

Fields marked with a * (asterisk) are required

HACC ID: *
Last 4 numbers of your SSN: *
Last Name: * First Name: * MI:
Street (# and Name): * Apt:
City: * State: * Zip: *
Township / Borough: *
Telephone #: * ( ) -
Email: *
(enter a 2nd time)   Email: *
Date of Birth: * / /
Date Moved Into District: * / /
Did you graduate from CD in the last six months? *


Semester: *

                   
***Disclaimer – Your application information may not match what is entered into our district census file. As a result you may be asked to supply us with more information proving your residency in our district. If you choose, you can attach your documentation proving residency to your application at this time to speed up your application process. Only the following items are considered acceptable proofs of residency for the current semester. If you like you may email this information to businessoffice@cdschools.org with “HACC COR(Last name, first name)” in the subject line. Alternatively you may also fax it to 717-657-4999, “Attention: Business Office, HACC Certificate of Residency”. We only need one form of documentation.
  1. Driver’s license showing your current address
  2. Driver’s license change of address card
  3. State issued ID card (non-driver’s license)
  4. Utility or cell phone bill
  5. Yearly apartment lease (we do not accept a month to month lease)
  6. Bank statement
  7. Pay stub
  8. Settlement papers

Submit my application 

Please submit one time and allow up to 30 seconds for your application to process