West Shore

School District

Staff Parents Students

HACC Certificate of Residency

The West Shore School District uses an online process to issue each HACC Certificate of Residency.

Please be aware of the following prior to completing the form below:

You must have been a resident of the West Shore School District on or before July 1, in order to qualify for your Certificate of Residency from the District.
Certificate of Residency information as received by the West Shore School District upon your completion of the online form will be submitted directly to HACC within 7-10 business days.
Paper copies of your Certificate are no longer issued.
It is no longer necessary to come to the Administration Center if you are on the tax rolls with your taxes paid and current. If there is a problem with your request you will be contacted by email.
The certificate being issued is valid from July 1 to June 30 of the current school year. Eligibility is determined by where the student lived as of July 1 of that school year.

Call 717-938-9577 for further information.

HACC Certificate of Residency Request 2021-2022

After you complete the information below and it is reviewed by the West Shore School District, your certificate or residency will be submitted directly to HACC electronically. Paper copies of the certificate will not be issued. Please allow 7-10 business days for processing.

Once a certificate is issued, it is valid for the remainder of the school year. The academic year runs July 1st through June 30th of the following year. Students must reapply for a certificate each school year.

Date of Residency Request

HACC ID

Last Name

First Name

Middle Initial

Suffix

Street Address

Apartment

City

State

Zip Code

Daytime Telephone Number

Email Address (If there is a problem with your request you will be contacted by email.)

Email Address (enter a second time)

Date of Birth

Date Moved to Current Address

Prior Address

To validate your submission, please answer the following math problem: