Fillable Address And Degree Program Change Form (South Puget Sound Community College)

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Address And Degree Program Change Form (South Puget Sound Community College)

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Enrollment Services / Student Financial Services
2011 Mottman Rd SW
Olympia, WA 98512-6292
ADDRESS OR DEGREE/PROGRAM CHANGE FORM
Last Name
First Name
Middle Initial
Social Security #
Student ID Number
1. CHANGE OF ADDRESS
Street
Apt Number
City
Zip Code
Phone
Email
2. CHANGE OF DEGREE/PROGRAM
If you are changing your major and have previously attended other colleges, you must request a new credit evaluation for your
new major.
Current Degree/Program
New Degree/Program
3. SIGNATURE
I certify that the information provided by me is true and accurate. I understand that submission of false, misleading, or partial
information to obtain additional aid could result in cancellation of all aid for one year and could result in prosecution under the
U.S. Criminal Code.
Student Signature
Date
Submit this form to the One-Stop in Building 22 on the Olympia Campus or Building 1 on the Lacey Campus.
FOR OFFICE USE ONLY
Change of Address or
Degree/Program
☐ Updated FAM
☐ Updated SMS
☐ Email Advising
(gramos-cartagena@spscc.edu)
Veterans
☐ Check box if student is receiving VA funding (FA to route form to VA staff for updating of VA databases as needed)
Staff Notes:
Staff Signature
Date
Address and Degree Program Change
Form Revised 08.09.19
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Address And Degree Program Change Form (South Puget Sound Community College)

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Completed 25 July 2020

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