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Birth (Wenatchee Valley College)

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T:\Forms\2021\Word\Information Update-2021.docx
I request that the following information be used to update my file:
Staff ______
Last
Name:
________________________________
First
Day
Phone:
( ______ ) ________ ________
Name:
_________________ *SID FIELD (BELOW) IS REQUIRED*
Birth
Date:
_____ /______ /_______
SID:
_______ _______ ________
I certify the information provided on this form is true and complete to the best of my knowledge.
Student Signature:
___________________________________________
Date:
_______________
UP
INFORMATION UPDATE
2020-2021
*If electronically signed, I understand that a digital or electronic typed signature has the same legal effect, and can be
enforced in the same way, as a written signature. *
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This page is for information purposes only. It is not required to be submitted with your form.
_____________________________________________________
Wenatchee Valley College
Non-discrimination Statement
Wenatchee Valley College is committed to a policy of equal opportunity in employment and student enrollment. All programs are free
from discrimination and harassment against any person because of race, creed, color, national or ethnic origin, sex, sexual orientation,
gender identity or expression, the presence of any sensory, mental, or physical disability, or the use of a service animal by a person
with a disability, age, parental status or families with children, marital status, religion, genetic information, honorably discharged
veteran or military status or any other prohibited basis per RCW 49.60.030, 040 and other federal and laws and regulations, or
participation in the complaint process.
The following persons have been designated to handle inquiries regarding the non-discrimination policies and Title IX compliance for
both the Wenatchee and Omak campuses:
• To report discrimination or harassment: Title IX Coordinator, Wenatchi Hall 2322M, (509) 682-6445, title9@wvc.edu.
• To request disability accommodations: Student Access Coordinator, Wenatchi Hall 2133, (509) 682-6854, TTY/TTD: dial
711, sas@wvc.edu.
Wenatchee Valley College
Declaraciones de no discriminación
Wenatchee Valley College está comprometido a una política de igualdad de oportunidades en el empleo y la matriculación de
estudiantes. Todos los programas están libres de discriminación y acoso contra cualquier persona debido a raza, credo, color, origen
nacional o étnico, sexo, orientación sexual, identidad o expresión de género, la presencia de cualquier discapacidad sensorial, mental o
física, o el uso de un animal de servicio por una persona con discapacidad, edad, estatus o familias con niños, estado civil, religión,
información genética, veterano descargado honorablemente o estatus militar o cualquier otra base prohibida por el RCW 49.60.030,
040 y otras leyes y reglamentos federales, o participación en el proceso de queja.
Las siguientes personas han sido designadas para atender consultas sobre las políticas de no discriminación y el cumplimiento del
Título IX para los campus de Wenatchee y Omak:
• Para denunciar discriminación o acoso: Coordinador del Título IX, Wenatchi Hall 2322M, (509) 682-6445, title9@wvc.edu.
• Para solicitar adaptaciones para discapacitados: Coordinador de acceso estudiantil, Wenatchi Hall 2133, (509) 682-6854,
TTY/TTD: marque 711, sas@wvc.edu
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Completed 9 October 2020

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