Fillable CHANGE OF ADDRESS/PHONE NUMBER FORM

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CHANGE OF ADDRESS/PHONE NUMBER FORM

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CHANGE OF ADDRESS/PHONE NUMBER FORM
There are two ways to update your address and/or phone numbers:
1. Log in to myCommNet, click on Banner Student and Faculty Self-Service and then
click on the Personal Information tab, then click on Address and Phone and then
click on the blue link next to your current address/phone information.
2. Complete this form and submit it to the Registrar’s Office in Green Woods Hall
Room 215.
Please print neatly.
Student ID @________________________ Date of Birth________________________
Name_______________________________________________________________________
(First Name) (M.I.) (Last Name)
New Address:_______________________________________________________________
___________________________________________________________________________
Home Phone Number (_____) _____________ Work Phone Number (____) _____________
Cell Phone Number (_____) ______________
I affirm that I am the above named person and that the information presented is true.
Student Signature____________________________________ Date:___________________
NORTHWESTERN CONNECTICUT COMMUNITY COLLEGE
REGISTRAR’S OFFICE
Park Place East, Winsted, CT 06098
(860) 738-6314
FOR OFFICE USE ONLY:
Date Received:______________ Date Entered:_______________ By:_______________
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CHANGE OF ADDRESSPHONE NUMBER FORM

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Completed 25 July 2020

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