Change of Address
Student
PLEASE PRINT CLEARLY and COMPLETE ALL INFORMATION
Last name _________________________________________ First name _________________________________ Middle name _________________________
Cambridge College email __________________________________________________________________________________________________________________
PREVIOUS residence and contact information
Last name _________________________________________ First name _________________________________ Middle name _________________________
Address ______________________________________________ Apt _____________________ Phone ___________________________________
City ______________________________ State _______________ Zip _____________________
NEW current residence and contact information
Last name _________________________________________ First name _________________________________ Middle name _________________________
Address ______________________________________________ Apt _____________________ Phone (__________) _________________________
City ______________________________ State _______________ Zip _____________________
rev. 05/14/20
Ocial documentation required
An address change requires ocial proof such as a utility bill, rental lease, mort-
gage, or other appropriate documentation.
See policywww.cambridgecollege.edu/red-ag-identity-theft-prevention
Bring completed form and ocial
documentation (originals only) to:
Or email to:
registrar@cambridgecollege.edu
Or fax to:
617.242.0026
Registrar's Oce
Cambridge College
500 Rutherford Avenue
Boston, MA 02129
Registrar's Oce use only
Original ocial documentation shown by student
Utility bill
Rental lease
Mortgage statement
Other appropriate documentation _____________________________
Date entered
Entered by
Registrar's Oce
Cambridge College
500 Rutherford Avenue
Boston, MA 02129
Phone: 617.873.0101
Fax: 617.242 0026
registrar@cambridgecollege.edu
Student ID#________________________
Your Cambridge College Location
Boston
Lawrence
Springeld
Puerto Rico
Southern California
NEIB
Other_____________
Student Signature
on paper printout or electronic* _______________________________________
Date _____________________________________________________________
*Please see electronic signature options on the Registrar's web page
.
click to sign
signature
click to edit