Change of Personal Information Form
!
Student ID:
A
Name:
First
MI
Last
Check!all!that!apply:!
! Name Change Proof!required.*
First
MI
Last
!!Note:!Name!changes!delete!current!Gmail!accounts!and!documents!stored!on!the!student!drive.!Make!sure!to!back!up!all!documents!
!before!submitting!this!form.!Allow!5!days!for!completion!of!nam e !cha ng e.!Yo u!w ill!be!no tified!w he n!y ou r!acco un t!cha ng e!h as!be en!
!!!!!!!!!!completed.
!
!
Permanent Address Change
Street
City State Zip Code
!
Mailing!Address!Change!
(If different from permanent address)
!!!!!!!!!!!!!!!
Street
City State Zip Code
Note:!Changing!your!address!may!affect!your!residency!status!and!tuition!rate.!Please!refer!to!the!course!catalog!or!for!more!
!!!!!!!Info rm a tion!ab ou t!reside ncy !status!for!tu ition!pu rpos es,!call!(505)!42 8J1270.!
! Change Phone Numbers
"
Home!!
"
Cell!!
"
Work
"
Home!!
"
Cell!!
"
Work
!
!
Change Date of Birth
Proof!Required.*
!
Change Social Security Number
Proof!Required.*
Student’s Signature
Date
(Required) Contact Phone Number
Name,!date!of!birth!or!Social!Security!number!ch ange s!requ ire!valid!proof!which!must!be!subm itted!with!this!form.!Examples! of!valid!proof!are:!marriage!
certificate,!birth!certificate,!driver’s!license ,!original!Social!Security!card!or!leg a l!name!chang e.!
Submit!your!comp leted!fo rm !in!person!to !th e!Welcome!and!Advising!Center,!by!fax !to !(5 0 5)!428G1468
!
by!email!to!
wac@sfcc.edu!or!by!mail!to:!SFCC!Welcome!and!Advising!Center!6401!Richards!Ave.!Santa! Fe ,!NM!!87508G4887.!
SFCC is an equal opportunity/equal access institution. September 2016
click to sign
signature
click to edit
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