International Student
Update Information Form
Intl_Student_Update_Form_1-2019
LAST NAME: _________________________________________________________________________________
FIRST NAME: _________________________________________________________________________________
STUDENT ID NUMBER: _________________________________________________________________________
ADDRESS: ___________________________________________________ APARTMENT: ___________________
CITY: ________________________________________ STATE: _______________ ZIP: ____________________
PHONE NUMBER (DAY TIME): ____________________________________________________________________
PROGRAM: ___________________________________________________________________________________
WCCCD EMAIL ADDRESS: ______________________________________________________________________
MUNICIPALITY: _________________________________________ PROVENCE: ___________________________
POSTAL CODE: ______________________________
STUDENT SIGNATURE: ____________________________________ TODAY’S DATE: ______ / ______ / _______
Please submit the completed form to:
Wayne County Community College District
Office of International Programs and Global Partnerships
801 West Fort Street, Detroit, MI 48226
or email to ipgp@wcccd.edu
FOR CANADIAN STUDENT USE ONLY
TERM: FALL
SPRING
SUMMER
YEAR: 20____
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