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Information Change Form
Revised 5/28/2020 DES/MC
CWID "T": Name (First/Last)
Please complete ONLY the sections that need to be updated on your student account.
Choose type of Address
to update:
Mailing Address Next of Kin Address
Work Address
Address
Address
City
State
Zip Code
Country
Phone Number
Update Personal E-mail Address:
Complete this section if you have an incorrect or missing Social Security Number for your student record.
**You must submit a copy of your Social Security Card.**
Update/Corrected SSN:
Complete this section if you need to update the name listed on your student record.
**You must submit a copy of your updated Driver's License. (You may also be required to submit a copy of marriage license
or court documentation.)**
Legal First Name
Preferred First Name/Nickname
Middle Name
Last Name
NOTE: If you are an employee of Tulsa Community College, you must also update your information with Human Resources!!
Signature: Date:
Return to any campus Enrollment Services office or return by mail or e-mail with a valid PHOTO ID & Documentation to:
Student Records and Completion Services
Tulsa Community College
909 S Boston Ave
Tulsa, OK 74119
enrollment@tulsacc.edu
Enrollment Services Only:
Processed by: Date:
