STUDENT CHANGE OF
ADDRESS FORM
Type your answers into the blanks in this form, print out the form and mail it to
Registration. Or, print out the form, hand write your information in the blanks and mail it
to Registration.
Student ID (if known)
Today’s Date
Name Birth Date
New Address County
New City State Zip
New Home Phone
Alternate Phone
E-mail
Previous Address County
Previous City State Zip Code
Previous Home Phone
Alternate Phone
E-mail
IF NECESSARY, YOU WILL BE CONTACTED FOR ADDITIONAL RESIDENCY INFORMATION.
Please return this form to:
REGISTRATION
MCHENRY COUNTY COLLEGE
8900 US HIGHWAY 14 ROOM A258
CRYSTAL LAKE IL 60012