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Please note: Official documentation such as Driver’s License, social security card, Marriage License, etc. is required.
COLLEGE
ENROLLMENT SERVICES OFFICE
STUDENT INFORMATION CHANGE REQUEST
12401 SE 320th St., Auburn, WA 98092 • 253-833-9111 Ext. 2500 • greenriver.edu
NAME CHANGE SID Number:
Student name:
Last First MI
Change name to:
Last First MI
This document is available in alternative formats to individuals with disabilities by contacting Disability Support Services at 253-833-9111, ext. 2631; TTY 253-288-3359; or by email at dss@greenriver.edu.
Green River College is an equal opportunity educator and employer. Learn more at www.greenriver.edu/accessibility.
ES1710_Student-Info-Change-Req
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STUDENT EMAIL CHANGE
Please note: To change your Green River College student email address, please provide the following information.
You acknowledge that all mailbox content will be lost when the account address is changed.
(must check “YES” for change to occur): YES
Your current student email address:
SOCIAL SECURITY NUMBER
Please note: For financial aid, IRS and transcript use only. This is not used as your SID#.
Add social security number: (Include copy of social security card).
CONTACT INFORMATION CHANGE
Change address to:
Change phone to:
Day phone Evening phone
Your alternate personal email address (so we can notify you of your new GRC student email account name):
HAVE YOU APPLIED FOR GRADUATION/DIPLOMA?
YES NO
SIGNATURE
Student signature: Date:
Instructions:
Address changes may also be done via email at enrollmentservices@greenriver.edu by providing your SID and new address.
If you are a student receiving financial aid, you must also change your address and contact information with the Financial Aid Office.
click to sign
signature
click to edit
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