MCCC Alumni Information Update Form

Please fill in the necessary information:

* - INDICATES A REQUIRED FIELD

First Name*

Middle Initial

Last Name*

Last Name used while at MCCC*

Birthdate*

CHANGE OF NAME: Name changes submitted require a copy of your driver license. Please fax to the Registrar's Office.

Street Address*

City*

State*

ZIP*

Phone*

Email*

Status*

Today's Date*

I certify that I actually live at this address and that this request is not being made for any fraudulent purpose.

RESIDENCE STATUS: Changing address does not automatically change residence status for tuition payment. If you are moving from out of county (or out of state) to in-district, you may qualify as a resident by documenting that you have resided for six (6) months within the State of Michigan and thirty (30) days within Monroe County. For more information, contact the Registrar's Office.

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MCCC Alumni Information Update Form

Main Campus

Whitman Center