MCCC Alumni Information Update Form

Please fill in the necessary information:

First Name:        M.I.   
Last Name:   Last Name used while at MCCC:
**Last four digits of Social Security Number REQUIRED**   Birthdate (MM/DD/YYYY)
CHANGE OF NAME: Name changes submitted require a copy of your driver license. Please fax to Tracy Vogt, Registrar.
Address:
City:    State:    Zip:
Phone:  
Email Address:
Status:
Today's Date: (REQUIRED) (MM/DD/YYYY)
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