Student Data Change Form

For

Name/Address/Phone/Home Campus/Major

 

It is critical that current data such as your name, address, major, and home campus be correct in your official HCTC student record (Peoplesoft®). For example, incorrect address and home campus codes prohibit the delivery of financial aid checks and incorrect majors impact your certification for degree.

 

*Please indicate Student ID Number or Social Security Number and Name. Correct only those other areas that have changed.

 

 

Peoplesoft® Student ID or Social Security Number_______________________________________________

 

 Name_______________________________________________________________________

 

**If your name has changed, please indicate your previous name:_______________________

 

 

Important Note: Name changes require two documentation sources, both in the new name; (1) a Social Security card, and (2) a picture identification, for example. A driver’s license.

 

  Address Change:_____________________________________________________________

                         

                                   __________________________________________________________________________________________

 

  Phone Number Change:_______________________________________________________

 

 Home Campus Change:________________________________________________________

 

   Major (or Academic Plan) Change_____________________________________________

 

 

 Date_____________     Authorizing Signature_______________________________________

 

Return completed form to Enrollment Services

at any campus location.

 

 

 

 

 

For Office Use Only   Check with Human Resources                                   Operator’s Initials____________                                  Date______________  (Student Employee?)  Change in Computer                                                  Operator’s Initials____________                                  Date______________                                                           Note: Backdate changes to home codes and academic plan codes.

 

 

 

_________________________________

 

 

Please bring your documentation, in person, to any Enrollment Services office. For more information, call Germaine Shaffer, Director of Enrollment Services, at ext.73409