Fillable Printable Change of Name, Address, or ID Form - Hunter College of the City University of New York

Change of Name, Address, or ID Form - Hunter College of the City University of New York

Hunter College of the City University of New York – Office of the Registrar

OASIS, Roo m 217 North, 695 Park Avenue, NY 10065

CHANGE OF NAME, ADDRESS, OR ID# (SOCIAL SECURITY#)

Please note the following:

• ALL NAME CHANGES MUST BE accompanied by supporting documentation

(i.e., Marriage License, Court Order, Divorce Decree, Birth Certificate, Immigration

Papers).

• A change of ID# requires a signed

Social Security Card.

• If you have been declared a New York State Resident and you change your address to

an out of state address, you will be charged the Non-Resident tuition rate for the next

semester.

• YOU MUST SIGN THIS FORM AN D CONFIRM IF YOU ARE R ECEIVIN G

FINANCIAL AID.

Please note all documents submitted become the legal property of the college and may

not be surrendered back and or copied.

Information as it appears on

PRESENT Hunter

records

CHANGE TO: (fill in appropriate information)

___ ___ ___ -___ ___-___ ___ ___ ___

ID# (Social Security#)

___ ___ ___ -___ ___-___ ___ ___ ___

ID# (Social Security#)

___________________________________

Last Name

____________________________________

Last Name

_____________________________ ____

First Name Initial

________________________________ ____

First Name Initial

_____________________________________

Number and Street Address

_______________________________________

Number and Street Addr ess

_________________________

City

__________________________

City

_______ _____________ _______

State Zip Code

_______ __________ _____________

State Zip Code

___________________________

County

______________________________

County

(_____)_______________________

Telephone with Area Code

(______)________________________

Telephone with Area Code

Do you receive any type of Financial Aid? _____Yes _____No

Date of Birth ___________________

Student Signature _____________________________ Date____________

* This form will not be processed without the student’s signature