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Change of Information Form
Moving? Recently married? Please complete a Change of Information form. Students must fill out this form if they have changed their name, address, telephone number, emergency contact information or social security number.
The Change of Information form is available online in PDF format. In order to view and print this form, you will need the Adobe Acrobat Reader. To obtain the Change of Information form, please click on the link below. Once you've printed this form, please fill it out in pen, making sure to include both the old and new information. Remember that the Change of Information form cannot be processed without a signature. Once the form is completed, please return the form to the Registrar's Office, either in person, or by mail to:
Registrar's Office
Room 1550
Ivy Tech Community College of Indiana
3800 North Anthony Blvd.
Fort Wayne, IN 46805
CHANGE OF INFORMATION FORM, 37KB
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