Midlands Technical College
Change of Address
for
Federal Work-Study Students

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This form needs to be completed anytime a student moves doing the course of the year.  If this form is not completed, paychecks will be mailed to the address on the W-4 form.  Please print this form and mail to Corrine Rogers, FWS Coordinator at the Beltline Campus.

Date:

Student's Name   Student ID#:

OLD ADDRESS:

Street Address:
City, State, Zip:

NEW ADDRESS:       

Street Address:
City, State, Zip:
Effective Date:

 

NOTE:  Students should also contact the Records Office with new address.
       
        

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