CUYAMACA COLLEGE
NOTE:
ADDRESS CHANGE
If you are receiving financial aid please go to the
Admissions and Records office to change
your address.
Student I.D. Number
Print Name:
Last
First
Middle
MAILING ADDRESS
Number
Street
Apt. No.
City
State
(
)
Evening Telephone Number
Zip Code
(
)
Day Telephone Number
E-mail Address
(Do not use P.O. Box or business. If under 19 years of age, your legal residence
is that of your parents/ guardians.)
LEGAL ADDRESS
Check here if same as mailing address, otherwise, fill in below.
Number
Street
Apt. No.
City
State
Zip Code
ATTENTION: District employees who file an address change form with Admissions and Records must also file an address
change with District Payroll. Address change forms can be found on the GCCCD Forms Depot.
X
Student’s Signature
Date
You can submit this form in person at the Admissions and Records office or you can fax it to 619-660-4575
or you can mail it to:
Cuyamaca College
Admissions and Records
900 Rancho San Diego Parkway
El Cajon, CA 92019
Complete this section ONLY if you have applied for a degree and/or a certificate.
Please indicate the semester. (Example: Fall 2008)
SUMMER 20
FALL 20
SPRING 20
OFFICE USE ONLY
Date Received __________
Current Residency Code _____
Clerk_____
Date Completed __________
New Residency Code _____
Clerk _____