Haywood Community College
DATA CHANGE FORM
Return to:
Enrollment Management Office
Haywood Community College
185 Freedlander Dr
Clyde, NC 28721
Colleague ID or Social Security Number
Please complete the appropriate sections.
Name Change: Current Name
Former Name
(Name change must be accompanied by driver’s license, marriage license or court order.)
Address Change:
Address
City
State Zip
County Telephone
Signature Date
Changed on System
Curriculum
Changed on File
