Northwest-Shoals Community College

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800 George Wallace Blvd.
Muscle Shoals, AL 35661
256.331.5200

2080 College Road
Phil Campbell, AL 35581
256.331.6200

Email: nwscc@nwscc.edu

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Home » Current Student Information » NW-SCC Change of Information Form

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NW-SCC Change of Information Form

Students may use this form to update basic information on their student record. Please contact the Admissions Office if you need to make a change to your SSN.

Check all options below for which you are requesting a change:

Change of Address

Change of Advisor

Change of D.O.B.

Change of Email Address

Change of Emergency Contact

Change of Major

Change of Name

Change of Phone Number

Student Identification Number

Corrected Date of Birth

Are you a student worker employed by NW-SCC?

Yes

No

Student's Current Name (please list last name, first name, middle name, and maiden name if applicable)

Former Name (if applicable)

New Address (Include Street or PO Box, City, State, Zip, and County)

New Telephone #

New Email Address

New Major

New Advisor

Emergency Contact Information

Name

Address

Telephone #

Maps

800 George Wallace Blvd.
Muscle Shoals, AL 35661
256.331.5200

2080 College Road
Phil Campbell, AL 35581
256.331.6200

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