ࡱ> ` \bjbj 8x%FFFFFFFZ8VZm0.> 2p"p"p"p"O#'%#&.//////$1h4/QF&K#O#&&/FFp"p"'0(((&dFp"Fp".(&.((FF(p"2 gs'p(+=00m0(5w' 5(5F(8&&(&&&&&//(X&&&m0&&&&ZZZZZZZZZFFFFFF CENTENARY COLLEGE ADULT EDUCATION PROGRAMCHANGE OF NAME / ADDRESS / PERSONAL INFORMATION FORM Note: This form is not to be used for Adding/Dropping/Withdrawing from a Class or Changing Cohorts. REMINDER: Please submit this form at your earliest convenience. Send-to information is indicated below. Use your tab button to navigate. Sections in the boxes below that are highlighted in red must be filled in. Current InformationYour Name:  FORMTEXT      Current Group/Cohort Number:   FORMTEXT      Home Phone Number:  FORMTEXT     Work Phone Number:  FORMTEXT      E-mail Address:  FORMTEXT     Social Security Number:  FORMTEXT       New Information (fill in sections that have been changed)Your Name:  FORMTEXT      New Address:  FORMTEXT      City, State, Zip Code:  FORMTEXT      Current Group/Cohort Number:   FORMTEXT      Home Phone Number:  FORMTEXT     Work Phone Number:  FORMTEXT      E-mail Address 1:  FORMTEXT     E-mail Address 2:  FORMTEXT      Please send e-mail to:   FORMCHECKBOX  E-mail Address 1  FORMCHECKBOX  E-mail Address 2  FORMCHECKBOX  Both By typing my name below, I authorize Centenary College to apply my valid handwritten signature already on file at the Centenary College Main Office. Student Signature (type your name here): FORMTEXT      Date: FORMTEXT       To submit this form: Save !*+[]^_`abg. 0 1 P ÷{mm\N= hM. h7!5B*CJaJphhqFR5B*CJaJph hM. h5B* CJaJphhu((5B* CJaJphhqFR5B* CJaJphhnVt5B* CJaJphhUo5B* CJaJphh|=5B*CJaJphh|=hh|=5OJQJh~5OJQJhnVt5OJQJh N"h~5B*CJOJQJaJph(hp'h N5B*CJOJQJaJph*+`|wkd$$Ifl))   t 0644 lalp $$Ifa$gd N\\\`ab0 1 xxxl $$Ifa$gdnVt$a$gdM. $a$gdNwkdm$$Ifl))  t 0644 lalp P Q R e g w бП~iRG6 hVz}hnVt5B*OJQJphhnVthnVtOJQJ,hnVthnVt5B* CJOJQJ^JaJph(hnVthnVt5B* CJOJQJaJph#hM. hM. 56B*CJaJphhG%56B*CJaJph#hM. hN56B*CJaJph hM. h95B*CJaJphh5B*CJaJph hM. hN5B*CJaJphhw5B*CJaJph hM. h|=5B*CJaJph  $Ifwkd$$Ifl))  t 0644 lalp    N R T h j l v x z | ܯǘ܍|dǘ܍|L/jhShL;5B*OJQJUph/jhShnVt5B*OJQJUph hVz}hnVt5B*OJQJphhnVthnVtOJQJ,jhShnVt5B*UmHnHphu/jGhShnVt5B*OJQJUph)jhShnVt5B*OJQJUph hShnVt5B*OJQJph#hVz}hnVt56B*OJQJph  N z {{ $IfgdL;zkd$$Ifl0) t0644 lalz | {{ $IfgdL;zkd$$Ifl0) t0644 lal       $ & F J L ` b d f h n p r t 庩u庩]庩/jhShL;5B*OJQJUph/jhShL;5B*OJQJUph hVz}hnVt5B*OJQJphhnVthnVtOJQJ hShnVt5B*OJQJph)jhShnVt5B*OJQJUph+hShnVt5B*OJQJmHnHphu4jhShnVt5B*OJQJUmHnHphu $ {{ $IfgdL;zkdm$$Ifl0) t0644 lal$ & F r {{ $IfgdL;zkdG$$Ifl0) t0644 lalr t {{ $IfgdL;zkd!$$Ifl0) t0644 lalt F H J лУ}mXA6hnVthnVtOJQJ,hnVthnVt5B* CJOJQJ^JaJph(hnVthnVt5B* CJOJQJaJphhnVth\5CJOJQJaJhnVthSOJQJ4jhShS5B*OJQJUmHnHphu/jhSh5B*OJQJUph)jhShS5B*OJQJUph hShS5B*OJQJph hVz}hS5B*OJQJphhS5B*OJQJph H |p $$Ifa$gdL;$a$gd.bzkd$$Ifl0) t0644 lalH J `  $IfgdL;wkd_$$Ifl))  t 0644 lalp J ^ ` d f z | ~ ʳʙudQ:Q-jhShVz}5B*OJQJU^Jph$hShVz}5B*OJQJ^Jph hVz}hVz}5B*OJQJphhnVthnVtOJQJ0jhShnVt5B*U^JmHnHphu3jhShnVt5B*OJQJU^Jph-jhShnVt5B*OJQJU^Jph$hShnVt5B*OJQJ^Jph#hVz}hnVt56B*OJQJph hVz}hnVt5B*OJQJph {{ $IfgdL;zkd@$$Ifl0) t0644 lal    " , . 0 2 p t αΞΞhαΞWD$hShnVt5B*OJQJ^Jph hVz}hnVt5B*OJQJph3j~hSh"5B*OJQJU^Jph hVz}hVz}5B*OJQJphhnVthVz}OJQJ$hShVz}5B*OJQJ^Jph8jhShVz}5B*OJQJU^JmHnHphu-jhShVz}5B*OJQJU^Jph3jhSh"5B*OJQJU^Jph  0 {{ $IfgdL;zkd$$Ifl0) t0644 lal0 2 p {{ $IfgdL;zkd$$Ifl0) t0644 lalt v ջ՗lO7O՗/hShnVt5B*OJQJ^JmHnHphu8jhShnVt5B*OJQJU^JmHnHphu3j0 hShnVt5B*OJQJU^Jph hVz}hnVt5B*OJQJphhnVthnVtOJQJ0jhShnVt5B*U^JmHnHphu3jX hShnVt5B*OJQJU^Jph$hShnVt5B*OJQJ^Jph-jhShnVt5B*OJQJU^Jph {{ $IfgdL;zkd $$Ifl0) t0644 lal F{{ $IfgdL;zkd $$Ifl0) t0644 lal246<>@BFHdhlpr֟|kZk@֟3j hShnVt5B*OJQJU^Jph hVz}h\5B*OJQJph hVz}hnVt5B*OJQJphhnVthnVtOJQJ/hShnVt5B*OJQJ^JmHnHphu8jhShnVt5B*OJQJU^JmHnHphu3j hShnVt5B*OJQJU^Jph-jhShnVt5B*OJQJU^Jph$hShnVt5B*OJQJ^JphFHl{{ $IfgdL;zkd $$Ifl0) t0644 lal{{ $IfgdL;zkdZ $$Ifl0) t0644 lal ">@BѺѠxeRD.R*j hVz}hL;5OJQJU^JhVz}h\5OJQJ^J$jhVz}h\5OJQJU^J$hVz}h\5B*OJQJ^JphhnVth\OJQJ8jhSh\5B*OJQJU^JmHnHphu3j hShL;5B*OJQJU^Jph-jhSh\5B*OJQJU^Jph$hSh\5B*OJQJ^Jph hVz}h\5B*OJQJphhnVthnVtOJQJ{{ $IfgdL;zkd4 $$Ifl0) t0644 lalBDjl>lޔuuku^UNFhPh\6 hPh\h\6CJaJhPh\5B* phhVz}5B* phhqFRh\5B* phh\5B* phhQCJaJhnVth\OJQJ*jhVz}hL;5OJQJU^J*jhVz}hL;5OJQJU^J$jhVz}h\5OJQJU^J$hVz}h\5B*OJQJ^JphhVz}h\5OJQJ^J|ccNN$$l&`#$/Ifa$gd\$L$l&`#$/If^La$gd\$a$gd\zkd$$Ifl0) t0644 lallzzzz$l&`#$/Ifgd\skd^$$Iflt|)) t 6`l0644 lalnVVV0W2W4Wsqs`sL`'jh%h%5B*Uph!jh%h%5B*UphUh%h%5B*phh\5B*phh\6CJaJ'j4hPh\5B* Uph hPh\hPh\6,jhPh\5B* UmHnHphu'jhPh\5B* UphhPh\5B* ph!jhPh\5B* UphvVWWWSKCCK7 $$Ifa$gdp$a$gd%$a$gdu((kd$$Iflt\ |)Y  t 6`l0644 lathis file to your computer, and attach it to a new e-mail with the following  send to address:  HYPERLINK "mailto:CHGStat.Form@centenarycollege.edu" CHGStat.Form@centenarycollege.edu. [For Office Use Only] Change of Status Distribution  FORMCHECKBOX ACCESS update or N/A FORMCHECKBOX  FORMCHECKBOX Accounting Office  FORMCHECKBOX CAMS update or N/A FORMCHECKBOX  FORMCHECKBOX Financial Aid  FORMCHECKBOX  Roster update or N/A FORMCHECKBOX  FORMCHECKBOX Registrar s Office  FORMCHECKBOX Update to student file or N/A FORMCHECKBOX  FORMCHECKBOX Darlene Goushy FORMCHECKBOX FileOffice Review Status FORMCHECKBOX Reviewed FORMCHECKBOX UpdatedReviewed/Updated by:  FORMTEXT      Date:  FORMTEXT           Updated 10.26.04 pv/ss 4WvWxW~WWWWWWWWWWWXXXBXDX`XɴnZnN?4h\h+jCJaJjh\h+jCJUaJh\h+j5CJaJ&jh\hfB5CJUaJ jh\h"[5CJUaJh\h"[5CJaJhph\hp5CJOJQJaJ(h\hp5B* CJOJQJaJph(h\hu((5B* CJOJQJaJph hu((h\ h%h%h%h%5B*ph!jh%h%5B*Uphh%h%0J5WWX:XBXfXhXXXXXXY~rm~Ff $$Ifa$gdp $Ifgdj@ $Ifgdp $IfgdfBfkd$$Ifl)) t044 lal `XbXdXfXhXjXXXXXXXXXXXXYYY Y"Y$Y&Y(YDYFYHYJYfYhYjYlYYӵDZn\DZ#jh\h+jCJUaJ#jh\h+jCJUaJ&j h\hfB5CJUaJ jh\h"[5CJUaJh\h"[5CJaJh+j#jh\h+jCJUaJh\h+j5CJaJh\h+jCJaJjh\h+jCJUaJ#jPh\h+jCJUaJ!Y$Y&YJYfYhYYYYYYZ,Z.ZTZZZZZZZZZ[Ff%Ff| $Ifgdj@ $IfgdfBFf0 $$Ifa$gdp $IfgdpYYYYYYYYYYYYZZZZ,Z.Z0Z2ZNZPZRZZZZZZZZZZôôÁmô[ô#j#h\h+jCJUaJ&j"h\hfB5CJUaJh+j#jBh\h+jCJUaJ#jh\h+jCJUaJh\h+jCJaJjh\h+jCJUaJh\h+j5CJaJh\h"[5CJaJ jh\h"[5CJUaJ&jVh\hfB5CJUaJZZZZZZZ[[[[$[&[([*[2[4[6[R[`[b[d[[ʾ}ʮygR9R1jh\h+j5B* CJOJQJUaJph(h\h+j5B* CJOJQJaJph"h.>X5B* CJOJQJaJphh.>X#j'h.>XhFcDCJUaJh.>XCJaJjh.>XCJUaJh\h.>XCJaJh\h.>X5CJaJh+jh\h+j5CJaJh.>X5CJaJh\h+jCJaJjh\h+jCJUaJ#j#h\h+jCJUaJ[[[[*[4[6[`[b[[[j^^ $$Ifa$gdP[fkd2,$$Ifl)) t044 lal $$Ifa$gdfBFf * $$Ifa$gdp $Ifgdp $Ifgdj@ [[[[[[[[[[[[[[[[\\\ʵʵʵxl[lG[&jw-h\h+j5CJUaJ jh\h+j5CJUaJh\h+j5CJaJh.>X5CJaJ7j-h\h+j5B* CJOJQJUaJphh.>Xh+j5CJaJh.>Xh.>X5CJaJ(h\h+j5B* CJOJQJaJph1jh\h+j5B* CJOJQJUaJph7j,h\h+j5B* CJOJQJUaJph[[[ \,\X\ $Ifgd`y $Ifgdu(( $$Ifa$gdP[\\\*\0\2\F\H\J\T\V\X\Z\\\^\b\d\h\j\n\p\t\\ȳ~_[WOKOKOKOKCh)T5CJaJhFcDjhFcDUh@]h+j<jh\h+j5B* CJOJQJUaJmHnHphu7j-h\h+j5B* CJOJQJUaJph1jh\h+j5B* CJOJQJUaJph(h\h+j5B* CJOJQJaJphh\h+j5CJaJ jh\h+j5CJUaJ3jh\h+j5CJOJQJUaJmHnHuX\Z\\\`\'$a$gdpkdc.$$Ifl֞$ \ !$)8X t044 lal`\b\f\h\l\n\r\t\\\\\$a$gdp$a$gd+j \\\\\h@]hFcDh)T5h+jh)T5CJaJ61h/R :p+j/ =!"##$#% k$$Ifl!vh5)#v):Vl   t 65)alp k$$Ifl!vh5)#v):Vl  t 65)alp k$$Ifl!vh5)#v):Vl  t 65)alp tDText3b$$Ifl!vh55#v#v:Vl t655altDText1b$$Ifl!vh55#v#v:Vl t655alvDText69b$$Ifl!vh55#v#v:Vl t655alvDText70b$$Ifl!vh55#v#v:Vl t655alvDText71b$$Ifl!vh55#v#v:Vl t655alvDText76b$$Ifl!vh55#v#v:Vl t655alk$$Ifl!vh5)#v):Vl  t 65)alp tDText3b$$Ifl!vh55#v#v:Vl t655alvDText74b$$Ifl!vh55#v#v:Vl t655alvDText75b$$Ifl!vh55#v#v:Vl t655altDText1b$$Ifl!vh55#v#v:Vl t655alvDText69b$$Ifl!vh55#v#v:Vl t655alvDText70b$$Ifl!vh55#v#v:Vl t655alvDText71b$$Ifl!vh55#v#v:Vl t655alvDText72b$$Ifl!vh55#v#v:Vl t655alvDeCheck45vDeCheck46vDeCheck47b$$Ifl!vh55#v#v:Vl t655al^$$If!vh5)#v):Vlt t 6`l65)vDText34vDText35$$If!vh55Y 55#v#vY #v#v:Vlt t 6`l655Y 55/ / / /  DyK "CHGStat.Form@centenarycollege.eduyK Rmailto:CHGStat.Form@centenarycollege.eduI$$Ifl!vh5)#v):Vl t5)alvDeCheck41vDeCheck32vDeCheck23$$Ifl!vh55 55555#v#v #v#v#v#v#v:Vl  t255 55555/ / / / / / / alp2$kd<$$Ifl֞ )   t2044 lalp2vDeCheck42vDeCheck33vDeCheck25$$Ifl!vh55 55555#v#v #v#v#v#v#v:Vl  t255 55555/ / / / / / / / / alp2$kdl$$Ifl֞ )   t2044 lalp2vDeCheck43vDeCheck34vDeCheck27$$Ifl!vh55 55555#v#v #v#v#v#v#v:Vl  t255 55555/ / / / / / / / / alp2$kd$$Ifl֞ )   t2044 lalp2vDeCheck44vDeCheck35vDeCheck29$$Ifl!vh55 55555#v#v #v#v#v#v#v:Vl  t255 55555/ / / / / / / / / alp2$kd$$$Ifl֞ )   t2044 lalp2vDeCheck48$$Ifl!vh55 55555#v#v #v#v#v#v#v:Vl  t255 55555/  / / / / / / alp2$kdd($$Ifl֞ )   t2044 lalp2W$$Ifl!vh5)#v):Vl t5)/ alvDeCheck39vDeCheck40vDText66vDText55$$Ifl!vh55558555X#v#v#v#v8#v#v#vX:Vl t55558555X/  / / al@@@ NormalCJ_HaJmH sH tH DA@D Default Paragraph FontRi@R  Table Normal4 l4a (k(No Listj@j N Table Grid7:V0HH oC Balloon TextCJOJQJ^JaJ6U@6  s Hyperlink >*B*phFV@!F  sFollowedHyperlink >*B* ph4@24 +jHeader  !4 @B4 +jFooter  !! x*+`ab01  45H_`p!78Oef,BC["XYZ%&9IM_`r();JKLMNOPbgh}~        " 0 0 0 0 00000000 0 0 @0 @0 @0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00000 0 0 0 0 0 0 00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0y0y0y0y0y0y0y0y0@0y0y0 *+ YZ%9I_(JK}~" {0I{07{0c X{07 {0c {0a {0{0cX{07 {0c {0a {0 {0{0{0{0{0  {0{0_ {0  {0{0{0{01{0102{01{01{0@ @@@{0:{0{0< {0<!={0< {0<{0:{0{0 {01  {0 {01  {0{0 {01  {0 {01  {0{0 {01  {0 {012`n {012X{01  {034{03{03 {01 @7  $$$'P t J t Bl4W`XYZ[\\\ !$&)/13468;`  z $ r H 0 FWY[[X\`\\  "#%'(*02579:\  ,2JV\r~ #/5Q]c.:@]m.f'7M]`p&)9P`~! 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VitaglianoOh+'0$0<     (Centenary College Change of Status Form0Drop-In/Drop/Change of Address/LOA/WithdrawalPaul A. Vitagliano<Change of Status Form - Change of Name and Address Info.dotPaul A. Vitagliano9Microsoft Office Word@hx@R|@<@dsW՜.+,D՜.+,T px   4Paul A. Vitagliano$Centenary College Adult Education (Centenary College Change of Status Form Title 8@ _PID_HLINKSAB 6)mailto:CHGStat.Form@centenarycollege.edu   !"#$%&'()*+,-./0123456789:;<>?@ABCDEFGHIJKLMNOPQRSTVWXYZ[\]^_`abcdefghijklmnoqrstuvwyz{|}~Root Entry F`s Data =\/1TableU5WordDocument8xSummaryInformation(pDocumentSummaryInformation8xMacrosgsgsVBA gsgsdir__SRP_0 __SRP_1 __SRP_2 T  !"#$%&'()*+-./012460* pHdTemplateProjectQH@  = | TB! 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Vitagliano  TemplateProject.NewMacros.Macro2  TemplateProject.NewMacros.Macro4  TemplateProject.NewMacros.Macro5 YEK*srU~~~~~~~~~~~~~~~~~~~~~~~~~~~+ 纶FϾ[N f >  e    )91 ThisDocument NewMacrosTemplateProjectF /C:\PROGRA~1\COMMON~1\MICROS~1\VBA\VBA6\VBE6.DLLVBA ) Q0 F5C:\Program Files\Microsoft Office\Office10\MSWORD.OLBWord !I@0FC:\WINDOWS\system32\stdole2.tlbstdolek FwGKpQH 1YPL-[DR?C:\Program Files\Common Files\Microsoft Shared\Office10\MSO.DLLOffice a`/F5C:\Program Files\Microsoft Office\Office10\msoutl.olbOutlook  !pbF )C:\PROGRA~1\MICROS~2\Office10\OUTLCTL.DLLOLXLib Macro2Macro4Macro5  Fhb,@=%ֻ FDocument @ F F' vitaglianop@centenarycollege.edu <mailto:vitaglianop@centenarycollege.edu>To bRemember to Save Your Document Before You Submit! &Outlook.ApplicationfĤIx8<CreateItem b recipient2@mail.com <mailto:recipient2@mail.com>CC New subjectSubject LThe hardcoded body text goes here DUDEBody ,Document as attachmentAttachments SourceTypeDisplayNameAddSendQuitVBE6.DLL  S  r    (   H' vitaglianop@centenarycollege.edu <mailto:vitaglianop@centenarycollege.edu> `recipient2@mail.com <mailto:recipient2@mail.com> 0My Change of Status FormNameResolve  T Recipients  XEnter valid Email Name of message recipient: PEnter the subject line for this message: @Enter the text for this message: $Mapi Macro Example mapi.sessionprofileName Logon OutboxMessagesTextshowDialog 4Message sent successfully! Logoff @Document needs to be saved first0F40F ^ recipient@mail.com <mailto:recipient@mail.com><0FSetMailAttachOptionp F F XMake Sure You Save Your Form Before Sending! 0My Chnage of Status Form \Make Sure You Save Your Form to Your Computer!Macro1*rU~| krU $`nrU  14Y0`rU @n__SRP_3g__SRP_4 __SRP_5BNewMacros~LzM#<wGKpQH Fhb,@=%ֻxhb,@=%ֻwGKpQHME(SLSS6" rMxME@se the k.Make Sure You Save Your Form to Your Computer!A@@1 recipient2@mail.com 9L@Set the subjecten New subject9Ny fo=The content of the document is used as the body for the email&The hardcoded body text goes here DUDE9PHAdd the document as an attachment, you can use the .displayname propertyes1to set the description that's used in the message "!XV ZlDocument as attachment\5RB@T thaC@^qh J 4%H.!XHO facultyserver@centenarycollege.edu 9h`Attribute VB_Name = "NewMacros"  Sub SetMailachOp@tion()D' ^ recorded 5/4/2004 by Paul A. 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