If you have not been enrolled at Montgomery College as a credit student in the last four years, you are required to complete this form in order to be eligible for registration. If you have any other outstanding registration blocks, those must resolved as well before you will be able to register for a course. This form allows us to collect the most current contact, address and curriculum information for you as you return to the College.
Student ID M-
Birth Date (MM/DD/YYYY)
SSN (last four digits) * * * - * * -
Note: Changes to name, Social Security Number [SSN] and/or gender, require legal proof of the action in order to update. Proof includes driver’s license, social security card, legal court documents, and/or intent of gender change (doctor's letter). This documentation must be submitted to the Office of Admissions and Records at your primary campus of attendance.
Address/Declaration of Permanent Domicile for Tuition Purposes
Note: Students with temporary visas, including B(tourist), F(student) and J(exchange visitor) are not eligible for in-county or in-state tuition based on residency. Other non-U.S. Citizens must show proof of immigration status (e.g. employment authorization or passport), or be charged the out-of-state tuition and fees rate. For information about in-county or in-state tuition, call (240) 567-5000 or visit the Office of Admissions and Records at your primary campus of attendance.
How long have you lived at your current address? years months
If Other than U.S., Current Immigration Status (I-94)
Do you (or your parents) own or rent your primary residence?
If yes, located in County, State
Do you file income taxes?
If yes, filed to County, State
Are you registered to vote?
If yes, registered in County, State
Do you have a valid driver’s license?
If yes, State
Do you own a motor vehicle?
If yes, registered in State
By clicking the Submit button, I certify that the information on this form is correct and complete. I understand that falsification may result in dismissal and/or retroactive adjustment of tuition and fees. Upon request by a designated College official, I agree to provide additional evidence of the above facts for verification by the College.