Change My Contact Details

Change My Contact Details
Student Name*

First NameLast Name
Student ACT number*
Changes take effect starting*

DayMonthYear
Date
Check all that apply - and please fill in the corresponding section below*

Change addressChange mobile / phone numbersChange emailChange name
NEW address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
NEW mobile / phone number
Please enter a valid phone number.
NEW email
example@example.com
Name change - please explain name change in the comments box below

First NameLast Name
Any other comments:
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Youthworks College is an affiliate of the Australian College of Theology | CRICOS Code 02650E

CONTACT US:

16 Carillon Ave NEWTOWN NSW 2042

ph: (02) 8093 3400 | e: college@youthworks.net

w: https://youthworkscollege.edu.au
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