Staff Change Form for Website
This form should be used to notify Cloquet Admin Office of any changes to your address, phone number or family members. 

DO NOT use this form for changing your name. Please contact Mary Marciniak at ext. 6204 to fill out additional paper work for that.
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What building do you work in? *
Position *
Requested By (Your First and Last Name) *
New Address (Complete if Address Change)
Effective Date of Address Change
MM
/
DD
/
YYYY
Home Phone (Complete if Adding or Changing)
Cell Phone (If adding or Changing)
Email Address (Complete if Adding a secondary email address that is NOT your school one)
Comments: *
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