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Contact Information Verification Return to Benton or any HUB branch location Customer Name Date of BirthADDRESSCONTACT INFORMATIONMailing Addressable Phone #City, State & Zip + 4Cell Phone #Physical
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Obtain a copy of the 'Welcome to Benton State' form from the appropriate department or download it from the school website.
02
Fill in your personal information including your name, address, date of birth, and contact information.
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Provide any necessary academic information such as your intended major or program of study.
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Sign and date the form to confirm that the information provided is accurate and complete.
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Submit the completed form to the designated office or individual for processing.

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New students enrolling at Benton State University
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Any individual participating in a program or event at Benton State University that requires completion of this form
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Welcome to benton state is a form or process for new residents to officially establish their residency in Benton State.
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Welcome to benton state can typically be filled out online or in person by providing personal information such as name, address, and documentation to prove residency.
The purpose of welcome to benton state is to update the state with new residents' information and officially establish their residency for various purposes such as voting, tax purposes, and access to state services.
Information such as name, address, date of birth, previous address, and proof of residency must be reported on welcome to benton state.
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