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Change of Address Form

M# (do not enter social security number)
or 

Birth Year

Last Name
First Name
Middle Name


Permanent Mailing Address (where you reside when not attending school):

  • Changing your permanent address will NOT update your residency status. To update your residency status, you must contact the MTSU Admissions office (undergraduate) or the College of Graduate Studies (graduate).
  • Permanent address for international students must be country of origin, excluding permanent residents

    No. and Street Apt #
    City State Zip
    Phone (ac)

Mailing Billing Address (Check all types that apply to the following address):

No. and Street Apt #
City State Zip
Phone (ac)


Next of Kin Parent (Check all types that apply to the following address):

Last First Middle
Relationship
No. and Street Apt #
City State Zip
Phone (ac)


Emergency Contact: Mother Father Guardian Spouse

Last First Middle
No. and Street Apt #
City State Zip
Phone (ac)


Additional Telephone Numbers:

Phone (ac) Cell Business
Phone (ac) Cell Business


Additional E-Mail Addresses (Other than MTSU-assigned address.)


MTSU, a Tennessee Board of Regents university, is an equal opportunity, non-racially identifiable, educational institution that does not discriminate against individuals with disabilities.

2016, Middle Tennessee State University, a Tennessee Board of Regents institution, 1301 East Main Street, Murfreesboro, TN 37132-0001 USA +1-615-898-2300

Middle Tennessee State University, in its educational programs and activities involving students and employees, does not discriminate on the basis of race, color, religion, creed, ethnic or national origin, sex, sexual orientation, gender identity/expression, disability, age (as applicable), status as a covered veteran or genetic information. For more information see Middle Tennessee State University. |  Nondiscrimination Policy