Change of Address Form

M # (do not enter social security number)

or

Birth Year

Student InformationLast Name

First Name

Middle Name

Email Address

Permanent Mailing Address

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

Changing your permanent address will NOT update your residency status. For information on in-state classification for fee payment purposes click here.
Permanent address for international students must be country of origin, excluding permanent residents

No. and Street

Apt #

City

State

Zip Code

Phone (include area code)

Mailing / Billing AddressCheck all types that apply to the following address:

Mailing

Billing

Street Address

Apt #

City

State

Zip Code

Phone (include area code)

Parent or Next of Kin AddressCheck all types that apply to the following address:

Next of Kin

Parent

Last Name

First Name

Middle Name

Relationship

Street Address

Apt #

City

State

Zip Code

Phone (include area code)

Emergency ContactEmergency Contact

Mother

Father

Guardian

Spouse

Last Name

First Name

Middle Name

Street Address

Apt #

City

State

Zip Code

Phone (include area code)

Additional Telephone NumbersFirst Additional Telephone Number

Cell

Business

Phone (include area code)

Second Additional Phone Number

Cell

Business

Phone (include area code)

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Last Updated: May 15, 2023