Change of Address Request Form
If you are a returning student or a current student please contact Office of the Registrar

Last Name

First Name

Middle Name

Student Z-number

Date of Birth

Address Apt#

City State Zip

Home Phone Number:

Cell Phone Number:

E-mail Address

Submission of this document serves as your electronic signature. Submission of information online certifies that the information provided is complete and correct to the best of your knowledge. Any use of false names or identities is considered fraud.

Please send your questions to: Undergraduate Admissions Office




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 Last Modified 9/14/15