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Change of Address Form

This form allows students to change their permanent mailing address on record.

Name(Required)
Previous Permanent Address (To Be Changed)(Required)
This is the address you wish to change.
Is this a Parent/Guardian's Address?(Required)
New Permanent Address(Required)
This is your new/current permanent mailing address.
Is this a Parent/Guardian's Address?(Required)
Additional Address (optional)
This is an additional address you would like us to include in your record, such as a second parent's home address.
Is this a Parent/Guardian's Address?(Required)
Emergency Contact #1 (optional)
You may provide one or two emergency contacts, if you choose. This is not required.
Emergency Contact #2 (optional)
You may provide one or two emergency contacts, if you choose. This is not required.
Confirmation(Required)
When this box is checked, the Office of the Registrar accepts that the student has provided information that is valid and accurate.
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