Change Address Form

Use this form to request a Change of your HOME Address,

Phone Number, Email Address or Major

Your Name:

Your Social Security Number:

(A WORKING current phone number OR Email address is needed in the event you need to be contacted.
You will only be contacted if there is a problem fulfilling this request.)

Your E-Mail Address:

Your CURRENT phone number:

Now enter your desired NEW Address, Phone No. or Email Address, Change of Major (any or all that you need) in the blanks below.

Your NEW Address (Number and Street)

Your NEW City and State

Your NEW Zip (Postal) Code

Please add a Phone number to go with this address (Include the Area Code).
International Students: Please include the Country Code.

Your NEW Email Address

Your Desired NEW Major

NOTE: CHANGE REQUESTS ONCE PROCESSED BY THE OFFICE OF ADMISSIONS ARE EFFECTIVE IMMEDIATELY WHEN SYSTEMICALLY POSSIBLE.

When you are sure you have entered all items correctly, click the "Submit" button. - OR -

Click the "Clear Entries" button to remove all entries you've made in the blanks and start over.