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Change of Mailing Address

Student Name:

Today's Date: 

(!) Instructions:

Kindly review and update the information below with complete accuracy. Please ensure addresses are spelled correctly, as any errors may result in delays in mail delivery. If you are including any apartment or building numbers, please include them in Address Line 3.

International Changes ONLY*

Address 1:

Address 2:

Address 3:

City:

State:

Postal Code (Zip)

Country:

Student Acknowledgment and Authorization:

By submitting this Form, I acknowledge and agree to the following:

1. I am the individual requesting these changes to my student record.
2. The information provided is accurate and reflects my personal details as required by the institution.
3. I understand that this request will result in updates to my official student records, and it is my responsibility to ensure that all provided documentation, if required, is valid and up to date.
4. I acknowledge that falsification of information may result in disciplinary action in accordance with institutional policies.
5. I understand that changes to my personal information may take time to process and that I will be notified if additional verification is needed.

Please Check the box to indicate agreement

Student Email Address:

Student ID:

Address Code:

APPID: