Change of Address Form
If you are a current student and your address or phone number(s) have changed, please let us know by completing this form.
First Name
*
Last Name
*
Street Address
*
Apt/Lot Number
City
*
State
*
Zip
*
Phone #1
*
Phone #2
Should your Internet service be transferred to this address?
*
Yes
No
Date of Move
-
Month
-
Day
Year
at
/
Hour
Minutes
AM
PM
Proof of residence is required for all address changes. You may bring proper documentation (e.g. lease agreement, utility bill, etc.) to your lab within the next week, or you may upload it here:
Upload proof of residency:
Which applies to you?
*
I am over 18.
I am under 18 and living with my legal guardian.
I am under 18 and living with someone else.
Submit
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