CHANGE OF PERSONAL DATA
Please print clearly.
Current
Information
Identification number ___ ___ ___ ___ ___ ___ ___ ___ Date ________________
Last name __________________________ First name _________________ MI ______
Check the category below that has changed and enter the new
information:
New Information
( ) PERMANENT address _________________________________________________
(this is your HOME address) _____________________________________________
( ) MAILING** address ___________________________________________________
(see below) ___________________________________________________
( ) LOCAL address ___________________________________________________
___________________________________________________
( ) UofH box no. ________________________________________________________
( ) HOME phone _______________________________________________________
( ) LOCAL phone _______________________________________________________
( ) WORK phone _______________________________________________________
( ) NAME _______________________________________________________
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
** Note: This is the address to which you would like
all University correspondence (grades, schedules, etc.) mailed. It will not
replace any other address, but it may be the same as another category.
Mailings such as grades and student schedules are automatically sent to your Permanent (Home) address. If you want these materials sent to your Permanent address, there is no need to supply us with a Mailing address. When we send mailings off campus, we search first for the Mailing address; if none is found, it defaults to your Permanent address.
International students who do not want their mail sent out of the country can use their box numbers on campus, Local or Mailing address as their address for all correspondence. We will not change your Permanent address to a Mailing address.
change of
data form.doc rev.