Change of Address Form

INSTRUCTIONS: Please fill in ALL of the information below. Your request will be processed within two days.

Change of Personal Information

Students who change their legal name, address, telephone number, email address or other pertinent information are required to notify the Office of Enrollment Management in writing of the change, or make the update through their My Pulse account. It is the student's responsibility to notify Allen College promptly of any change to avoid any potential negative consequence.

*required info

Date Change is Effective as of:

Name:

Old Address:

Old City:

Old State:

Old Zip:

Local Information

Street Address:

City:

State:

Zip:

Phone Number:

Your Permanent Address is the same as your local address

Yes

Permanent Address Information

Permanent Street Address:

Permanent City:

Permanent State:

Permanent Zip:

Permanent Phone Number:

Billing Form

Street Address for Billing:

City for Billing:

State for Billing

Zip for Billing:

Phone for Billing:

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Change Address

Change of Address Form

INSTRUCTIONS: Please fill in ALL of the information below. Your request will be processed within two days.

Change of Personal Information

*required info