Information Change

Use this form to notify us of a legal name change or a new email address, phone number, or residential address. You may send us a note by mail or email if you prefer.

The information you submit with this form will be forwarded to us via TLS encryption.

*Required

Information Currently in Our Records

Your Name*

Please include your name.

Email Address*

Please include the email address we currently have on file for you.

Student Name(s)*

Include the name of each student whose record needs updated.

New Legal Name

New Email Address

Enter a valid email address.

Re-Enter New Email Address

The email address you entered does not match.

New Phone Number

Enter a valid phone number.

Phone Type

Home Cell Work Other

Select the phone type.

New Residential Address

New Address

City

Enter student's city.

State

Select a state or NA if not applicable.

ZIP

Enter the ZIP code.

Something Else

Other

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