Please fill out this form if your permanent address or your local/temporary address has changed.

Student Information

Last Name
First Name
Middle Initial
Suffix	none Jr. Sr. 2nd 3rd 4th 5th II III IV V
Student ID#

New Permanent Address

        (Law School evaluations, financial aid information and bills will be sent to this address.)

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
Work Phone
E-mail

Local or Temporary Address

        (Please complete if this is different than your permanent address.)

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
Work Phone
E-mail