REV 6/3/20
Registrar’s Office
Silliman Hall
Schenectady, NY 12308
Phone 518-388-6109
Fax 518-388-6173
This form is for Current Students Only (Alumni go to
Instructions: Fillable .pdf forms need to be downloaded, filled out, saved, then emailed from your Union email account, as it acts as
the signature. (Works best if you open with Adobe). Email the completed form to
Last Name First Name Middle Name
Class Year Student ID # CELL Phone
Old Address:
Old Home Phone:
New Address:
New Home Phone:
Is this the Preferred Mailing Address?
List ALL FULL NAMES this change applies to (ie yourself, mother, father):