MSU Denver Office of Admissions
Student Success Building | Counter #1
Campus Box 16 PO Box 173362
Denver, CO 80217
Fax Number:720-778-5794
Phone Number: 303-556-3058
msudenver.edu/admissions | admissions@msudenver.edu
Change of Address Request Form
Page 1 of 1
Revised Date Office Code
Name:
_____________________________________________________________________
Date of Birth:
____________________________
Student ID Number:
___________________________
Email:
Phone Number:
_____________________________
I affirm that I have read, understand, and agree to this form in its entirety and that the information supplied is true and complete.
Signature:
___________________________________________________
Date:
_____________________
This request is only for students that have not been accepted.
Accepted students can change their address on the Student Hub.
Please change my address to:
Address: ______________________________________________________________________
City: _____________________________________ State: _________ Zip: __________________
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signature
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