Change of Address Form
Instructions:
Please update those items that are being changed.
(ALL OTHER ITEMS WILL REMAIN UNCHANGED)
Part I Please Print:
Name:_______________________________________________ Student ID: _______________________________________
Date:___________________________
Part II Please Print:
Change of Address, Telephone Number, and Email
(Please change all that apply)
Local: Street__________________________________________________________
City___________________________________State___________Zip____________
________________________________ __________________________
Telephone number
Email
Parent:
Street__________________________________________________________
City___________________________________State___________Zip____________
________________________________ __________________________
Telephone number
Email
Mother:
Street__________________________________________________________
City___________________________________State___________Zip____________
________________________________ __________________________
Telephone number
Email
Father:
Name(s)_________________________________________________________
Street__________________________________________________________
City___________________________________State___________Zip____________
_______________________________
Telephone number
Registrar's Office
50
0 Salisbury Street
Worcester, MA 01609
508.767.7000
registrar@assumption.edu