^Admissions Gen^«ID»^«SSN»SalutFirstName» «SalutLastName»^Decision Letter ^«LetterPrintedDT»^Decision Letter^
OFFICE OF ADMISSIONS AND RECRUITMENT
1 Backbone Road, Princess Anne, MD 21853
Phone: (410) 651-6410 Fax: (410) 651-7922 E-mail: umesadmissions@umes.edu
STUDENT CHANGE OF INFORMATION FORM
Please complete this form and return with supporting documentation, if required, to the Office of Admissions & Recruitment.
___________________________________ _________________________________
Student ID Date of Request
________________________________________________________________________
Last Name First Name Middle Initial
*FILL IN ONLY THE INFORMATION THAT IS TO BE CORRECTED
Name Change (include photocopies of official supporting documents)
Current Name: ______________________________________________________________________________
Last Name First Name Middle Initial
Name Change: ______________________________________________________________________________
Last Name First Name Middle Initial
Address Change
Current Address: ______________________________________________________________________________
Street
______________________________________________________________________________
City State Zip
New Address: _______________________________________________________________________________
Street
_______________________________________________________________________________
City State Zip
Change of Semester (Include official transcripts from any institution attended since initial application)
Previous College/University From Through
Current Semester/Term: ___________________ _________________________ ________ ________
Requested Semester/Term: ___________________ _________________________ ________ ________
Change of Major
Current Major: _______________________________________________
New Major: _______________________________________________
Office Use Only: Processor: ____________________________ Date: ________________________
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