Change of Address Form

CHANGE OF ADDRESS REQUEST FORM

Request a change of address: You can request a change of address by submitting the electronic form below.

Please allow 2-3 business days for processing.

*Required Fields
DATE:* STUDENT ID:* CLASS YEAR: * (Anticipated degree date)

NAME:* First Middle Last

EMAIL:* Check here if you are an international student

NEW PHONE: NEW CELL PHONE:

NEW ADDRESS:

Name:
Address:
City:	State:	Zip Code:
Country:

TYPE OF ADDRESS:
Mailing address
Permanent address (if different from mailing)
Temporary (start and end date)
Other

DOES THIS ADDRESS APPLY TO (Check all that apply):
Student Mother Father Stepmother Stepfather Spouse Guardian

EFFECTIVE DATE*:

Please print page for your records before clicking on the submit button.

Click here to submit to Registrar's Office
(Please click only once as it may take a few seconds to go through)

Email: regoffice@wellesley.edu
Registrar's Office: July 28, 2006
Last Modified: July 28, 2006
Expires: Jan 1, 2010
Maintained by: C. Voorhees