Change of Address or Contact Information

Change of Address or Contact Information
The Registrar's Office is requesting your updated contact information. Please fill out the form below to ensure the university has your correct, most updated, information on file for you.
Student Name*

First NameMiddle NameLast Name
Student Type
Are you studying on an F1 student visa and living in the US?*

YesNo
Are you an on-campus student living in the dorms?*

YesNo
Reason for Updating Address
Please use the fields below to update your permanent home address. The university assigns the local address based on your student type and location while in school.

Please Note: The university will not permit students to use their temporary school address (1200 Sycamore or 10020 N.15th Ave) as their permanent address.
Permanent Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
U.S. County*
If you live in the US, please include which county you live in.
Phone Number*

Area CodePhone Number
Is the number above a mobile number?*

YesNo
Secondary Phone Number

Area CodePhone Number
Secondary Phone Number Type

Home (Land Line)Home (Mobile)Work (Land Line)Work (Mobile)Other
MyNelson Email Address*
example@my.nelson.edu
Secondary Email Address*
example@example.com
Students who have not been enrolled for five or more years need to include a copy of their current government-issued identification (i.e. Driver's license or copy of Passport).

Browse Files

Cancelof
By signing this form, you verify that the information above is correct and that this information pertains to your student record. Further, you are authorizing Nelson University to use this information to contact you for any purpose related to your enrollment at Nelson University, including but not limited to student records, billing, and financial aid.
Student Signature*

Clear
Please make sure to submit a full, legible signature. Any form without a full, legible signature will not be processed.
Today's Date:*

MonthDayYear
Date

Registrar's Office Use
Has the contact information been updated in Cams?

YesNo
Has the form been added to Document Tracking?

YesNo
Send email confirmation of change to student:

YesNo
Processor's Initials
Date Processed:

MonthDayYear
Date
Registrar's Email
Should be Empty: