Change of Address & Contact Information

It is the student’s responsibility to keep the Office of the Registrar informed of all address/contact information changes. Please report all necessary changes promptly.

Two forms of documentation must be provided to support a change in your legal name.

Legal ID (driver’s license/state ID, SS card, passport) with the change of name
Court document, marriage certificate, or divorce decree

Students who wish to have their mail sent to a different address for the winter or summer breaks must follow the same procedure and then change it back again once the semester begins. International students must also notify the Designated School Official within seven days of a change of address, phone number, name or major.

* = required field

STUDENT INFORMATION

Name *

First

Last

BSC Student ID:

Date of Birth: *

New Address/Contact Information

Complete all applicable fields. Two forms of documentation must be provided to support a change in your legal name. 1. Legal ID (driver’s license/state ID, SS card, passport) with the change of name 2. Court document, marriage certificate, or divorce decree

Name

First

Last

Address

Street Address

Street Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Home Number

###

####

Cell Number

###

####

Work Number

###

####

Email Address

Name Change Documentation

STUDENT AUTHORIZATION

By submitting this form, certify that I am the student and that I authorize Bay State College to update the information above as indicated:*

Financial Aid

Change of Address & Contact Information

STUDENT INFORMATION

New Address/Contact Information

STUDENT AUTHORIZATION

Bay State College