Change of Address and Phone

Any information you submit is not secure and could be observed by a third party. If you are submitting information you would like to keep private, it would be safer to cancel the submission and make changes in person.

(*) denotes required information.


* Last Name:
* First Name:
Middle Name:
Maiden/Other
Student ID Number
* Date of Birth
Last Attended ESU
* Email:
 
 
Address Change   (You Must select at least ONE address to which this change applies)
MAILING - used for correspondence, campus directory information, and mailed payroll check if employed at ESU.
Address
City:
State:
Zip:
 
 
PERMANENT - used for grade mailers, direct fee payment billing statement, and correspondence.
Address
City:
State:
Zip:
 
 
EMERGENCY - used for correspondence, contacted in case of a confirmed emergency.
Address
City:
State:
Zip:
Name of Contact:
 
 
Phone Change (Please provide at least ONE phone number to which this change applies)
Cell #
Home #
Work #
Emergency Contact (Name - Relationship - Phone Number)
Other Contact (Name - Relationship - Phone Number)
Please provide any comments you might have here. You do not have to stay within the confines of the box.
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