Change of Address Form

M# (do not enter social security number)
or 

Birth Year

Last Name
First Name
Middle Name


Permanent Mailing Address (where you reside when not attending school):

  • Changing your permanent address will NOT update your residency status. To update your residency status, you must contact the MTSU Admissions office (undergraduate) or the College of Graduate Studies (graduate).
  • Permanent address for international students must be country of origin, excluding permanent residents

    No. and Street Apt #
    City State Zip
    Phone (ac)

Mailing Billing Address (Check all types that apply to the following address):

No. and Street Apt #
City State Zip
Phone (ac)


Next of Kin Parent (Check all types that apply to the following address):

Last First Middle
Relationship
No. and Street Apt #
City State Zip
Phone (ac)


Emergency Contact: Mother Father Guardian Spouse

Last First Middle
No. and Street Apt #
City State Zip
Phone (ac)


Additional Telephone Numbers:

Phone (ac) Cell Business
Phone (ac) Cell Business


Additional E-Mail Addresses (Other than MTSU-assigned address.)


MTSU, a Tennessee Board of Regents university, is an equal opportunity, non-racially identifiable, educational institution that does not discriminate against individuals with disabilities.