Change Of Address Form
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1Office of Admissions and Records
CHANGE OF ADDRESS FORM
Name:________________________________________________________________________
Last
First
M.I
UH ID_________________________________________
ADDRESS CHANGE
(All Financial Aid/Refund checks will be sent to mailing address):
CURRENT MAILING ADDRESS:
__________________________________________________________________
Number and Street/PO Box
City/State/Zip
CURRENT PERMANENT ADDRESS:
__________________________________________________________________
Number and Street/PO Box
City/State/Zip
TELEPHONE NUMBER CHANGE:
Current phone number:________________---________________________
___________________________________
_________________________
Student Signature
Date
Office use only: Input by:_____________________ Date:___________________
310 W. Ka‘ahumanu Avenue
Kahului, HI 96732-1617
Telephone: 808 984-3267 Fax:
808 984-3872
Website:
An Equal Opportunity/
Affirmative Action Institution
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Parent category: Legal