Change of Address Form

Field marked with an asterisk (*) are required.

This information is needed to positively identify you:

* First Name:
* Middle Name:
* Last Name:
Maiden/Other:
* Date of Birth:
* Date Last Attended GC:
* Social Security Number OR Student ID Number: (If submitting Student ID, please enter entire number in the first box): - -
* Email Address:

Mailing: The primary address used for mailings from the Goshen College.
Local: Use this address, in addition to your mailing address, if your mailing address is a PO Box or not your local residence address.
Temporary: Date sensitive address used to over-ride your mailing address when you are away – between semesters, over the summer, or while on SST.
Parent: Used to send press releases which mention you. Submit an address for EACH parent if they do not live together.

Please allow 2 – 3 working days for changes to take effect.

Goshen College