To update your student information please fill in the following
form and you will be contacted via email.

First Name:

Last Name:

Maiden Name:

Nick Name:

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(n/a) if none

Student ID:

Date of first Honors class:

Honors Program Status:

Email:

Alternate Email:

Cell Phone:

Local Phone:

Permanent Phone:

Residence Hall:

*
(n/a) if none

Local Mailing Address:

City:

state:

Zip:

Permanent Mailing Address:

City:

state:

Zip: