Change of Address

KWU Student ID or last four digits of SSN *

Full Name (First Last) *

Email Address *

Please update my: *

Please list your current address if you are only changing your phone number.

Name of Emergency Contact person or Business (if other than student)

Street or P.O. Box Number *

City *

State *

Zip Code *

Tyoe of Phone number to be changed (if applicable)

New Phone Number (if applicable)

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