Change of Address Form

Please use this form if you have a change of address for your academic record.

Student ID Number
First Name*
Last Name*
Email*
Status at Eastman*
- Graduate
- Undergraduate
- Alumni
- Non-Matriculated
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
The New Address Applies To The Following:*
- In-Term - During Academic Year
- Out-Of-Term - When School is Not in Session
- Parent Address
- Billing Address
Check all that apply
Effective Starting Date of New Address*
MM slash DD slash YYYY
Any additional comments in regards to address change?