Wednesday August 27, 2008
Intranet - Home

Name & Address Change

Changes in your student data can be made by mail, fax or email. You must include all of the requested information. We will NOT process incomplete requests. The following information is needed to change your address or name:

* Name change requests must be accompanied by legal proof of name change, i.e., a copy of court order or marriage certificate or driver's license or Social Security Card.

Online Address Change

Name:

SSN:

format 000-00-0000

New Address:

City:

State:

example PA, OH, NY

Zip Code:

5 digit

Phone:

format 000-000-0000

Approximate dates you attended La Roche College (if applicable):
 

to example Aug 1998 to May 2002
 

Failure to accurately fill out this entire form or incomplete information will delay or invalidate your request for a change of address.