Campus Location Change Request

Registrar's Office

You may use this form to request a change of campus location at 51��

Please note: A change in location may affect your billing and fee rates. Upon submission, a committee will review the request to change your campus location from what you originally indicated on your application to 51��. If granted, we will make the internal change to your campus code. The change will be effective for the next semester or session.

After submitting the form, you will be notified once your request has been processed.

First Name (required)

Last Name (required)

51�� ID Number (WIN) (required)

Your nine-digit 51�� Identification Number.

51�� Email address (required)

Phone (required)

Address (required)

Address 2

City (required)

Zip code (required)

State (required)

Expected graduation semester (required)

Expected graduation year (required)

Current campus location (required)

New campus location (required)

Explain why you wish to change your program location (required)

51������

Registrar's Office

Campus Location Change Request

You may use this form to request a change of campus location at 51������

51��

You may use this form to request a change of campus location at 51��