GSEC Change of Address Form

All fields marked with asterisk (*) are required.

required text field
Enter as Last Name, First Name. Include chosen name if appropriate.
text field
required e-mail address field
Current students need to use LC email.
required textarea field
Enter complete OLD address including city, state, zip code, and if applicable, any apartment, box, or unit number.
required textarea field
Enter complete NEW address including city, state, zip code, and if applicable, any apartment, box, or unit number.
textarea field
If you have a phone number change, or have extra address information to convey, you can use this area.
textarea field