UM-Dearborn Connect Registration and Records

Address Change Form

Enter your e-mail address:

(required)

Send me a copy of this message.

Student Identification Number
(no spaces, no dashes)

(required)

Last Name

(required)

First Name

(required)

Middle Name

Former Name
(If Applicable)

New Street Address

(required)

City

(required)

State

(required)

Zip

(required)

New Phone Number
(Include Area Code)

(required)

Effective Date

 

Please Note:  Address Changes will be processed in 3-5 working days.

 

Personal Identification Number (PIN)
Your PIN will be used as an electronic signature. For your security your PIN number should be kept confidential.  You may change your PIN at any time via UM-Dearobrn Connect or in person, with appropriate identification, at the Enrollment Services counter.  If you do not have a PIN, please mail or fax the Printable Address Change Form.

(required)