Change of Address/Telephone Number Form

Change of Address/Telephone Number Form

This form will be review and updated by the Vassar Registrar's Office. Please allow 2-3 business days for processing. If you have any questions you may email Registrar@vassar.edu.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Vassar ID#:
Name

First NameLast Name
Class Year:
New Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
New Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Select all that apply below:
Is this new address/phone number for the student?
Is this new address/telephone number for both parents/guardians?
Is this new address/telephone number for the mother?
Is this new address/telephone number for the father?
Is this new address/telephone number for the guardian?
Is this new address/telephone number for the emergency contact?
Should be Empty:

Select all that apply below: