WKU Registrar Change of Address Form

CHANGE OF ADDRESS FORM Please print this form, provide the necessary information and mail to Office of the Registrar, WKU, 1906 College Heights Blvd #11017, Bowling Green, Ky 42101-1017.
The university recognizes the following address types:

Local - local/current (L)
Billing - where bills are mailed (B)	Diploma - where diploma is mailed (D)

Name WKU ID
Last First Middle
E-mail
Street Line
Apartment # Click Address Type
City, State, ZipP B L D
New Phone Number

Are you currently a regular or student Western employee? YesNo If yes, request your address change in Human Resources.

Complete second section if more than one address has changed.

Name WKU ID
Last First Middle
Street Line
Apartment # Click Address Type
City, State, ZipP B L D
New Phone Number

NOTE: Changing one's address from out-of-state to a Kentucky address does not change residency for fee assessment purpose.

Signature Date
Questions regarding address changes may be directed to jennifer.dietzel@wku.edu at (270) 745-3351.

© 2009 Office of the Registrar
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