Update Your Contact Information | St. John's College of Nursing

First Name

Last Name

Email currently on file

I am making an

Address Change Name Change Contact Information Change

Please fill in appropriate fields for your specific request.

Change Address to

Address Change Request Field

City, State and Zip

Address Change Request Field

This Change is

Permanent Local Summer

Address Change Request Field

Previous Address

Address Change Request Field

Previous City, State and Zip

Address Change Request Field

Notice to Change First Name to

Name Change Request Field

Notice to Change Last Name to

Name Change Request Field

Upload Legal Documentation

Please select a file

Current students must provide legal proof of name through a certified document such as a marriage license.

This change takes affect on

Name Change Request Field

Change Phone Number to

Contact Information Change Request Field

Phone Type

Cell Work Home

Contact Information Change Request Field

Change Email to

Contact Information Change Request Field