Download and submit this form in your campus to update your Current Address.
PennState Address Correction Form
Text Version of this Form
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Address Correction Form
Return To:
Enrollment Services
112 Shields BuildingUniversity Park, PA 16802-1271
Fax: 814-863-1929__________________________ PSU ID:
Student Name: ___________________________________ ______________________
Permanent Residence:_______________________________________________________
Street 1:
_______________________________________________________
Street 2:
City/State/Zip: _______________________________________________________
Country: _______________________________________________________Phone Number: _________-___________________
Local Address:
_______________________________________________________
Street 1:_______________________________________________________
Street 2:
City/State/Zip: _______________________________________________________Country: _______________________________________________________
Phone/Cell: _______-_____________________
Work Address:
Street 1: _______________________________________________________
_______________________________________________________
Street 2:
City/State/Zip: _______________________________________________________Country: _______________________________________________________
Phone Number: _______-____________________Revised: 8/13/07