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Student Information Change Form Request

for Local Address Change

Please enter your local address information in the corresponding blanks.

This form is to be used for changing your local address (your address while at Blinn College) only.  You must go to the Office of Admissions on the campus you are attending to make any changes to your permanent address.

Once you have entered your data, click the SUBMIT button below. Use the CLEAR button if you make a mistake and need to start over. The request will be sent to Blinn College Admissions for updating your local address.

Blinn ID:
First Name:
Middle Initial:
Last Name:
Address Line 1:
Address Line 2:
Zip/Postal Code: -
Phone Area Code:
Telephone Number:
Email Address:

To withhold disclosures, written notification must be received in the Office of Admissions and Records. Forms requesting the withholding of "Directory Information" are available in the Office of Admissions and Records of the campus you attend.

See Privacy Rights page of the Blinn College catalog for more information.