form for returning students to report changes
Complete this form ONLY if changes in your plans or personal records occurred over the summer
.
Student:
Current Phone #:
Last 4 digits of SS#:
School:
Arts & Sciences
Nursing
Class Year:
Freshman
Sophomore
Junior
Senior
E-Mail address(es):
CHECK ALL THAT APPLY AND UPDATE WHERE APPLICABLE:
CHANGE IN STATUS
Resident to Commuter (Reason:
)
Commuter to Resident (Complete
online housing application
or call
914-654-5862
)
School of Arts & Sciences
to
School of Nursing
School of Nursing
to
School of Arts & Sciences
Other
CHANGE IN PERRSONAL INFORMATION
New Name:
(Maiden/Former Name):
New Permanent Address:
New Mailing Address:
New Phone:
Other:
CHANGE IN PLANS FOR FALL (
Be sure to contact the Dean's Office, Financial Aid and Bursar
)
I will NOT be returning to CNR this fall because I will be:
Transferring
Withdrawing
On Leave of Absence
On a Visiting Student Program — Describe:
Other: