C
h
a
n
ge of Name, A
dd
re
ss
, or Cam
pus
Form
NOTE
:
To change your re
si
dency
st
a
t
u
s
,
it
requ
i
re
s
add
iti
ona
l
docu
m
en
t
a
ti
on.
C
on
t
ac
t
Tracy Evan
s
, D
i
rec
t
or of Enro
llm
en
t
S
erv
i
ce
s
by
e
m
a
il
,
t
evan
s
@newr
i
ver.edu or
t
he Off
i
ce of Ad
missi
on
s
on your ca
m
pu
s
t
o reque
st
an app
li
ca
ti
on. To be rec
l
a
ssi
f
i
ed for a par
ti
cu
l
ar
s
e
m
e
st
er,
t
he
app
li
ca
ti
on and a
ll
requ
i
red docu
m
en
t
a
ti
on
m
u
st
be
s
ub
mitt
ed (2)
t
wo
week
s
pr
i
or
t
o
t
he
l
a
st
day for pay
m
en
t
of
t
u
iti
on and fee
s
. Th
is
da
t
e
m
ay be found on
t
he Acade
mi
c
C
a
l
endar.
Upda
t
ed
:
08
/
12
/
2016
Off
i
ce of
t
he
R
eg
i
st
rar
Na
m
e:
I
DN
u
m
b
er: Date:
S
e
l
ect
T
y
p
e(
s
) of C
h
a
n
ge: Na
m
e
M
a
ili
ng Addre
ss
C
a
m
pu
s
M
ar
it
a
l
St
a
t
u
s
N
a
m
e
Name Name After C
h
a
n
ge
L
a
s
t F
i
r
s
t M
I
L
a
s
tF
i
r
s
tM
I
A change of na
m
e requ
i
re
s
a copy of
m
arr
i
age
li
cen
s
e, d
i
vorce decree, or o
t
her
l
ega
l
ev
i
dence. W
i
t
h
o
u
t
l
eg
a
l
d
oc
u
m
e
n
t
a
t
i
o
n
,t
h
ec
h
a
n
ge
w
ill
n
ot
b
e
p
roce
ss
e
d
.
Mar
i
ta
l
S
tat
u
s
:
M
arr
i
ed
Si
ng
l
e para
t
ed W
i
dow(er)
M
a
ili
g
A
dd
re
ss
For
m
er Ma
ili
n
g A
d
d
re
ss
New Ma
ili
n
g A
d
d
re
ss
S
treet, A
p
t #, P
O
B
ox
S
treet, A
p
t #, P
O
B
ox
C
i
ty,
S
t
a
te,
Z
ip
C
i
ty,
S
t
a
te,
Z
ip
P
h
o
eN
m
b
er
For
m
er P
h
o
e N
m
b
er Ne
w
P
h
o
e N
m
b
er
H
ome: ( ) -
H
ome: () -
Ce
ll:
( ) - Ce
ll:
( ) -
Wor
k:
( ) - Wor
k:
() -
C
h
a
g
eofC
a
m
p
s
For
m
er C
a
m
p
s
Ne
w
C
a
m
p
s
Per
s
o
a
l
E
m
a
il
A
dd
re
ss
C
u
rre
n
t Per
s
o
n
a
l
E
m
a
il
:
Infor
m
a
ti
on
s
pec
i
f
i
c
t
o your
st
uden
t
st
a
t
u
s
or accoun
t
w
ill
on
l
y be
s
en
t
t
o your co
ll
ege e
m
a
il
accoun
t
.
R
ET
URN C
O
MP
LETE
DF
O
RM U
SI
N
G
O
N
E O
F
THE O
P
TIO
N
S BELO
W:
M
a
il
:
Off
i
ce of
t
he
R
eg
i
st
rar
280 Un
i
ver
sit
y Dr
i
ve
B
eaver, WV 25813
E
m
a
il
:
reg
ist
rar@newr
i
ver.edu
Fax
:
(304) 929-6719
I
n
Per
s
o
n
:
Off
i
ce of
t
he
R
eg
ist
rar a
t
t
he
R
a
l
e
i
gh
C
o.
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a
m
pu
s
or
t
he Off
i
ce of Ad
missi
on
s
a
t
a
ll
o
t
her
l
oca
ti
on
s
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ff
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ce U
s
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