Student Data Change Form Name(Required) First Middle Last Social Security Number - Last 4 digits(Required)Student IDPhoneEmail(Required) What type of change do you want to make?Select all that apply Name Change Address Change Change in Residency Petition Name ChangeName As Corrected:(Required) First Middle Last Address ChangeCurrent Address:(Required) Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code From Date:(Required) MM slash DD slash YYYY Previous Address:(Required) Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code From Date:(Required) MM slash DD slash YYYY Change in Residency PetitionIndicate Type of Petition(Required) Change from out-of-state to in-state status Change from out-of-state to in-district status State Reason For Petition:(Required)Attach any documentation for petitionMax. file size: 1 GB.Oath of Residency(Required)I understand the requirements for classification as a resident of Texas for tuition purposes and I affirm by checking the box below that to the best of my knowledge and belief, I am eligible to be so classified. I also affirm that I will notify the proper official of this institution if circumstances change so as to disqualify me for this classification. I understand that violation of this oath of residency will result in disciplinary action. I Affirm Oath of Residency
