Address Update

Please submit this form to notify WVU Institute of Technology of your change of address.

First
required
 

Middle
 

Last
required
 


required
 

To receive confirmation
required

Example: dmolsen@hotmail.com
 


required

Example: (555) 555-5555
 

Permanent/Home Address
(For Parent Club Information, Special Events, Requested Grade Mailers, and Requested Billing Statements)

Line 1
required
 

Line 2
 


required
 


required
 


required

Example: 12520
 

NOTE: Students desiring to have address information withheld must complete a Request to
Prevent Disclosure of Information form at the Office of Admissions and Records.