UPDATE YOUR CONTACT INFORMATION

 

This form allows current and former students and teachers the opportunity to update their contact information.

 

Enter today's date:*
Student Number: (Please enter your student number if you know it. This helps us find your record.)
Name: (Required) *
First Name
Middle
Last Name
Has your name changed?
Please enter your mailing address.
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Is this mailing address new or old?
Please enter your email address.
Is this email address new or old?
Please enter your phone number.
Is this phone number new or old?
Once you select "Finish" your information will be submitted and you will be redirected to the NLBI-Norristown Homepage.