Address Form for New International Students
Simon Graduate School of Business, University of Rochester
Registrar’s Office, 305 Schlegel Hall
Rochester, NY 14627
Phone: (585) 275-3533 / Fax: (585) 271-3907
Directions:
Complete this form if you are a new international student and are providing your local address for the first time (at the
beginning of your first quarter of classes). Please return this completed form to the International Services Office located at
209 Morey Hall for processing.
Current international or domestic (not international) students can update local or permanent addresses online at
https://simonreg.rochester.edu/registrar-student/home.tap
Student Name: _________________________________________________
Please print
Last
Today’s Date: ______________
First
Mo.
Day
Yr.
Student signature (required):
_______________________________________________________
I am enrolled in the following program (check one):
UID#: ____________________________
□ MBA □ MS □ PhD □ EMBA
New Local Address – where you will be living while you are attending the University of Rochester
_____________________________________________________________________________________________
Street
Apt. No.
_____________________________________________________________________________________________
City
State
Zip Code
_________________________________________
Area code + telephone number
New Permanent (Your Home) Address
International students – enter your international address only if it has changed since the time of your application.
_____________________________________________________________________________________________
Street
Apt. No.
_____________________________________________________________________________________________
City
State
Zip Code
__________________________________________
Country
_________________________________________
Area code + telephone number
Office Use Only:
Date received/by: ___________
Date processed:
1/3/2011
___________