Keep your records correct.

IMPORTANT: Changing the mailing address will effect where bills and tax information are mailed.
Full Documented Legal Name (First, Middle, Last)*
First Middle Last
Northland College ID#*
New Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
County of Residence
Effective Date*
MM slash DD slash YYYY
Email*
Day Phone*
Evening Phone*