BSC logo
Academic Records

Change of Address

Please complete and submit the form below.

If you would prefer to submit your change of address via regular mail or in person, you can download our printable form.

First Name:    
Middle Name:    
Last Name:    
BSC ID#: E-mail Address:
       
Old Address      
Street:    
City: State:   ZIP:
Phone:    
       
New Address      
Street:    
City: State:   ZIP:
New Phone: Cell Phone:
     
Mother's Address    
Street:    
City: State: ZIP:
Phone: E-mail:
     
Father's Address    
Street:    
City: State: ZIP:
Phone: E-mail:
       
Address change is effective as of what date?
If other than student, who is submitting this form? Invalid format.Minimum number of characters not met.Exceeded maximum number of characters.

BSC Seal
Birmingham-Southern College

900 Arkadelphia Road
Birmingham, AL 35254
800.523.5793

© Copyright 2013-2014