Texas Tech University :: College of Outreach & Distance Education
Change of Personal Information or Change of School
You are responsible for notifying the Outreach & Distance Education office if your name or address changes while you are enrolled in a course. New labels will be mailed to you after your change of address is processed. If you need to send in a lesson before your new labels arrive, write your new address in the bar code label box on the lesson cover sheet.
OLD INFORMATION
Social Security # or matriculation #:
If you do not provide a valid Social Security # on your enrollment form, you were assigned a matriculation number.
Birthdate: (mm/dd/yy)
First Name:
Last Name:
I am a TTUISD Student.


NEW INFORMATION
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Phone:
Ext:
E-mail:


School Change (not applicable to TTUISD students)
If you are also changing schools, please supply the following information in order to ensure that your course grade will be sent to the correct school.
School Name:
High School SAT Code:
Address:
City:
State:
Zip Code:
School Phone:
Ext: