Change of Address

Changing your address? Career? Family name?

Alumni Relations would love to hear from you! Send any and all information to:

Alumni Relations
Email: alumni@nipissingu.ca

Or fill out the form below!

Identification

First Name:

Last Name:

Maiden Name:

Degree:

Year:

Birth Date:

Student Number:

Partner's Name:

New Address

(New) Street:

(New) City:

(New) Province:

(New) Country:

(New) Postal Code:

Old Address

(Old) Street:

(Old) City:

(Old) Province:

(Old) Country:

(Old) Postal Code:

Contact Information

Telephone:

Email:

Would you like to receive email communications from Alumni Relations?

Yes

(i.e. e-newsletter and information from our affinity partners)

Business Information

(Business) Name:

Title:

(Business) Street:

(Business) City:

(Business) Province:

(Business) Country:

(Business) Postal Code:

(Business) Telephone:

(Business) Fax:

(Business) Email:

We're Listening!

Additional Comments:

Change of Address

Changing your address? Career? Family name?

Identification

New Address

Old Address

Contact Information

Business Information

We're Listening!

Students

About Us

Faculty and Staff