Office of the Registrar
STUDENT INFORMATION UPDATE FORM
Full Legal Name (First, Middle, Last, Other):
I am planning to return to HSU:       Select One Fall 2007 Spring 2008 May Term 2008 Summer 1 2008 Summer 2 2008 Fall 2008		SSN (Last four digits):
Permanent Address (Street, City, State, Zip):
Local Address (Street, City, State, Zip):
E-Mail Address:	Phone Number:
*Birth Date:			*Birth Place:
*Veteran?: Select One Yes No			*Active military or a dependent of active military?: Select One Yes No
*Marital Status:  Select One Single Married Divorced			*Gender  Select One Male Female
Purpose for Returning Select One Audit Complete Degree Teacher Certification Second Degree Enrichment
Please list any colleges and/or universities in which you have enrolled and the dates of your attendance.  Official transcripts must be sent from these institutions directly to the Office of the Registrar whether or not any credit was earned or grades received.
Total College Hours Completed:
*What is your intended Major:    Minor:     Degree:   Anticipated Graduation Date:
In case of emergency, contact: (Name and Phone Number)

 *Any information requested that is marked with an “*” is required for recording purposes but not considered for admission.