CHECK CHANGE:
OFFICE OF THE REGISTRAR
SAVANNAH STATE UNIVERSITY
Note: *Need Credentials for Change
*Social Security Number
*Marital Status
Address
UNIVERSITY SYSTEM OF GEORGIA
BOX 20479
SAVANNAH, GEORGIA 31404
CHANGE OF STATUS FORM
(Enter all information as it is now)
(Fill Out Completely)
OLD
Name
Last
First
Student ID
Middle
Telephone No. (
Home Address
City
State
County
Zip Code
Savannah Address, P. 0. Box
Marital Status M
Parent's Name
Parent's Address
S
)
Zip Code
D
Sex
Age
Race
City
State
Vet
County
Non Vet
Zip Code
Please enter information above pertaining to parents or anyone to be notified in case of an emergency!
(Enter all information to be corrected in this section)
NEW
Name
First
Last
Student ID
Middle
Telephone No. (
Home Address
State
City
County
)
Zip Code
Savannah Address, P. 0. Box (If different from above)
Marital Status M
S
D
Telephone No. (
)
SSUR16 Form