*
Required
Date Change is Effective
*
required
(mm/dd/yyyy)
First
*
required
M.I.
*
required
Maiden Name
Last Name
*
required
**For name changes a copy of the legal document showing the name change must be submitted to the Registrar’s Office**
Fax Number: 605-229-8537
Email: registrar.office@presentation.edu
Permanent Home Address
Address
*
required
City
*
required
State
*
required
Region
Zip
*
required
Country
*
required
Phone Number
*
required
Secondary Email
*
required
Do not enter your PC email here
Billing Address
Address
*
required
City
*
required
State
*
required
Region
Zip
*
required
Country
*
required
Phone Number
*
required
Secondary Email
*
required
Do not enter your PC email here
Local Address
Address
*
required
City
*
required
State
*
required
Region
Zip
*
required
Country
*
required
Phone Number
*
required
Secondary Email
*
required
Do not enter your PC email here