WISc Contact Update Form

First Name
Last Name

I will be studying abroad this semester
I will be studying abroad this year
I will be participating in an internship outside of Madison this semester
I will be participating in an internship outside of Madison this year

New Street Address
City, State, Zip Code
keep old address on file
replace old address

New Phone Number
keep old phone number on file
replace old phone number

New E-mail Address
Keep old e-mail address on file
replace old e-mail address