Change of Contact Information

First Name*
Last Name*
Student ID#*
Email*
New Address
Street Address Address Line 2 City State ZIP / Postal Code
Old Address
Street Address Address Line 2 City State ZIP / Postal Code
New Phone Number
Legal Name Change
Previous Legal Name
New Legal Name
Social Security Number

XXX-XX-
I am requesting this name change as a result of:
A copy of the marriage license, divorce decree or adoption papers must be sent to the Registrar’s office. Email to registrar@johnson.edu or mail to Johnson College Attn: Registrar 3427 N. Main Ave. Scranton, PA 18508.
CAPTCHA

Legal Name Change