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Change of Address

Student Information (You must complete one form for each Lab student).

Student First Name*

Answer required for "Student First Name"

Student Last Name*

Answer required for "Student Last Name"

Preferred Name

Answer required for "Preferred Name"

Grade 2025-26*

Answer required for "Grade 2025-26"

Date of Birth*

Answer required for "Date of Birth"

New Address

Street Address*

Answer required for "Street Address"

Street Address Line 2

Answer required for "Street Address Line 2"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

County*

Answer required for "County"

Effective Date of Change*

Answer required for "Effective Date of Change"

Guardian 1 Information

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Email*

Answer required for "Email"

Mobile Phone*

Number Required

Work Phone

Number Required

Proof of New Address

All families must submit at least one document for proof of address change. These documents are for address verification and must reflect the address provided for change to be processed.

(A) Mortgage or Lease Agreement
(B) Utility Bill
(C) Valid North Carolina Drivers License

Upload Proof of address here*

Answer required for "Upload Proof of address here"

Choose a file or drag it here.

Parent or Guardian Signature*

Signature Required

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"