Change of Information - Divine Mercy University

Changing Contact Information

The Office of the Registrar is here to maintain your academic records and assist you during and after your academic career at Divine Mercy University. Please remember to let us know whenever your personal contact information changes so that we always have the most up-to-date contact information for you. When your information has changed, fill out the form below.

M.S. Counseling Students Only*:Students who move during their course of study to another state where DMU also offers the CMHC program may need to sign additional documentation if the state regulations for the new state differ from their previous state. Students who move out of state are required to check with the Office of the Registrar to determine if new documentation is needed.

*The University does not offer the clinical mental health counseling program in the state of Rhode Island, due to the educational requirements for counseling licensure. If students move to this state prior to graduation they will not be able to proceed with the CMHC program. Additionally, if students move to this state after graduation, the CMHC program will not meet the education requirements for professional licensure.

Name(Required)

First Last

Enrollment Status(Required)

Enrollment Status

Enrolled Program

Local Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Personal Email

Work Email

Home Phone

Work Phone

Permanent Address (if different than local)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Would you like to update the Emergency Contact Information?

Emergency Contact Name

Emergency Contact Information

First Last

Emergency Contact Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Relationship to the Student

Emergency Contact Phone

Emergency Contact Email

Additional Comments