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Address and Phone Number Updates

Missouri Southern State University
Office of the Registrar


This form can be used by students, student workers, student employees and work study recipients to request a change of address.
If you are an employee who is also a student you must submit your address change request through Human Resources.
Any requests using this form will not be processed.

This form will be made available in alternative formats upon request. If you need assistance, please contact the Registrar's office at (417)625-9733.

Check Each That Apply
Employee:
STOP: All employee address change requests must be processed through Human Resources.
Student:
*SID#: 
*Last Name: 
*First Name: 
Middle Name: 
Check if you know your anticipated graduation date:
*Anticipated graduation date: 
*Do you want your mailing address changed for your diploma?
Provide/Change Cell Phone number:
*Cell Phone Number: 
*Opt-In to receive important text messages from MSSU:
Home or Alternate Phone number: 
Change mailing address to:
*Street Address or P.O. Box: 
*City: 
*State:
*Country: 
*Zip Code: 
*Personal E-Mail: 
Update Emergency Contact Information?
*First Name: 
*Last Name: 
*Relationship: 
*Street Address or P.O. Box: 
*City: 
*State:
*Zip Code: 
*Phone: 
Check if you want existing emergency contact information removed:
Current Residential Address
Provide your Current Residential Address if your mailing address is different from where you reside or if your mailing address is a P.O. Box number
Street Address: 
*City: 
*State:
*Zip Code: 
The following information constitutes your electronic signature:

The username and password are the same as used to log into Lionet.

Student Username:
(For example, doej001)

Password:
(Pin assigned with your S#)
Student Username
Password