Proctor Address Change Request

This form is only for organizations who are moving locations. If you are a proctor changing organizations, please fill out a new proctor application.

We use this to verify we are changing the record of the correct person.
Street City, State, Zip Country

By submitting this form I (and my parent/guardian if I am a minor) give BYU permission to process, transfer, and use my personal information in accordance with the BYU Privacy Notice. I (and my parent/guardian if I am a minor) understand my information may be transferred, processed, and stored via third-party servers, and could potentially be viewed by others.


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