Change/Correction of Student Information

Step 1 of 2: Submit

First Name: Last Name: Student ID# or DOB:

Change or Correction of Name

New Name: Former Name: Preferred Name: *If you'd like to be referred to by a name other than your legal name, please list below.

Please note: Documentation may be needed to complete this request. If so, an Enrollment Services staff member will reach out to you.

Supporting Documentation

Change or Correction of Social Security Number

New Social Security Number: Former Social Security Number:

Please upload a copy of your Social Security Card or documentation from the Social Security Office and your photo ID.

Supporting Documentation

Change or Correction of Birth Date

New Birth Date:

Former Birth Date:

Please upload driver’s license or birth certificate for verification and your Photo ID.

Supporting Documentation

Change of Program

On-Campus Program Fully Online Program

Change or Correction of Contact Information

New Address: Former Address:

Proof of residency may be required for some students. If additional documentation is required, a member of the Enrollment Services staff will contact you.

Supporting Documentation

Change or Correction of Phone Number

New Mobile: New Home:

Change or Correction of Email Address

New Email:

Electronic Signature:

Date: Tuesday, 23 April 2024 (EDT)

Name:

Type your name to sign this document:

Typing name is equivalent to a handwritten signature

Scan this QR code with your phone: