Registrar Change of Demographic Information Form
Complete the following form if making a change to name, address, or other demographic information.
Student's Full Name in our System
*
First Name
Last Name
Student ID#
*
Type of information to be updated:
*
Student Information
Parent/Guardian Information
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Student Information
Please only update the sections that need to be CHANGED. If there are any sections where the information remains the same, leave those sections BLANK. Thank you!
Select what information needs to be updated
Student Name (First/Last)
Student Street Address
Student Mailing Address
Student Home Phone Number
Student Cell Phone Number
Student Email
Other
New Student Name
First Name
Last Name
Name Change File Upload
A name change for a student requires legal documentation showing name change. Examples include an updated driver's license, County Clerk document, or court document. Please DO NOT upload anything that has a social security number.
File Upload
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
New Student Street Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
New Student Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
New Student Home Phone Number
Please enter a valid phone number.
New Student Cell Phone Number
Please enter a valid phone number.
New Student Email
example@example.com
Other Information
Parent/Guardian Information
Please only update the sections that need to be CHANGED. If there are any sections where the information remains the same, leave those sections BLANK. Thank you!
Select what information needs to be updated
Parent/Guardian Name (First/Last)
Parent/Guardian Street Address
Parent/Guardian Mailing Address
Parent/Guardian Home Phone Number
Parent/Guardian Day Phone Number
Parent/Guardian Cell Phone Number
Parent/Guardian Email
Other
New Parent/Guardian Name
First Name
Last Name
New Parent/Guardian Street Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
New Parent/Guardian Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
New Parent/Guardian Home Phone Number
Please enter a valid phone number.
New Parent/Guardian Day Phone Number
Please enter a valid phone number.
New Parent/Guardian Cell Phone Number
Please enter a valid phone number.
New Parent/Guardian Email
example@example.com
Other Information
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Contact Information
Please provide your most up-to-date contact information in this section, so we can reach you if any follow-up questions arise.
Name
*
First Name
Last Name
Email
*
example@example.com
Relation to Student
*
Self
Parent/Guardian
Other
Submit
Should be Empty: