Student Information Change Form - Workflow Header Image

Student Information Change Form

Mark the change(s) you are requesting: 

A valid picture ID is required when making any student information changes.

Please note (*) indicates required fields.

Type of Information Change:*
Type of Address Change:*
Gender/Pronoun/Sex Designation*
Name*



Mailing Address*
Permanent Address*
Birth Date Change*
Valid ID displaying correct date of birth or birth certificate is required
Supporting Date of Birth Change File*
No File Chosen
File uploads may not work on some mobile devices.
Birth Certificate, California ID, California Driver's License

Delete current preferred e-mail address on file?*
How would you describe yourself?*
What sex were you assigned at birth, such as on an original birth certificate?*
Pronoun Change*
Major Change*
Education Pattern*
Education Pattern*
Legal Name Change*

Your legal name will be presented on your official transcript and enrollment verifications.  For more information on how your legal name is presented on Fullerton College records, please visit https://admissions.fullcoll.edu/chosen-name-gender/

Chosen/preferred name is the name that a student wishes to be known or identified by which is different from their legal name.  Chosen/preferred name will appear on campus rosters, Canvas, diplomas, and other platforms.  For more information on how your chosen/preferred name is presented, please visit https://admissions.fullcoll.edu/chosen-name-gender/.  

Upload below a copy of your Social Security card
Social Security Card*
No File Chosen
File uploads may not work on some mobile devices.
Upload below a copy of your Social Security card
Social Security Card*
No File Chosen
File uploads may not work on some mobile devices.
Supporting Legal Name Change File*
No File Chosen
File uploads may not work on some mobile devices.
Legal document such as marriage certificate, court document, California ID, California driver’s license, SSN card, passport
Identification Card*
No File Chosen
File uploads may not work on some mobile devices.
Driver's license, passport, California ID, student ID

Your identification card is used to verify your identity as a student.  Your ID card should reflect your legal name, however, does not need to reflect the student information change you are requesting.

Sex Designation Change File*
No File Chosen
File uploads may not work on some mobile devices.
Legal documents such as marriage certificate, California ID, passport, or court documents
W-9S Request for Student's or Borrower's Taxpayer Identification Number and Certification*
No File Chosen
File uploads may not work on some mobile devices.
Use your mouse or finger to draw your signature above

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