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
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*
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, 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
No File Chosen
File uploads may not work on some mobile devices.
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
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.

No File Chosen
File uploads may not work on some mobile devices.
Legal documents such as marriage certificate, California ID, passport, or court documents
Use your mouse or finger to draw your signature above

Office Use

Date/Time
Cancel Request*
Powered by Formstack Create your own form