Personal Data Update

PERSONAL DATA UPDATE
Submit this form to update your address, phone, or email, change your name, or to specify a preferred name or pronouns.

Documentation is required for name changes and SSN/TIN updates.

Questions: Registrar@uwest.edu
DATE SUBMITTED*

MonthDayYear
Date
NAME*

First NameFamily / Last Name
STUDENT ID*
EMAIL*
example@example.com
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
NOYES
If you are studying in the US on an F-1 Visa, you must submit address and name changes through SEVIS in addition to submitting this form to UWest.

See the International Student Services Advisor for assistance.
AddressLegal name changePersonal email addressPhone numberPreferred namePreferred pronounsUS Social Security/Tax ID Number
NEW ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
NEW PHONE*
Please enter a valid phone number.Format: (000) 000-0000.
MOBILELAND LINE
NEW EMAIL Your my.uwest.edu address will continue to be used as your primary email address while attending.*
example@example.com
REQUIRED DOCUMENTATION

Upload one (1) or more of the following for the Registrar's Office. The document will added to your file. Once the required documentation is received, your name will be updated.

Acceptable legal documents:

A signed court order for legal name change/adoption/divorce

   OR A government issued passport showing the new legal name

   OR   Driver's license/ID AND social security card with new legal name

   OR   Marriage license AND social security card with new legal name

If students submit a name change mid-semester, students are responsible for notifying instructors after submission of this form to the Registrar.

To use a new/updated name on the diploma/certificate, the name change must be submitted prior to the last day of the final term. Any name changes after a diploma/certificate is printed, graduates must submit a Diploma Reorder for a one (1) time replacement under the new name. See that form for more details.

To only update the SSN/Tax ID Number: please only upload a copy of the Social Security/Tax ID Number card.
NEW LEGAL NAME*

Prefix (optional)First NameMiddle (optional)Family / Last NameSuffix (optional)
Supporting Documentation (Examples: Valid Passport, Driver's License, State Issued ID) - it must have a photo:

Cancelof
Your official school record will be maintained under your legal name. However, we are happy to provide your preferred name and/or preferred pronoun to instructors on the rosters generated by Moodle.

Due to restrictions with our student information system (SIS), we cannot show your preferred name or preferred pronoun on rosters generated from the SIS, which display on the student portal.
PREFERRED NAME*
Enter the name you would like used on class rosters
PREFERRED PRONOUN*
By signing, I verify that I am the student of record and that all information provided on this form is correct.
Signature*
REGISTRAR'S OFFICE

Received:

Processed:

By:

Comments:
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PERSONAL DATA UPDATE