Change Form
What information would you like to change?
Please Select
Name
Address
Phone Number
Email
SSN Status
Current Name
*
First Name
Last Name
Old Name
*
First Name
Last Name
Old Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
New Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Old Email
*
example@example.com
New Email
*
example@example.com
Social Security Number
*
Old Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
New Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Any Additional Information Here:
Supporting documentation must be provided, such as copy of SSN, Driver's License or Government ID
*
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Signature
Name Change Acknowledgement & Disclaimer
I acknowledge and understand that if I have legally changed my name, all completion documents (including certificates, transcripts, or verification letters) will be issued only after my updated legal name has been officially changed and approved with my funding source (e.g., Workforce, Military Tuition Assistance, Employer Sponsorship, or other third-party funding).I understand that the school is required to issue completion documents exactly as the name appears in the funding source’s official records. The school cannot alter, reissue, or release completion documents under a different name until confirmation.Failure to update my name with my funding source may result in delays in the issuance of completion documents. The school is not responsible for delays caused by incomplete or pending name change requests with third-party funding agencies.
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