OL
CUYAMACA COLLEGE
CE
Name Changes/Corrections
ID/Social Security Number Changes
Birth Date Changes
LA
Student ID Number/SSN Currently on File
Name on File: Last
First
Middle
** FILL IN ONLY THE AREAS THAT NEED TO BE CHANGED **
FINANCIAL AID STUDENTS--IMPORTANT NOTICE REGARDING YOUR SOCIAL SECURITY CHANGE:
This form will NOT change your social security number on your financial aid records. Please see the Financial Aid
Office regarding your financial aid records. Please note that you may NOT obtain financial aid using an assigned
ID number.
Correct/New Student ID Number/SSN
SSN verified by clerk
Correct Date of Birth
Birth Date verified by clerk
Last Name (Change)*
*First and/or middle name change:
Make a copy of Social Security card or write
document numbers from court papers below.
Doc #
First Name (Change) *
Middle Name (Change) *
* NAME CHANGES: Students should report a name change to the instructor ASAP. Without notification,
you may be dropped from your class if your name cannot be found on the instructor’s roster.
** NOTE: This form must be submitted in person with appropriate documentation.
X
Student's Signature
Date
Complete this section ONLY if you have applied for a degree and/or a certificate.
Please indicate the semester you expect to complete your degree and/or certificate. (Example: Fall 2007)
Summer 20
□ AKA
□ Correction Only
□ Currently Enrolled
□ DRUS
□ Image
□ Microfilm
□ Split File
□ Folder
Fall 20
Spring 20
OFFICE USE ONLY
Date Received
Clerk
Date Completed
Clerk