Office of the Registrar
Student Information Correction Form
Angelo State University
Signature (required): Date:
Mailing Address: Angelo State University
Office of the Registrar
ASU Station #10898
San Angelo, TX 76909-0898
Physical Address: Angelo State University
Office of the Registrar
Hardeman Building, RM 200
You may hand deliver, mail, fax
, or e-mail the completed form to the Office of the Registrar:
Telephone: (325) 942-2043
Fax
: (325) 942-2553
E-mail: registrar@angelo.edu
Please type your information. Once you have completed the form, print this document and sign the form. You may hand
deliver or mail this form with a copy of your signed Social Security Card reflecting the name change. Your Social
Security Card is the only documentation accepted.
Full Legal Name:
Campus ID #:
Current Phone #:
Semester Last Enrolled:
Please change/correct my (check the appropriate box below):
Social Security Number
From: - -
To: - -
From:
To:
Name