Please allow at least 48 hours for the update to be reflected on your student record.
Student Name (Last, First, Middle Initial) Student ID Number
PLEASE COMPLETE APPROPRIATE SECTION(S)
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NAME CHANGE
Court order, divorce decree, marriage license, or social security card required. Name must match legal name on document.
Note: If name on document does not match social security card, you may have difficulty claiming certain educational tax
benefits on IRS form 1098-T.
New Last Name First Name Middle Name
Previous Last Name First Name Middle Name
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ADDRESS CHANGE
New Street Address City State Zip Phone Number
Previous Street Address City State Zip Phone Number
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SOCIAL SECURITY NUMBER CHANGE
Official social security card required.
Updated Social Security Number. Previous Social Security Number
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Student Signature Date
Galveston College is an equal opportunity institution in education and employment. It shall be the policy of
Galveston College to provide equal opportunities without regard to age, race, color, religion, national origin,
gender, disability, genetic information, or veteran status.
click to sign
signature
click to edit
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