Fillable Student Update Form SSN Birthdate Gender Name information (Eastern Washington University)

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Student Update Form SSN Birthdate Gender Name information (Eastern Washington University)

On average this form takes 6 minutes to complete

The Student Update Form SSN Birthdate Gender Name information (Eastern Washington University) form is 1 page long and contains:

  • 1 signature
  • 16 check-boxes
  • 12 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Eastern Washington University

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Check all that apply student employee alumni other ______________________________
Name Change/Correction
Please provide one of the following documents:* or
two of the following documents:
at lease one must include a photo, birth date and your signature.
• certified copy of a court order
• certified copy of a dissolution decree
• certified copy of a dissolution of domestic partnership
• copy of marriage certificate
* if you provide a copy of your certified document
(including faxed or emailed copies), please
include a statement verifying it is a true certified
copy.
• valid drivers license
• valid military ID
• student identification (other than ewu student id card)
• valid passport
• original copy of citizenship form that contains a signature
and photograph
• a federally recognized Indian tribe’s enrollment card
or a United States Bureau of Indian Affairs Identification card
• business license
• birth certificate
• utility, telephone, water, medical or other bill that shows the new name
Gender Change
/
Correction
Requested Change
male to female
female to male
Office Use Only
Signature
Date Changed
banner
hardcopy
internal notifications sent
national student clearinghouse updated
document imaging updated
notification to student
rev. 11.29.16 R
2
Pen to Paper Signature Date
Current Legal Name EWU ID, SSN, NET ID
Previous Name(s)
Birth Date Email Daytime Phone Number
Attendance Date(s)
Student Update Form
Records & Registration
201 Sutton Hall
Cheney, WA 99004
regonline@ewu.edu
P: 509.359.2321
F: 509.359.6153
EWUStudent Services
Check
information to
be updated:
Name
SSN
Gender
Birthdate
click to sign
signature
click to edit
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Student Update Form SSN Birthdate Gender Name information (Eastern Washington University)

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Completed 18 March 2021

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