STUDENT INFORMATION CHANGE REQUEST

Instructions: Complete and submit this form to add or update your identification data, contact information, emergency contact details, or to request a legal name change. You will be required to sign the form after submission.

You only need to complete the required fields (marked with an asterisk) and the section related to the information you wish to change.

Note: If you are a current student requesting a legal name change, a new GGU student email address will be automatically generated for you. To have messages from your previous email address forwarded to your new one, please contact the IT Service Desk at help@ggu.edu for assistance.

Current Information in GGU Records:

GGU Student ID Number (or Last 4 Digits of Social Security Number)

Last (or Primary Name)

First Name

Add/Update Identification Data:

Social Security Number

Date of Birth

Please upload supporting documentation—such as a Social Security card or Individual Taxpayer Identification Number (ITIN) for SSN updates, or a Birth Certificate or Passport for date of birth (DOB) updates

Update Contact Information:

Home Address Line 1

Home Address Line 2

City (Include district if applicable.)

State/Province

ZIP/Postal Code

Country

Cellular/Mobile Phone Number

Home Phone Number (Enter only if different from above.)

Work Phone Number

Personal Email Address

Add/Update Emergency Contact Information:

Name

Relationship

Emergency Contact Phone Number

Emergency Contact Email Address

Legal Name Change:

You must attach evidence of your legal name change, such as a copy of your marriage certificate, divorce decree, court-issued name change, or adoption papers

Date Changes Become Effective (Enter a date only if effective date is in the future.)

Last or Primary Name

First Name

Middle Name or Initial

Please upload supporting documentation

Contact Information