STUDENT INFORMATION CHANGE REQUEST

Instructions: Complete and submit this form to add or update your identification data, contact information, emergency contact information, or to change your legal name. You will be required to sign the form after you have submitted it.

Note: if you are a current student and are changing your legal name, a new GGU student email address will be automatically generated for you. To have your email messages from your old address mailbox forwarded to your new address, 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

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 driver license, social security card, court order, or divorce decree.

Last or Primary Name

First Name

Middle Name or Initial

If requesting to change your legal name, please upload supporting documentation.

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

Contact Information