Data Change Request Form

Student Type*
Name*
First Middle Last
Student ID*
Upload Name Change Documents
For name change substantial documentation is required such as: Divorce Decree, Marriage Certificate, or Court Order before any records will be offically changed. ONLY CHANGE THE DATA THAT NEEDS CHANGED ON YOUR RECORDS. If you are not able to upload documents please fax to 304-336-8220.
Max. file size: 250 MB.
Are you changing your Preferred First Name?
(Currently Preferred First Names will only show in Sakai, but will reflect in WINS once the Self Service 9 upgrade is completed)
- Yes
- No
Preferred First Name
Date of Birth*
Cell Phone*
Email*
Are you changing your address?*
- Yes
- No
Address
Please only complete this section if you are changing your address.
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
County
If you are changing your Address, please update your county.
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Are you changing your Degree?*
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Select Degree:
Please select the degree that corresponds with your major. Once the degree is selected a list of Advisors will appear.
Are you changing your Major?*
Select College*
Major Change for College of Liberal & Creative Arts*
Major Change for Department of Special Programs*
Please reach out to Dr. Nicole Ennis at nicole.ennis@westliberty.edu for instructions on next steps to apply to this program.
Advisor Change for Commercial Pilot Fixed Wing (Aviation)*
Please reach out to Tasha Taylor ttaylor@westliberty.edu for instructions on next steps to apply to this program.
Major Change for College of Business*
Major Change for College of Education & Human Performance*
Major Change College of Science*
Major Change Masters Programs*
Change Advisor To: College of Liberal & Creative Arts*
Change Advisor To: College of Business*
Change Advisor To: College of Education & Human Performance (UG)*
Change Advisor To: College of Sciences*
Change Advisor: Masters*
Middle Childhood 1st Concentration*
Middle Childhood Education Majors are Required to select two areas of Emphasis.
Middle Childhood 2nd Concentration*
Middle Childhood Education Majors are Required to select two areas of Emphasis.
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Change Concentration
Before making any changes, it is recommended to speak with your academic Advisor about the requirements and degree plan.
Primary Minor
Minor
Before making any changes, it is recommended to speak with your academic Advisor about the requirements and degree plan.
Minor
Before making any changes, it is recommended to speak with your academic Advisor about the requirements and degree plan.
Minor
Before making any changes, it is recommended to speak with your academic Advisor about the requirements and degree plan.
Secondary Minor
Minor
Before making any changes, it is recommended to speak with your academic Advisor about the requirements and degree plan.
Minor
Before making any changes, it is recommended to speak with your academic Advisor about the requirements and degree plan.
Minor
Before making any changes, it is recommended to speak with your academic Advisor about the requirements and degree plan.
Don't See the Major or Minor?
PLEASE INDICATE WHETHER MAJOR OR MINOR AND TITLE THAT YOU DO NOT SEE IN CHOICES ABOVE
Change Second Major To:
Change Catalog Term To:
Change Expected Graduation Date To:
Questions/Concerns
Phone
This field is for validation purposes and should be left unchanged.

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