Data Change Request Form

DATA CHANGE REQUEST FORM - NOTE: PLEASE ALLOW 24 HOURS FOR CHANGES TO BE MADE! INSTRUCTIONS: Complete all requested information. Complete each section applicable to current request (s). If you are CHANGING YOUR NAME please mail or fax documentation to the Registrar's office. For name change substantial documentation is required such as: Divorce Decree, Marriage Certificate, or Court Order before any records will be officially changed Fax 304-336-8220. ONLY CHANGE THE DATA THAT NEEDS CHANGED ON YOUR RECORDS.

Student Type*
Name*
First Middle Last
Up Load 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.
Date of Birth*
Student Identification Number or SSN*
Home Phone*
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.
Are you changing your Degree?*
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?*
Change Major FROM
Change Major TO
Change Advisor To: College of Arts & Comm.
Change Advisor To: College of Business.
Change Advisor To: College of Education UG
Change Advisor To: College of Education, MaEd
Change Advisor To: College of Liberal Arts
Change Advisor To: College of Math & Science
Change Advisor To: College of Math & Science, Masters of Science
Change Advisor To: College of Professional Studies
Change Minor
Before making any changes, it is recommended to speak with your academic Advisor about the requirements and degree plan.
Change Concentration
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 Second Minor To:
Change Catalog Term To:
Change Expected Gradation Date To:
Questions/Concerns
Comments
This field is for validation purposes and should be left unchanged.

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Data Change Request Form

Data Change Request Form

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