STUDENT UPDATE FORM
A valid form of photo ID is required to update any information.
Please Print – Use Black or Blue Ink Only
Student ID Number: ___________________________
Student Name _____________________________________________________________________________________
Last
First
MI
CHANGE OF ADDRESS, PHONE NUMBER, and/or E-MAIL
________________________________________
_________________________________
_______________
Street Address
City/State
Zip Code
Apt #
________________________________
____________________________
Home Phone Number (with area code)
Cell Phone Number (with area code)
___________________________________
E-Mail
CHANGE OF ACADEMIC PROGRAM/MAJOR ( See back of form for selection)
From: ______________________________________
To: ___________________________________
SOCIAL SECURITY NUMBER, NAME and/or DATE OF BIRTH CORRECTION
**Must present Social Security Card, Driver’s License, Marriage Certificate, Birth Certificate, or other
supporting document**
SOCIAL SECURITY NUMBER CORRECTION:
Incorrect Number _________- ________- ____________
Correct Number ________- __________- ____________
NAME CORRECTION:
YOU MUST NOTIFY YOUR INSTRUCTORS OF A NAME CHANGE IF YOU ARE
CURRENTLY ENROLLED IN CLASSES.
Previous Name ________________________________________________________________________________________
Last
First
MI
Current Name _________________________________________________________________________________________
Last
DATE OF BIRTH CORRECTION:

First
MI
Incorrect DOB ____/____/____ Correct DOB ____/____/____
I DO NOT WANT MY DIRECTORY INFORMATION RELEASED TO ANYONE.
Student Signature _________________________________________________ Date ___________________
OFFICE USE ONLY
Received in Admissions on: _________________
Processed By: __________________
(Revised on 07/15/15)
ACADEMIC AND CERTIFICATE PROGRAMS
ASSOCIATE DEGREES
CODES
Administration of Justice
Automotive Technology
Business
Business Administration
Business Education Technology
Business Real Estate and Escrow
Child Development
Computer Information Systems
Comp Integrated Design and Graphics
Construction Technology
Electronics and Computer Technology
Electronics Engineering Technology
▪ Computer Emphasis
Electronics Engineering Technology
▪ Electronics Emphasis
Environmental Horticulture
Fine Arts
Fire Technology
Liberal Arts - Arts & Humanities Emphasis
Liberal Arts - Math & Science Emphasis
Liberal Arts - Social & Behavioral Science
AJ.AS
AUTO.AS
BUS.AS
BUSAD.AS
BET.AS
BRE.AS
CLDEV.AS
CIS.AS
CIDG.AS
CONST.AS
ELCT.AS
ELENC.AS
Math and Science
Medical Assistant
Nursing
Paramedic
Respiratory Therapy
Restaurant Management
Welding
ASSOCIATE DEGREES
CODES
MASC.AS
MA.AS
NURS.AS
PARA.AS
RT.AS
RM.AS
WELD.AS
TRANSFER DEGREES
CODES
Administration of Justice for Transfer
Communication Studies for Transfer
Early Childhood Education for Transfer
AJT.AS
CMSTT.AA
ECDT.AS
ELTCE.AS
English for Transfer
ENGLT.AA
OH.AS
FINE.AA
FT.AS
LAAH.AA
LAMS.AA
LASBS.AA
Geography for Transfer
History for Transfer
Mathematics for Transfer
Political Science for Transfer
Psychology for Transfer
Sociology for Transfer
GEOGT.AA
HISTT.AA
MASCT.AS
POLST.AA
PSYCT.AA
SOCT.AA
CERTIFICATES (18 units or more)
CODES
CERTIFICATES (18 units or more)
CODES
Administration of Justice Certificate
Administrative Assistant Certificate
Automotive Specialist I Certificate
Automotive Specialist II Certificate
Automotive Technician Certificate
Aviation Airframe Technician Certificate
Aviation Power Plant Technician Cert.
Basic Business Real Estate Certificate
Building Construction Certificate
Building Inspection Certificate
Communication Electronics Certificate
Computer Systems II Certificate
Computer Technology Certificate
Construction Management Certificate
Construction Technology Certificate
AJ.CERT
FPO.CERT
Database Administration Certificate
Digital Electronics Certificate
DBASE.CERT
DIGELE.CERT
Early Childhood Educ. Level I: Associate
Teacher
Early Childhood Educ. Level II: Teacher
Early Childhood Educ. Level III: Supervisor
Electronics Technology Certificate
Fire Company Officer Certificate
Fire Fighter Certificate
CHILD1.CERT
Fire Prevention Officer Certificate
Horticulture Specialist Certificate
Landscape Specialist Certificate
Legal Office Certificate
Management Certificate
Medical Assistant Certificate
Medical Office Certificate
Nursing Licensure Certificate
Paralegal Certificate
Paramedic Certificate
Productivity Software Specialist Certificate
Programming I Certificate
Programming II Certificate
Public Works Certificate
Restaurant & Food Services Management
Certificate
Welding Certificate
Wireless Communication Technology
Certificate
ADMASST.CERT
AUTOS.CERT
AUTO2.CERT
AUTOT.CERT
AIRFRMANT.CERT
PWRPLNAMT.CERT
BBRES.CERT
BC.CERT
BI.CERT
COMELEC.CERT
CSII.CERT
COMPTECH.CERT
CM.CERT
CONTECH.CERT
CHILD2.CERT
CHILD3.CERT
ELECT.CERT
FCO.CERT
FF.CERT
HORTSPEC.CERT
LANDSCPSPC. CERT
LGLOFF.CERT
BUSMGT.CERT
MED.CERT
MDOFF.CERT
NL.CERT
PLGL.CERT
PARA.CERT
PSP.CERT
PROG1.CERT
PROG2.CERT
PW.CERT
RM.CERT
WELD.CERT
WIRECOM
TECH.CERT