NAME, GENDER, OR SOCIAL SECURITY # CHANGE
Graduate Studies and Research
Required (Driver’s License, or copy of Marriage Certificate, or Court Order, or Social Security card).
For gender change, a letter of support from mental health professional required.
PLEASE PRINT CLEARLY
Student’s Former Last, First, Middle
CWU ID#
Student’s New Last, First, Middle or Middle Initial
Social Security Number (Fill in only if correction
is required)
Student Signature
Gender: Male Female
E-Mail Address
Are you a current student employee? Yes No
Have you been within the last 13 months? Yes No
Verified By
For CWU staff only: Relations with Institution? Yes No
(If yes to either, a copy of your updated Social
Security card is required)