Student Information Change Request

Mission College

Admissions & Records Office

Questions? please contact the Admissions & Records Office

Student Contact Information

example: G01234567
Name on FIle*
@gmail.com, @yahoo.com
Address*

Sample forms of acceptable ID:

  • High school or College ID
  • Government issued ID (CA ID, CADL, Passport, Employment Authorization Cards)
  • Government issued ID from another country
No File Chosen
File uploads may not work on some mobile devices.
Select items that need to be Changed, Corrected or Updated*
Updated Address

Name Change Requested

A request to update your legal name must be made by completing this form and submitting two forms of supporting documentation.  One form of documentation must display your new name and the other must display your prior name.  

Acceptable supporting documentation includes: 

  • Birth Certificate
  • California Driver License
  • Court Order Name Change Document
  • Marriage License
  • Passport (required for F-1 visa students)
  • Permanent Resident Card
  • State Issued Identification Card
Updated Legal Name*
No File Chosen
File uploads may not work on some mobile devices.
No File Chosen
File uploads may not work on some mobile devices.

Social Security Correction Request

A request to update your Social Security Number must be made by submitting this form, your Social Security Card and one additional form of supporting documentation.  

Acceptable supporting documentation includes:

  • Social Security Card (Required)
  • Government issued ID
  • Pay stub
  • Tax cover sheet
  • W-2
No File Chosen
File uploads may not work on some mobile devices.
No File Chosen
File uploads may not work on some mobile devices.

Date of Birth Correction Request

A request to correct you Date of Birth must be made by submitting this form, your Certificate of Birth and one additional form of supporting documentation.  

Acceptable supporting documentation includes:

  • Official Certificate of Birth
  • U.S. Passport
  • Government issued ID
No File Chosen
File uploads may not work on some mobile devices.
No File Chosen
File uploads may not work on some mobile devices.

Signatures & Authorization

By submitting this form, I declare under penalty of perjury that the statements and  information submitted on this form are true and correct. I understand that all materials submitted by me for the purposes of maintaining my record become the property of the West Valley-Mission Community College District. I also understand that falsification, withholding pertinent data or failure to report changes to my educational status may result in District action.*

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