Change of Demographics

Use this form to change your citizenship status, ethnicity, or religious affiliation.


Student Information
First Name    Middle Name    Last Name    Suffix

Student ID Number
Today's Date

Are you a US Citizen?
If you answered no, what is your status?
If a US citizen, are you Hispanic or Latino?
If not Hispanic/Latino, what is your primary race?
If you have an additional race, select below:
(You may choose more than one)
America/Alaska Native
Black or African American
Hawaiian/Pacific Islander

Religious Affiliation: