Change of Demographics

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

    

Student Information
 
First Name    Middle Name    Last Name    Suffix
     
E-mail

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
Asian
Black or African American
Hawaiian/Pacific Islander
White

Religious Affiliation: