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WesternU / Registrar / Student Records and Registrar Forms / Update Your Personal Info

Update Your Personal Info

Updating your Personal Information

The Change of Personal Data Request Form is used to request change of name and/or change of address and telephone number. This form is available at the Office of the Registrar. Please include all of the following information:

  • Full legal name (include any former names used while attending)
  • Social Security number or student ID number
  • Program and year of graduation (if applicable)
  • Current address and daytime telephone number
  • Date of request
  • Requests must be signed by you. We cannot accept requests made by others on your behalf
  • Requests may be mailed or faxed
  • Your name and social security number must match those on your social security card.

Additional Information

  • All University departments will have access to the updated information through the Banner SCT Student Database System.
  • The Family Educational Rights and Privacy Act of 1974 (FERPA) allows Western University of Health Sciences to release certain directory information about students without written consent. This information includes, in part, name and address/telephone information. To view more information about FERPA, please visit our Student Privacy Rights page.