Registrar Change of Information Form

Comments
This field is for validation purposes and should be left unchanged.
This field is hidden when viewing the form
Current Name
First Middle Last Suffix
Current First Name*
Current Middle Name*
Current Last Name*
Current Suffix*
Date of Birth*
Do you have a change of name or need to correct your Social Security number in our system?*
- No
- Yes, I have a name change.
- Yes, I need to update my social security number.
This field is hidden when viewing the form
Do you need to correct your Social Security number or name in our system?
- No
- Yes
Former Name*
First Middle Last Suffix
This field is hidden when viewing the form
You will need to attach an image of your Social Security Card for name change verification.
Accepted file types: pdf, png, jpg, Max. file size: 64 MB.
You will need to attach an image of your Social Security Card for name change verification.*
Accepted file types: pdf, png, jpg, Max. file size: 64 MB.
Do you know your Faulkner ID number?*
- Yes
- No
If you need to submit additional information or any explanations along with the above changes. Please email the Registrar’s office directly at registrar@faulkner.edu .
Faulkner ID Number*
SSN*
Contact Number*
Alternate Number
Email*
Enter Email Confirm Email
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Signature*
- I agree that the above information is accurate, and that I am the student whose name appears on this form

Comments
This field is for validation purposes and should be left unchanged.
This field is hidden when viewing the form
Current Name
First Middle Last Suffix
Current First Name*
Current Middle Name*
Current Last Name*
Current Suffix*
Date of Birth*
Do you have a change of name or need to correct your Social Security number in our system?*
- No
- Yes, I have a name change.
- Yes, I need to update my social security number.
This field is hidden when viewing the form
Do you need to correct your Social Security number or name in our system?
- No
- Yes
Former Name*
First Middle Last Suffix
This field is hidden when viewing the form
You will need to attach an image of your Social Security Card for name change verification.
Accepted file types: pdf, png, jpg, Max. file size: 64 MB.
You will need to attach an image of your Social Security Card for name change verification.*
Accepted file types: pdf, png, jpg, Max. file size: 64 MB.
Do you know your Faulkner ID number?*
- Yes
- No
If you need to submit additional information or any explanations along with the above changes. Please email the Registrar's office directly at registrar@faulkner.edu .
Faulkner ID Number*
SSN*
Contact Number*
Alternate Number
Email*
Enter Email Confirm Email
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Signature*
- I agree that the above information is accurate, and that I am the student whose name appears on this form

Introduction