Enrollment ID Correction Request Form
Submit your request to correct an enrollment ID record. Please provide accurate information to help us process your request efficiently.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Department or Program
*
Please Select
Undergraduate
Graduate
Professional Studies
Continuing Education
Other
Original Enrollment ID
*
Corrected Enrollment ID
*
Reason for Correction
*
Supporting Document (if any)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Date of Request
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional Comments
Submit Correction Request
Should be Empty: