Cuesta College Change Of Name Or Social Security Number printable pdf download

CHANGE OF NAME OR

P.O. Box 8106

SOCIAL SECURITY NUMBER

San Luis Obispo CA 93403-8106

PRINT CLEARLY. A photocopy of current Driver’s License and your Social Security card must be attached

or your request will not be processed. Name changes must match SSN card for employees and financial aid

recipients. Request your SSN card online at

What is your classification on Campus:

STUDENT

EMPLOYEE

FACULTY

(Submit form to Admissions & Records)

(Submit form to Human Resources)

Employee ONLY:

What department do you work for on campus? ______________________________________________

Do you use the email icon in the top right hand corner of myCuesta? ___________________________

Are you a group owner in myCuesta? If yes, please list the group name._________________________

Are you currently enrolled as a student? ___________________________________________________

Name:

9 __ __ __ __ __ __ __ __

Cuesta ID:

Social Security Number Change

Incorrect Number:

Correct Number:

USE OF SOCIAL SECURITY NUMBER

Your Social Security Number ensures your identity with Cuesta College and the integrity of your

permanent record. The Social Security Number appears on your official transcript. When you ask that we

send your transcript to other colleges, universities and institutions the Social Security Number associates

you with your academic history.

Please note that the following services require that we have your Social Security Number on file.



Financial Aid

Program Licensure

Loan Deferments

Sports Eligibility

(Nursing/Engineering)



Education Tax Credits 

EOPS

Veteran’s Benefits

Student Employment

Name Change, includes myCuesta Login Change

Previous Name:

New name on SSN card:

FIRST NAME

M.I.

LAST NAME

Changes When myCuesta Login Name is Completed

When your myCuesta login name changes, you must understand that the following actions will take place.

By changing your myCuesta login, all personal settings to the programs listed below will be deleted in your

myCuesta account at the end of the term. A new account will be created for you. Employee myCuesta

 Deletion of myCuesta calendar data (employees only)

 Deletion of myCuesta groups (course studio & group studio)

 Deletion of added channels

 Deletion of existing myCuesta email account and contents

 Deletion of added bookmarks

 Change my login username and email name. I understand that myCuesta personal settings above

will be deleted.

 Do not change my login name and email name. Update/change my name on my academic records

only.

Signature: _______________________________________

Date: ________________

Employee Student Information Change 5-9-2013.doc

Cuesta College Change Of Name Or Social Security Number

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