Personal Information Change - Alumni/Former Students (TUG)

Undergraduate Personal Information Change (Alumni/Former Students)

This request is for alumni or former students only. If you are a current student, you can complete this at home.apu.edu under "My Information."

Name*

First Name

Last Name

Student ID or Social Security #*

Email*

Address to change

Home Address Mailing Address Diploma Address Email Address

New Address

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

New Email Address

Placeholder - Copy

Phone Number to change

Home Phone Number Mobile Phone Number

New Phone Number - Home

New Phone Number - Mobile

Signature*

Please type your full name.

Date*

Registrar Processing*

Record Updated Cancelled - Graduate and Professional Student Cancelled - Los Angeles Pacific University Student Cancelled - Other

Is the student an alumnus?*

Yes No

Note to Student

Please provide explanation if "Cancelled - Other."

Office Notes

Initials*

Date*