Personal Information Update

If you are a current MPCC student or employee, you must sign in before completing the form. If you need to sign in, click the LOGIN button in the top-right corner. After you are signed in, your ID number and name should display here:

0 - guest  guest

Alumni and other members of the public do not need to sign in.

 Select Student, Employee, Alumni, or Other:

Please update your personal information on the following tabs. Click NEXT to advance to the next tab.

Once you are satisfied that your information is up to date, click SUBMIT on the Finish tab. If you do not SUBMIT, your requested changes will not be processed.

If no changes are needed, click No Changes Needed on the Finish tab.

Hidden ID

Legal Name Definition

The name on your official college records is the name that you provided on your application for admission or employment application. If you wish to change your legal name, official documentation is required, along with this application. Your legal name will appear on your official MPCC records:

• Admissions records
• Athletic eligibility
• Federal financial aid
• Immigration documents
• MPCC transcript/grade reports
• Student account statements

Your Current Legal Name

Update Legal Name Here

Current First Name

New First Name

Current Middle Name

New Middle Name

Current Last Name

New Last Name

UPLOAD REQUIRED

To change your legal name, you must upload a copy of one of the following:

     Social Security card for U.S. citizens

     Passport for non-U.S. citizens

Uploads must be one of the following file types: .docx, .doc, .pdf, .png, .jpg, .tif

Optional Network Username Request

Your network account username can be found to the left of the @ symbol in your college email address:

Select whether you are requesting your MPCC network username be changed to reflect your new legal name.

Campus Name Definition

Mid-Plains Community College recognizes that faculty, staff and students may prefer to use a name other than their legal name to identify themselves, regardless if you have legally changed your name. We welcome creativity and individualism of our community. However, your campus name cannot be used for misrepresentation, to avoid legal obligations, or for illegal purposes. Also, MPCC reserves the right to reject inappropriate requests, such as offensive or derogatory language. Your campus name will appear on the following MPCC records:

• CampusWeb
• Canvas
• Class/Grade Lists
• Commencement Program
• E-mail
• Dean’s or President’s List
• Student ID

Your Current Campus Name

Update Campus Name Here

Current First Name

New First Name

Current Middle Name

New Middle Name

Current Last Name

New Last Name

Optional Network Username Request

Your network account username can be found to the left of the @ symbol in your college email address:

Select whether you are requesting your MPCC network username be changed to reflect your new campus name.

Prefix/Suffix Information

You may use this form to update preferences regarding prefix and suffix information. Changes will be viewable by MPCC record-keeping staff, but you may need to self-disclose these preferences with other staff members.

Current Prefix

New Prefix

Current Suffix

New Suffix

Relationship information is valuable for MPCC staff, especially those who support our alumni, donors, and community partners. If you would like to volunteer this information, you may choose to describe preferred salutations or the names of those in your family or household. If you are completing this update due to a life change (marriage, divorce, death of a family member), your information will help our staff be mindful of the circumstances. Please type additional information here.

New Prefix: -2557 Dr, -2558 Mr, -2559 Mrs, -2560 Miss, -2561 Ms, -2562 Sr, -2563 Fr, -2564 Major, -2565 Reverend

New Suffix: -2821 II, -2822 III, -2823 IV, -2824 Jr, -2825 Sr, -2826 V, -2827 VI

Your Current Home Address

Update Home Address Here

Current Address Line 1

New Address Line 1

Current Address Line 2

New Address Line 2

Current Address Line 3

New Address Line 3

Current City

New City

Current State/Province

New State/Province

Current Zip

New Zip

Current Country

New Country

Current County

New County (Nebraska residents only)

Additional Information

Request to Change Residency Status

Residency is determined by residing within the State of Nebraska a minimum of six months (180 days) with the intention of making Nebraska your permanent place of residence. 

If no changes are needed, simply select the 'Next' button. 

Current State of Residency

New State of Residency

Nebraska

Initial date of relocation to Nebraska with intent to stay

What additional circumstances related to your request for Nebraska residency status may need to be considered?

UPLOAD REQUIRED

Documents such as the following, dated at least six months prior to the date of this request, are considered valid proof of intent to establish Nebraska residency: 

• Nebraska Voter Registration
• Nebraska Driver's License
• Vehicle Registration
• Payroll Records
• Proof of Property Purchase
• Utility Deposit
• Tax Return
• High School transcript confirming graduation from an accredited Nebraska High School

Uploads must be one of the following file types: .docx, .doc, .pdf, .png, .jpg, .tif

Your Current Mobile Phone

Update Mobile Phone Here

Your Current Personal Email

Update Personal Email Here

Social Security Number

If you need to update or verify your social security number, upload a copy of your Social Security card.

Uploads must be one of the following file types: .docx, .doc, .pdf, .png, .jpg, .tif

For security purposes, we will not display or share your SSN. The copy of your Social Security card will be deleted immediately after processing.

Date of Birth

If you need to update or verify your date of birth, upload a copy of your birth certificate or driver's license.

Uploads must be one of the following file types: .docx, .doc, .pdf, .png, .jpg, .tif

We will never share any personal identifying information, and your upload will be deleted immediately after processing.

Gender/Pronoun Information

Any information you change on this form will be seen by a few record-keeping staff. It is your responsibility to share any preferences with faculty or other staff.

Your Current Gender Information

Update Gender Information Here

Current Sex at Birth

New Sex at Birth

Current Legal Sex

New Legal Sex

Current Gender Identity

New Gender Identity

Current Pronouns

New Pronouns

If available options do not include your preferred gender or pronoun and you wish to self-disclose, please select Options Do Not Apply and type your information here.

New Sex at Birth: C Choose Not to Disclose, F Female, M Male, N None

New Legal Sex: -7 Unknown, -6 Choose Not to Disclose, -5 Non-binary, -4 Transgender Male, -3 Transgender Female, -2 Male, -1 Female, 1 Agender, 2 Genderqueer, 3 Options Do Not Apply

New Gender Identity: -7 Unknown, -6 Choose Not to Disclose, -5 Non-binary, -4 Transgender Male, -3 Transgender Female, -2 Male, -1 Female, 1 Agender, 2 Genderqueer, 3 Options Do Not Apply

New Pronouns: -5 Prefer Not to Answer, -4 Options Do Not Apply, -3 They/Them/Theirs, -2 He/Him/His, -1 She/Her/Hers, 1 Ze/Zir/Zirs, 2 Xe/Xem/Xyrs, 3 No Pronoun - Prefer Name

Education 

College Attended 

Program of Study 

Degree or Diploma Obtained 

Year of Graduation 

What have you done since you left MPCC?

List your Accomplishments 

Current Profession or Employer 

Do you receive the alumni mailings?

I would like to receive alumni mailings.

Please review each tab before clicking SUBMIT.

Allow five business days for your request to be processed.

Network username can only be changed after grades are posted for the current semester for current students.

If you have questions, please email reghelp@mpcc.edu.