Preferred First Name Change Request Form

Student ID or Last 4 SS#*
Previous Name Used at College*
First Middle Last
Preferred First Name*
First
Email*
Required documentation*
Two required forms of identification are attached to this request
Government issued photo identification AND
Marriage certificate or Divorce decree or Order granting a name change provided by a court of competent jurisdiction or Social Security card*
*Please physically bring a copy of your Social Security card and government issued photo identification to the Office of the Registrar in Room 113.
Government issued photo identification*
Max. file size: 50 MB.
Second form of required identification (from list above)*
Max. file size: 50 MB.
Change in Marital Status (used for reporting purposes only)
- Married
- Divorced
- Widowed
Consent*
I hereby certify that by selecting the “I Accept” button, I am signing this request form electronically and that my electronic signature is the same as my handwritten signature.