Legal Name Change Request Form for Students, Applicants and Alumni

Before completing this form, please note the following:

• Name as changed must be your full legal name.
• Nicknames, initials, or abbreviations are not acceptable unless used as your legal name.
• Name change requests must be accompanied by appropriate documentation.
• If you prefer to submit your form by mail, you may access a printer-friendly version here.
• When providing documentation by mail, send a copy only. When appearing in person, bring the original documents with you.

Former Name (name to be changed)

* First Name

Middle Name

* Last Name

New Name (requested change)

* First Name

Middle Name

* Last Name

Additional Information

* Birthdate

College Identification Number

* Email Address

* Permanent Address

Country

Street

City

Region

Postal Code

Is this a change of address?

Please provide former address known to the College:

Former Address

Country

Street

City

Region

Postal Code

Proof of Name Change

To process your name change you request, you must upload copies of at least one of the following documents containing your new name. Scans or images of the files will be accepted if clear and legible.

Check the box next to each document you plan to upload:

* Upload your court order here:

* Upload your Social Security card here:

* Upload your marriage license here:

* Upload your passport here:

* Upload your divorce decree here:

* Upload your driver's license here:

Signature

I declare all information provided to be true and correct. This change of name will not be used for fraudulent purposes and represents a bona fide change of my legal name.

* In place of your signature, please type your full legal name: